Manager, Revenue Cycle Management (1388)
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United States · Fort Worth, TX, USA
Job Details
Description
US Heart and Vascular is in need of a Revenue Cycle Management Manager to join our team at Fort Worth Heart in Fort Worth, TX.
Responsibilities:
- Oversee the end-to-end revenue cycle process for the practice, from patient intake to final payment.
- Ensure accurate and timely charge capture, coding, billing, and collections in alignment with cardiology-specific requirements.
- Monitor and manage billing workflows, addressing issues with claims denials, rejections, and underpayments.
- Ensure compliance with all payer guidelines, Medicare/Medicaid regulations, and cardiology-specific coding standards.
- Utilize Athena EHR to its full capabilities for accurate patient data entry, coding, billing, and payment posting.
- Ensure the system is configured to support optimal revenue cycle processes, including charge capture, claim submission, and reporting.
- Organize training and ongoing education for staff to ensure adherence to industry best practices and changes in cardiology billing codes, payer rules, and regulatory guidelines.
- Generate and analyze key financial reports to assess revenue cycle performance, including aging reports, payment trends, and collection metrics.
- Collaborate with management to develop strategies for reducing accounts receivable (AR) and improving collection rates.
- Assist with budget preparation and forecasting by providing accurate financial data.
- Ensure the practice is fully compliant with all federal, state, and payer regulations, particularly those specific to cardiology billing and coding.
- Conduct regular audits of billing and coding practices to identify areas for improvement and ensure accuracy in claims submission.
- Maintain up-to-date knowledge of changes in insurance policies, reimbursement rates, and cardiology coding guidelines.
- Address patient inquiries regarding insurance, billing, and payment issues in a professional and timely manner.
- Assist with resolution of patient billing disputes and payment issues to maintain positive patient relations.
Requirements:
- Bachelor’s degree in business administration, Healthcare Management, or a related field preferred.
- 3+ years of experience in revenue cycle management, with a focus on cardiology or similar specialties.
- Strong knowledge of medical billing, coding, and insurance processes, including CPT, ICD-10, and cardiology-specific codes.
- Proficiency in Athena EHR and Athena Revenue Cycle Management tools.
- Experience with payer contracts, fee schedules, and Medicare/Medicaid regulations.
- Strong leadership and team management skills, with the ability to coach and mentor staff.
- CPC, CPB, or similar certification preferred (or willing to obtain).
About Fort Worth, TX:
Fort Worth, Texas, offers a perfect blend of big-city amenities and small-town charm, making it an attractive place to live. With a lower cost of living compared to other major Texas cities, a thriving job market, and no state income tax, it's a great spot for professionals and families alike. The city boasts a rich cultural scene, from the historic Stockyards to world-class museums and entertainment districts. Plus, Fort Worth’s warm climate, outdoor recreation, and friendly community make it an inviting place to call home.
This job is no longer accepting applications
See open jobs at US Heart and Vascular.See open jobs similar to "Manager, Revenue Cycle Management (1388)" Oak HC/FT.