Job details

Manager - Revenue Cycle

Title: Revenue Cycle Manager
Department: Revenue Cycle

About the role:

We are seeking an experienced and detail-oriented Revenue Cycle Manager to oversee and optimize our revenue cycle processes. The ideal candidate will be responsible for managing the entire revenue cycle, from patient registration to final payment, ensuring accuracy, compliance, and efficiency. This role will collaborate with various departments to enhance revenue collection and improve overall financial performance.

What You’ll Do:

Oversee the entire revenue cycle process, including patient registration, billing, collections, and accounts receivable management.
Develop and implement policies and procedures to improve revenue cycle efficiency and effectiveness.
Monitor key performance indicators (KPIs) and prepare regular reports on revenue cycle metrics, identifying areas for improvement.
Work closely with billing and coding teams to ensure accurate coding and billing practices in compliance with regulations.
Analyze trends and identify potential issues impacting revenue collection; develop strategies to mitigate risks.
Train and mentor staff on revenue cycle processes, best practices, and compliance standards.
Collaborate with clinical and administrative teams to streamline workflows and enhance patient experience.
Ensure compliance with federal, state, and local regulations, as well as payer guidelines.
Manage relationships with third-party payers and negotiate contracts to optimize reimbursement.
Stay updated on industry trends and changes in healthcare regulations that may impact the revenue cycle.

Qualifications:

5+ years of experience in revenue cycle management within a healthcare setting.
Strong knowledge of billing and coding practices, payer requirements, and healthcare regulations.
Excellent analytical, problem-solving, and organizational skills.
Proficient in revenue cycle management software and electronic health record (EHR) systems.
Strong leadership and communication skills to effectively collaborate with cross-functional teams.
Certification in billing revenue cycle management (e.g., CRCR, CCA, CPC) is a plus.Who We Are:

Valley Oaks Medical Group is now Astrana Care of Nevada.

At Valley Oaks, we strive to redefine the way healthcare is administered through community driven preventative care and proactive treatment. By centering care around the patient, we can improve health and wellbeing instead of treating symptoms. Our passionate providers prioritize the wellness of each of our patients with the necessary tools and resources to improve the quality of life for all of our patients.

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare company accelerating the path towards a future where high-quality, coordinated healthcare is available to all. We are building and operating an integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner, especially patients who are traditionally underserved and those most vulnerable.

Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide and is growing revenue over 40% a year. We have demonstrably improved patient outcomes: seniors on our platform spend 54% fewer days in the hospital than the national average and are readmitted 63% less often, and serve an extremely diverse community, with over 75% of our patients identifying as BIPOC and over 80% enrolled in Medicare or Medicaid.

Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

Put Patients First
Empower Entrepreneurial Provider and Care Teams
Be Innovative
Operate With Integrity & Excellence
Work As One Team

Environmental Job Requirements and Working Conditions:

This position is based in our Las Vegas Corporate Office, located by Sunset/215.
The annual total compensation target pay range for this role is: $68,000-74,000. This salary range represents our national target range for this role.

Additional Information:

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin,
gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request accommodation.

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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By Astrana Health

Astrana Health is a forward-thinking team of physician-led innovators with a strong foundation of physician empowerment, committed to enhancing physician work satisfaction and repairing the healthcare system. Our core mission revolves around under...

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FUNDING

Public

DEPARTMENTS

Accounting

SENIORITY LEVEL REQUIREMENT

Mid-Level

INDUSTRY

Health Care Services & Hospitals

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