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Senior Manager, Revenue Cycle Operations


Louisville, KY

Posted 3 weeks ago

Messina is assisting our client, a rapidly growing specialized healthcare services organization headquartered in Louisville, with their search for a Senior Manager, Revenue Cycle Operations, for a direct hire role. 

The Senior Manager, Revenue Cycle Operations manages all functions of the organization’s Insurance Verification, Billing Call Center departments, and Biologic Copay Assistance Programs while maintaining and improving internal and external customer relations. In conjunction with Revenue Cycle Teams, this professional will contribute to the day-to-day operations in other areas as assigned. This role reports directly to the Vice President, Revenue Cycle Operations.

Summary of Duties and Responsibilities:

·        Oversees the Insurance Verification and Billing Call Center departments and Biologic Copay Assistance Program.

·        Hiring and onboarding of new team members, overseeing time off requests and timesheets, and ensuring adequate coverage during business hours.

·        Review and create work queues and workflows for the Insurance Verification Specialists.

·        Create new and review current policies and procedures, recommend areas of improvement to Eligibility and Benefits workflows, and coordinate with the Senior Manager of Medical Billing to implement changes as required.

·        Monitor calls to ensure conformity to department procedures, policies, and guidelines, provide feedback, and mentor staff.

·        Prepare and analyze monthly productivity reports, including insurance verification, authorization, and various patient tracking reports, to ensure correct benefits are documented in patients' charts.

·        Ensure that the activities of the verification and authorization o

·        perations are conducted in a manner that is consistent with overall department protocol and in compliance with Federal, State, and payer regulations, guidelines, and requirements.

·        Provide, oversee, and/or coordinate training for new and existing staff on workflows, policies, procedures, rules, and regulations.

·        Review monthly denials related to insurance verification and, under the guidance of the Vice President of Revenue Cycle take appropriate actions to eliminate insurance benefit-related denials.

·        Spot audit benefit documentation, calls, and complete oversight of the authorization process. Provides continuous written and verbal feedback to staff and management regarding audit outcomes.

Contact the Recruiter:
Jenni McBride Headshot
Jenni McBride
Manager, Talent Advisory Solutions
Jenni McBride Headshot
Jenni McBride
Manager, Talent Advisory Solutions
I had an amazing time working with Jenni throughout the recruitment process. She made sure to check in with me every step of the way and even gave me tips about interviewing. I definitely wouldn’t hesitate to work with her again.
– Nia H.
Messina Group is an Equal Opportunity Employer
We provide and promote equal employment opportunities without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression.
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Senior Manager, Revenue Cycle Operations