Manager, Revenue Ops - Journal Center

Schedule: Monday-Friday 0800-1700 and other shifts as needed.

Location: Journal Center

JOB SUMMARY:

Leads the oversight and strategic management of the revenue cycle, including the operation of the accounts receivable billing system.

Monitors and optimizes billing and collection workflows to ensure efficiency, fiscal responsibility, and compliance with regulatory and legal standards.

Manage the department's operations and coordinate activities with other areas of the organization and with internal and external customers. Identifies root causes of operational issues and recommends solutions to improve processes and outcomes.

Work with senior management and other departments to implement recommendations to support the stated goals. Responsibilities include management of data entry, collections, cash applications, and outside contractors.

ESSENTIAL FUNCTIONS:

1. Directs Business Office operations to ensure accurate and timely management of accounts receivable, aligned with system standards and best practices.

2. Monitor established financial and operational benchmarks to identify and resolve variances and exceptions which may impact cash flow.

3. Streamline process to reduce denials and appeals, enhancing performance and accelerating claims resolution and cash collections.

4. Conducts root cause analysis, evaluates workflows, and develops actionable improvement proposals.

5. Analyze billing and collection trends and presents process improvement recommendations to senior leadership.

6. Ensures compliance with third-party payor regulations, including Medicare, Medicaid, and commercial contracts.

7. Manages departmental personnel, including supervisors, and leads; oversees hiring, evaluation, and staff development. Provides leadership and mentorship to direct reports, fostering a positive and high-performing work environment.

8. Participates in quality assurance initiatives and leads process improvement efforts to meet or exceed customer expectations.

9. Demonstrate ability to constantly improve quality standards. Continually evaluate the needs and expectations of the "customers" of the area and implements new quality programs designed to ensure that the quality of the services meet or exceed customer's expectations. Prepare QA reports as appropriate. Lead, facilitate and/or participate in Quality Management and other process improvement teams as appropriate.

10.Maintains current knowledge of billing and insurance requirements through ongoing education.

11.Develops and aligns departmental goals with the organization's strategic initiatives.

12.Communicate effectively with internal and external stakeholders to resolve billing-related issues.

13.Evaluates staffing and resource needs, initiates requests for support, and monitors cost-effectiveness.

14.Maintains clear communication channels within and across departments to support workflow optimization. Ensures staff are informed of relevant updates and encourages open dialogue and feedback.

15.Supports and implements departmental policies and strategies aligned with the organization's mission, vision and values.

16.Ensures departmental compliance with all applicable regulatory requirements and escalates potential issues appropriately.

The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

MINIMUM EDUCATION:

Bachelor's degree in a related field. In lieu of degree, (3) years in a supervisory or management role, and (5) years of relevant experience.

MINIMUM EXPERIENCE:

Five years of relevant experience in healthcare, finance, or customer service, including at least three years in a supervisory or management role. A combination of education and experience may be substituted on a year-for-year basis.

OTHER REQUIREMENTS:

• Demonstrates expertise in healthcare regulatory and compliance issues, including OIG work plans and Medicare regulations.

• Possesses deep knowledge of medical claims billing, documentation management, and claims collections and follow-up processes.