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Vituity · 2 weeks ago

Revenue Cycle Process Optimization Manager - Remote - Nationwide

United States

Full-time

Remote

Senior Level

$109K/yr - $140K/yr

5+ years exp

Vituity is a healthcare organization dedicated to transforming healthcare through collaboration and innovation. They are seeking a Revenue Cycle Process Optimization Manager to lead the analysis and optimization of revenue cycle workflows, enhance automation, and collaborate with cross-functional teams to implement sustainable solutions.

Health CareMedical

Diversity & Inclusion

Responsibilities

Lead the analysis and optimization of end-to-end revenue cycle workflows and processes, including patient access, charge capture, billing, coding, collections, denials management, and payment posting. Analyzing to identify inefficiencies, bottlenecks, and areas for improvement

Utilizing Revenue Cycle expertise to enhance automation, data accuracy and reporting capabilities

Lead and manage process optimization projects from planning through execution and evaluation

Collaborate with cross-functional teams including billing, coding, patient access, IT, and compliance to identify operational inefficiencies and implement sustainable solutions

Serve as the subject matter expert (SME) for IDX system functionality, configuration, and optimization

Develop and maintain documentation for new processes, workflows, and system enhancements

Monitor and analyze key performance indicators (KPIs) to assess impact and ensure continuous improvement with the generation of reports to track the impact of optimization efforts

Driving adoption of best practice with industry trends, regulatory changes, and fostering a culture of innovation and accountability

Enhance transparency and accountability in the revenue processes

Supports organizational goals through data-driven decision making

Partners with RCM Learning & Development team to develop/deliver training programs and educational materials to revenue cycle staff to ensure adherence to new or optimized processes

Lead root cause analysis and performance audits to identify inefficiencies, reduce rework, and improve reimbursement timelines and payer compliance

Develop and implement strategies to improve RCM KPIs such as AR days, first-pass resolution rate, denial rate, and net collection rate

Responsible for the successful delivery of projects including the creation and maintenance of all required project documentation, budget adherence, and on-time delivery

Identify gaps in workflow, training, or systems and create sustainable process improvement plans using Lean, Six Sigma, or similar methodologies

Partners with Application and Support to create and present performance dashboards, executive reports, and business cases for optimization projects to senior leadership

Establish and track benchmarks to monitor the impact of implemented changes and ensure sustained process optimization

Ensure that all process improvements and operational changes comply with relevant regulations and industry standards

Stay current with industry trends, payer changes, and regulatory requirements to proactively adapt reimbursement strategies

Qualification

Revenue Cycle ManagementProcess ImprovementIDX System ExpertiseProject ManagementData AnalysisLean Six SigmaHealthcare Billing KnowledgeCommunication SkillsLeadership SkillsProblem-Solving SkillsInterpersonal Skills

Required

Bachelor's degree in healthcare administration, Business, Finance, or related field required

Minimum 5 years of experience in revenue cycle management, with at least 2 years focused on process improvement required

Proven experience working with IDX (GE Centricity Business) in a healthcare setting required

Established track record of success in optimizing complex processes required

Certified Associate in Project Management (CAPM), Project Management Professional (PMP), or Lean Six Sigma certification required

Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations

Deep understanding of healthcare revenue cycle management

Advanced proficiency in IDX system

Proficiency in data analysis tools and revenue cycle software

Excellent analytical, leadership, problem-solving, and project management skills

Strong communication and interpersonal skills with the ability to influence stakeholders at all levels

Knowledge of organizational change management techniques and methodologies

Ability to dissect existing workflows, identify bottlenecks, and understand how different parts of a process interact

Ability to define problems, gather and validate data, perform root cause analysis, and help develop a solution

Ability to identify project issues, risk, weaknesses and/or critical problems, and to implement timely corrective action to forestall or remedy

Ability to plan, organize, and manage process improvement projects from start to finish

Ability to use project management software to define, plan, size, resource, manage, and report on assigned projects

Ability to track, monitor and evaluate budgetary compliance, and to manage project budget details and reporting

Ability to manage multiple projects from inception to successful implementation, and to demonstrate persistence in issues tracking, follow-up and resolution

Ability to explain project concepts/requirements to technical and non-technical audiences, and to convey information effectively in verbal and written communication, and group meetings/presentations

Proficiency in Microsoft Office suite (Outlook, Word, Excel, PowerPoint)