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Manager, Revenue Cycle

Description

We are seeking a strategic and detail-oriented Manager of Revenue Cycle to lead our business office operations. This key leadership role is responsible for overseeing billing, collections, insurance claim preparation, and denial management, ensuring seamless performance across all service lines. The Manager will collaborate closely with Finance, Patient Access, Health Information Management, and other stakeholders to drive efficiency, regulatory compliance, and process improvement across the revenue cycle.


Key Responsibilities:

  • Lead and supervise Business Office staff; structure workflows and staffing for optimal performance.
  • Oversee revenue and accounts receivable functions including insurance verification, billing, collections, chargemaster updates, and denial tracking.
  • Ensure compliance with all relevant regulations and policies.
  • Monitor performance metrics using HFMA’s MAP tools; prepare regular reports for leadership.
  • Collaborate with internal departments to maximize reimbursement and minimize denials.
  • Foster a positive, growth-oriented work environment and support staff development.

Requirements

  • Minimum 3 years of management experience in a healthcare business office.
  • Strong knowledge of healthcare reimbursement (Medicaid, Medicare, and Commercial payors).
  • Proficiency in Microsoft Office and electronic health record systems.
  • Exceptional communication, problem-solving, and leadership skills.
  • Bachelor’s degree in healthcare administration, finance, or a related field preferred (or equivalent experience).

Average salary estimate

$90000 / YEARLY (est.)
min
max
$80000K
$100000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Manager, Revenue Cycle, Shodair Children's Hospital

At our vibrant organization located in the scenic city of Helena, Montana, we are excited to announce an opening for the role of Manager, Revenue Cycle. In this key leadership position, you will take charge of the business office operations, ensuring that our billing, collections, insurance claim preparations, and denial management run like a well-oiled machine. Your strategic oversight will help elevate our services and improve overall efficiency. Working closely with various departments including Finance, Patient Access, and Health Information Management, you will play a critical role in driving compliance and process improvement throughout the revenue cycle. Your responsibilities will include leading and supervising the Business Office staff, structuring workflows for optimal performance, and overseeing essential functions such as insurance verification and denial tracking. Monitoring performance metrics using HFMA’s MAP tools will also be part of your role, along with the preparation of regular reports for leadership. As a positive leader, you will foster a growth-oriented environment for staff development as well. If you have a minimum of 3 years of management experience in a healthcare business office and possess a strong understanding of healthcare reimbursement, we would love to have you on our team. Whether you're adept with Microsoft Office or have experience with electronic health record systems, your exceptional communication and leadership skills will be vital to our success. Join us in creating a thriving and efficient revenue cycle process!

Frequently Asked Questions (FAQs) for Manager, Revenue Cycle Role at Shodair Children's Hospital
What responsibilities does the Manager, Revenue Cycle at our company have?

The Manager, Revenue Cycle at our company is tasked with overseeing the business office operations, including billing, collections, and insurance claim preparation. Additionally, this role involves managing denial tracking, ensuring compliance with regulations, and collaborating with Finance and Patient Access departments to enhance efficiency within the revenue cycle.

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What qualifications are needed to apply for the Manager, Revenue Cycle position?

To apply for the Manager, Revenue Cycle position at our company, candidates should have a minimum of 3 years of management experience in a healthcare business office. A strong knowledge of healthcare reimbursement, including Medicaid, Medicare, and Commercial payors, is crucial. Proficiency in Microsoft Office and electronic health record systems is also expected, along with exceptional communication and leadership skills.

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How does the Manager, Revenue Cycle contribute to the organization's compliance efforts?

The Manager, Revenue Cycle plays a vital role in ensuring that all billing practices comply with relevant regulations and policies. By overseeing the revenue and accounts receivable functions, this position ensures that all processes adhere to compliance, thereby helping the organization navigate regulatory requirements effectively.

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What role does teamwork play for the Manager, Revenue Cycle?

Teamwork is essential for the Manager, Revenue Cycle. This role requires close collaboration with various departments such as Finance and Health Information Management. By fostering positive relationships and communication between teams, the Manager can optimize reimbursement processes and minimize denials, ensuring a smooth revenue cycle.

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What is the work environment like for the Manager, Revenue Cycle at our company?

The work environment for the Manager, Revenue Cycle at our company is positive and growth-oriented. We value staff development and encourage a supportive atmosphere that allows for open communication and collaboration. This contributes to a thriving and productive workplace where employees can excel.

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Common Interview Questions for Manager, Revenue Cycle
Can you describe your experience with managing a revenue cycle team?

When answering this question, highlight specific examples of how you have led a team in a revenue cycle context. Discuss your approach to structuring workflows, performance monitoring, and fostering an environment focused on staff development.

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How do you ensure compliance within the revenue cycle processes?

Discuss your familiarity with relevant regulations and how you implement policies to ensure compliance. Provide examples of compliance challenges you faced and how you navigated them successfully.

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What strategies do you use to minimize billing denials?

Explain your methods for identifying common denial reasons and how you implement process improvements. Include your experience collaborating with other departments to enhance the reimbursement process.

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How do you handle performance metrics monitoring?

Describe the performance metrics you believe are crucial for a revenue cycle. Explain how you use tools such as HFMA’s MAP metrics for reporting and performance improvement.

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What are your communication strategies when dealing with other departments?

Share specific examples of how effective communication has played a role in your past experience. Discuss how you encourage open dialogue and collaboration between diverse teams.

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How do you support staff development in your team?

Provide examples of professional development opportunities you've created for your staff. Explain how you’ve fostered a growth-oriented culture that motivates team members.

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What challenges have you faced in the revenue cycle management, and how did you overcome them?

Think of a specific challenge you encountered and explain the steps you took to resolve it. Highlight your problem-solving skills and the positive outcome that resulted from your efforts.

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How do you stay updated on changes in healthcare reimbursement policies?

Discuss your methods for staying informed, such as attending industry conferences, reading professional journals, or networking with peers in the healthcare financial sector.

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Can you provide an example of a successful project you managed in a healthcare setting?

Share a specific project that you led, detailing your role, the objectives of the project, and the outcomes. Focus on measurable results that improved the revenue cycle.

Join Rise to see the full answer
What software tools do you prefer for managing revenue cycle operations?

Discuss your experience with relevant software, highlighting specific tools you have used effectively. Mention how these tools have streamlined processes and improved overall efficiency.

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Diversity of Opinions
Work/Life Harmony
Transparent & Candid
Growth & Learning
Fast-Paced
Collaboration over Competition
Take Risks
Friends Outside of Work
Passion for Exploration
Customer-Centric
Reward & Recognition
Feedback Forward
Rapid Growth
Medical Insurance
Paid Time-Off
Maternity Leave
Mental Health Resources
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Rise from Within
Mission Driven
Diversity of Opinions
Work/Life Harmony
Transparent & Candid
Growth & Learning
Fast-Paced
Collaboration over Competition
Take Risks
Friends Outside of Work
Passion for Exploration
Customer-Centric
Reward & Recognition
Feedback Forward
Rapid Growth
Medical Insurance
Paid Time-Off
Maternity Leave
Mental Health Resources
Equity
Paternity Leave
Fully Distributed
Flex-Friendly
Some Meals Provided
Snacks
Social Gatherings
Pet Friendly
Company Retreats
Dental Insurance
Life insurance
Health Savings Account (HSA)

Shodair is creating a healthy and hopeful Montana through specialized psychiatric care for children and adolescents along with a nationally recognized genetics program providing care for all ages. Shodair Children’s Hospital became a Children’s M...

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Full-time, on-site
DATE POSTED
April 16, 2025

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