Revenue Cycle Manager

Introduction

Retina Consultants of America is identifying and evaluating candidates for the position of Revenue Cycle Manager. This position will report to the Director of Operations. The revenue cycle manager role is a highly visible and challenging role that will help execute the vision of the company’s long-term and short-term strategy and become an integral member of a dynamic and experienced operational team.

Our Company

Retina Consultants of America (RCA) is bringing together national leaders in surgical and clinical retina care. This network comprises preeminent retina research specialists with the common goal of eradicating blindness caused by macular degeneration, diabetic retinopathy, and other retina diseases.

With over 1.0M annual patient visits, more than 190 physicians, and more than 165 locations, Retina Consultants of America (RCA) is the largest retina care provider in the nation.

Our Mission

Through RCA’s physician-centered practice management model, physicians continue to drive clinical care and practice culture, while benefiting from the business expertise, resources and share best practices.

RCA seeks to expand our mission by partnering with leading retina specialists who are passionate about delivering excellent patient care and participating in innovative research.

RCA has created a business model that enables retina specialists to retain autonomy and ownership, augmented by sharing best practices facilitated through the Medical Leadership Board and executive management support. Practices within the network will continue to drive all clinical decisions and remain highly involved in strategic operations.

Our Core Values

·       Relentlessly Commit to our Patients, to the Practices We Serve and to Our Mission

·       Embrace the Legacies of Our Partner Practices

·       Strive for Continuous Improvement Through Education and Research

·       Exude Compassion in All We Do

Position Overview

The Revenue Cycle Manager is responsible for managing and overseeing RCM initiatives simultaneously across multiple practices within the platform. They will collaborate with key stakeholders, practice RCM leaders, and other departments within the company to ensure that all key project milestones and timelines are achieved. The revenue cycle manager role requires strong expertise in physician revenue cycle management to lead initiatives and drive performance improvement in key areas. A successful revenue cycle manager should be detail-oriented, accurate, accountable, balanced, with sound business judgment, and aligned with company objectives.

Essential Duties and Responsibilities

• Provide revenue cycle management expertise for adoption of enterprise-wide initiatives and support acceleration of revenue uplift
• Compile, analyze, and report data regarding performance and trends across the platform
• Implement continuous improvements for policies, procedures, and processes to align with RCA “best practices”
• Submit corrected claims, appeals, special projects, etc. as needed to assist RCA practices
• Maintain expertise in retina-specific coding and billing
• Maintain knowledge of and comply with established policies and procedures including government, insurance, and third-party payer regulations
• Work collaboratively with RCA’s accounting, data, and payor relations teams
• Maintain relationships and oversee projects with practice RCM staff, outsourced RCM vendors and manufacturers
• Any other project as determined by the Director of Operations

Knowledge, Skills, Abilities

• Strong physician billing experience (ophthalmology/retina, a plus)
• Knowledgeable in provider credentialing processes
• Ability to direct and lead multiple projects concurrently
• Knowledgeable in defining approach and resource requirements for projects
• Strong organizational, customer service, interpersonal, facilitation, communication, and time management skills
• Outstanding poise in a fast-paced business environment
• Ability to work both independently and in a team setting
• Flexibility to travel as needed

Education and Experience

• Master’s degree (preference Business or Healthcare Administration) and/or 10 years of physician practice experience
• Minimum of 5 years’ experience in revenue cycle leadership position
• Experience in providing cross functional support of a corporate team
• Proficient in Microsoft Office (Excel, Word, PowerPoint)
• Proficient in Microsoft Outlook
• Experience and ability to navigate practice EHR PM systems and RCM/data reporting tools (NextGen, Nextech, Tableau, Viewgol experience, a plus)