Revenue Cycle Manager- Partner Operations

As a Revenue Cycle Manager at Luna, you will lead the revenue cycle onboarding for health system partners, manage payer enrollment and clinic setups, and ensure accurate billing for our partner clinics. You'll also deliver monthly performance reports to key stakeholders while managing denial issues and payment reconciliations. Your role will center on maintaining strong partner satisfaction through proactive communication and executing our operational standards efficiently.

To qualify for the Revenue Cycle Manager position at Luna, you need a Bachelor's degree in Finance, Business Administration, Healthcare Administration, or a related field. Additionally, five or more years of progressive experience in healthcare revenue cycle management, along with proven leadership skills managing teams of 2-8, are essential. A deep understanding of healthcare billing and claims processes will be crucial for success in this role.

Success in the Revenue Cycle Manager role at Luna hinges on being organized with strong project management and prioritization skills. Candidates should also possess a solutions-focused mindset, excellent communication abilities, and a commitment to continuous improvement. Familiarity with Ambulatory vs. Hospital Outpatient billing and proven client-facing experience will further bolster your chances of excelling in this role.

Luna provides its Revenue Cycle Managers a fantastic opportunity to grow with a revolutionary start-up in physical therapy. Highlights include a fully remote work environment, competitive salaries, stock options, comprehensive health benefits, and generous paid time off with holidays. You'll also benefit from supportive leadership that fosters personal and professional growth.

The Revenue Cycle Manager at Luna plays a key role in maintaining partner satisfaction by ensuring seamless communication, accurate billing processes, and timely issue resolution. By delivering performance reports and overseeing RCM operations, you'll highlight successes while addressing areas needing improvement, which will greatly enhance the overall partner experience.

Be prepared to detail your previous roles, focusing on specific tasks you undertook in revenue cycle management, such as billing, collections, or financial reporting. Highlight situations where you drove improvements or lead teams to enhance efficiency, emphasizing your leadership skills in the context of healthcare revenue processes.

Discuss your leadership style, how you motivate teams, and your methods for ensuring accountability. Provide examples of how you have developed team members or navigated challenges to foster a collaborative, high-performing team environment, especially in a remote setting.

Share specific examples of processes or technologies you’ve introduced that streamlined operations. Prepare to discuss measurable outcomes, such as improved turnaround times or reduced denial rates, demonstrating your proactive approach to efficiencies within the revenue cycle.

Talk about your conflict resolution skills and give examples of previous situations where you successfully navigated billing issues. Highlight your commitment to transparent communication and how you ensure partners feel heard and valued during the resolution process.

Demonstrate your knowledge of the differences between these billing methods, referencing CMS 1500 and UB04 forms. Discuss how each applies to your previous roles and emphasize your ability to adapt billing strategies based on the healthcare setting.

Outline a step-by-step process for onboarding, from initial engagement to setting up systems and ensuring compliance with payer rules. Include details on how you ensure accuracy and efficiency in this critical phase, showing your sound project management skills.

Discuss the metrics you monitor and the frequency of reporting. Mention any specific tools or software you've used to generate reports, emphasizing the type of insights you provide to stakeholders and how they drive decision-making.

Stress the importance of communication in liaising with health system partners and internal teams. Provide examples of how effective communication has helped resolve issues or enhance partner relations in your past roles.

Explain your approach to staying updated with payer requirements and how you implement training or resources for your team to adhere to these standards. Emphasize your systems for monitoring compliance and handling non-compliance situations.

Reflect on your personal work style, including how you foster self-discipline and maintain connections with your team. Discuss the aspects of remote work you find rewarding and how you ensure productivity and engagement in a virtual environment.