Revenue Cycle Manager

As a Revenue Cycle Manager at NOCD, you will oversee the daily functions of the claims team, including managing 15 direct reports, ensuring data integration between EMR systems, and assisting the accounting team with reconciliations and audits. You'll lead weekly meetings with large accounts, identify areas for improvement in the claims workflow, and perform quality assurance checks to maintain optimal results.

Candidates for the Revenue Cycle Manager role at NOCD should possess strong claims expertise, an understanding of timely filing rules, and the ability to troubleshoot denied claims efficiently. Excellent attention to detail and advanced Excel skills are essential, as is the capability to communicate effectively across all organizational levels.

Success as a Revenue Cycle Manager at NOCD requires strong organizational abilities, multitasking skills, and impeccable attention to detail. Additionally, candidates should be comfortable navigating payer portals and have excellent written communication skills to facilitate productive cross-communication within the team.

The Revenue Cycle Manager at NOCD plays a vital role in ensuring that our payment processes run smoothly, which ultimately helps us provide uninterrupted access to therapy for individuals suffering from OCD. By efficiently managing claims and improving workflows, you help maintain the financial health of NOCD, enabling us to focus on changing the lives of our members.

The general pay range for a Revenue Cycle Manager at NOCD is between $100,000 and $120,000 USD, reflecting our commitment to attracting top talent to join our impactful mission.

To manage my claims team effectively, I prioritize consistent communication, set clear expectations, and implement regular training sessions that keep the team informed and engaged. I also encourage open feedback to identify areas for growth and improvement.

One challenging claim I resolved involved a substantial denial due to coding errors. I spearheaded a thorough review process, engaged with the payer for clarification, and collaborated with the coding team to implement corrective measures, resulting in the successful resubmission of the claim.

To ensure compliance with timely filing rules, I stay updated on each payer's specific guidelines and create a tracking system to monitor filing deadlines. This proactive approach minimizes the risk of denied claims due to missed timelines.

I believe in a hands-on approach to team training, combining initial onboarding sessions with ongoing education. Regular check-ins and training updates ensure that team members feel supported and are continuously developing their skills.

Tools like advanced Excel for data analysis, along with robust EMR systems, are crucial for efficient data management. I also advocate for leveraging analytics software to visualize important metrics, enhancing decision-making.

In my experience managing denied claims, I prioritize a methodical approach involving thorough analysis of the denial reason, direct communication with payers for clarity, and prompt corrective actions to minimize loss and facilitate resolution.

Effective communication across departments is achieved through regular interdepartmental meetings, clear documentation, and encouraging a culture where team members can voice concerns and share feedback openly.

Key performance indicators I track include claim adjudication rates, days in accounts receivable, denial rates, and cash collections. Monitoring these metrics helps identify trends, assess team performance, and enhance overall efficiency.

I identify areas for improvement in the claims process by analyzing performance data, soliciting feedback from team members regarding challenges they're facing, and maintaining ongoing quality assurance checks that highlight inconsistencies.

Maintaining supplier relationships with healthcare payers involves establishing a rapport through regular communication, resolving issues promptly, and collaborating on shared goals. Building trust ensures smoother interactions and fosters long-term partnerships.