Senior Regional Revenue Cycle Manager - Remote

Company: Sound Physicians, Inc.
Location: Washington
Posted on: November 13, 2024

Job Description:

Senior Regional Revenue Cycle Manager - Remote Job Category: FINANCE, ACCOUNTING AND REVENUE CYCLE OPERATIONSHeadquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape - with patients at the center of the universe.Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per yearAbout the Role:The Sr. Regional Revenue Cycle Manager is responsible for the analysis of revenue cycle data, developing, planning, organizing and implementing strategies to improve the overall health of receivables and the financial impact to our hospital partners and to Sound Physicians. This position will assist in developing analyses and processes to proactively support the business and optimize revenue cycle outcomes. This is a dynamic role that will interface with many departments across the organization as well as with our field operators and partners and may have several Regional Revenue Managers as direct reports. Revenue Cycle is responsible for oversight of professional billing, vendor management, coding, quality assurance, and provider enrollment, among other activities for their assigned specialty. This includes, but is not limited to; charge capture, claims submission, accounts receivables, write-offs, denials management, patient financial services, medical records and payer analysis (e.g. Medicare, Medicaid, Commercial, and Private Pay).The Details: In this role, there will be travel required, up to 20% of the time.In this role, you will be responsible for:
  • Collaborating with RC Operations teams to ensure department standards of productivity metrics such as charge reconciliation, collection volume and rates, and patient payment SLAs are met and develop monthly insights into variances
  • Having the ability to dig into data, working cross-functionally to develop fully informed views and insights into the drivers behind the data, and presenting findings clearly and concisely to stakeholders
  • Accurately gathering, synthesizing, analyzing and communicating timely relevant information to support decision making and develop process improvement strategies
  • Communicating strategic insights for service line revenue and ensuring financial and contractual goals and objectives are properly defined, implemented, tracked and met
  • Participating in new hospital activations, collaborating with key internal stakeholders and client meetings
  • Assisting with standardizing workflow processes at the location level to meet revenue cycle operations needs and to consistently achieve company key performance metrics
  • Performing financial analysis of revenue cycle processes and reports
  • Supporting annual budgeting, monthly financial and revenue forecasting
  • Analyzing FFS (fee for service) collection trending and providing insights into variances
  • Aiding in creating models that connect strategies to measures of performance
  • Contributing to the standardization and process improvement initiatives within Revenue Cycle
  • Providing analytical support and developing tools for company operations to enhance their skills in detecting both current and future performance issues
  • Preparing narratives, Power Point presentations, graphs, and reporting for field operations, clients, finance and revenue cycle
  • Developing and preparing ad-hoc reports related to the revenue cycle
  • Handling complex patients' complaints and issues by explaining company policies and guidelines, as well as policies and guidelines involving compliance issues with state and federal regulations
  • Possessing the ability to manage a team of revenue cycle managers at the regional level
  • Other duties as assignedWhat we are looking for:A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:Values:
    • Intellectually curious: Demonstrates a genuine interest in learning new things and wants to know the reason "why" behind the way things are done
    • Driven: Motivated to succeed and get things done at a high level of achievement
    • Strategic thinker: Demonstrates the ability to look at the big picture and proactively develop a plan of action
    • Collaborative: Demonstrates the ability to work well with others to accomplish a goal and get the work done; takes opinions of others into consideration; includes others in the decision-making process
    • Resourceful: Proactive willingness to utilize available information and tools to figure things outKnowledge:
      • Bachelor's degree in related field and/or equivalent combination of education and experience
      • Expert knowledge of revenue cycle, healthcare payment models, physician practice management, and payer contracting
      • Effective communicator at all levels in the organization, with strong oral, written and persuasive skills
      • Ability to prepare and present financial analysis to hospital CFOs, Billing Directors and other key stakeholders
      • Ability to prioritize workload and function well in a fast-paced environment
      • Strong quantitative skills with intermediate to expert proficiency in Microsoft Excel and proficiency in Microsoft Power Point
      • Natural intellectual curiosity with strong research skills
      • Ability to maintain strict confidentiality with regard to protected health information and understands and adheres to Sound Physicians HIPAA Privacy and Security Policies and Procedures
      • Ability to maintain strict confidentiality with regard to company legal and financial informationExperience:
        • 5 years of experience in healthcare as a revenue cycle analyst, manager or equivalent in a fast-paced and dynamic organization
        • 5+ years of experience working in revenue cycle fee for service billing, preferably hospital medicine with strong analytical and organizational skills
        • Strong background in federal and state laws and requirements relating to healthcare managementPay Range: This position offers an annual salary range of $95,000 to $125,000, based on candidate experience, and geographical location.Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.
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Keywords: Sound Physicians, Inc., Frederick , Senior Regional Revenue Cycle Manager - Remote, Executive , Washington, Maryland