Apply on Employer Site

Skilled Wound Care · 3 days ago

Healthcare Revenue Cycle Manager

Los Angeles, CA

Full-time

Onsite

Mid, Senior Level

$80K/yr - $100K/yr

Skilled Wound Care is a leading national surgical physician group servicing nursing homes for wound care and related services. They are seeking a Healthcare Revenue Cycle Manager to oversee the patient-to-payment lifecycle, maximize revenue, and ensure compliance across all phases of the revenue cycle.

Health Care

Growth Opportunities

Responsibilities

Oversee and manage the daily operations of the entire revenue cycle, from initial patient registration and charge capture through claim submission, follow-up, and final payment posting

Develop and execute financial strategies to consistently reduce Accounts Receivable (A/R) days, optimize cash flow, and significantly boost profitability

Maintain expert-level knowledge of evolving payer requirements (e.g., Medicare, Medicaid) and industry regulations, ensuring continuous compliance and proactively adapting strategies for shifts toward value-based care models

Recruit, train, mentor, and effectively manage all staff within the Revenue Cycle department, fostering a high-performing and collaborative environment

Conduct regular performance evaluations, provide coaching, and manage any necessary disciplinary actions to maintain high standards of accountability and productivity

Serve as the subject matter expert, guiding team members in complex claims resolution, coding questions, and difficult payer negotiations

Monitor, track, and analyze key performance indicators (KPIs) such as coding error rates, billing turnaround times, denial rates, and A/R metrics

Proactively identify operational bottlenecks and analyze denial trends to determine root causes of revenue leakage

Develop, implement, and enforce new policies and procedures to enhance billing efficiency, reduce errors, and ensure accurate charge capture across the organization

Prepare and present regular, insightful financial reports and performance summaries to senior management

Serve as the primary liaison and partner with Billing, Coding, Clinical, and Information Technology (IT) teams to resolve complex revenue cycle issues and optimize integrated workflows

Qualification

Healthcare billingFinancial managementMedical codingData analysisCompliance knowledgeLeadership skillsPayer contracts knowledgeGovernment regulations knowledgeProcess improvementProblem-solvingCommunication skillsAttention to detailOrganizational proficiencyPresentation skillsTeam managementCollaborationMentorship

Required

Proven experience in healthcare billing, financial management, or a management role within the healthcare revenue cycle

Exceptional analytical and problem-solving capabilities

Demonstrated strong leadership and team management skills

Excellent communication (written and verbal) and presentation skills

High level of attention to detail and organizational proficiency

In-depth, expert-level understanding of medical billing, medical coding, payer contracts, government regulations (Medicare, Medicaid), and compliance standards