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)
Employment type
Full-time
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