Description
About CLS Health
CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!
Job Summary:
The Revenue Cycle Manager oversees and optimizes the revenue management processes within the company. The Revenue Cycle Manager must have a deep understanding of healthcare billing, coding, reimbursement, and compliance regulations, coupled with strong leadership and analytical abilities.
Supervisory Responsibilities:
- Directs and oversees Revenue Cycle Team.
- Conducts performance evaluations that are timely and constructive.
Duties/Responsibilities:
- Revenue Cycle Optimization: Develop and implement strategies to streamline revenue cycle processes, including billing, coding, claims management, and collections, to maximize revenue and minimize delays.
- Billing and Coding Compliance: Ensure accurate and compliant coding practices according to industry standards (e.g., ICD-10, CPT), payer guidelines, and regulatory requirements (e.g., HIPAA, CMS).
- Claims Management: Oversee the timely submission, tracking, and resolution of claims to minimize denials and optimize reimbursement. Implement effective denial management strategies to address claim rejections and appeals.
- Revenue Analysis and Reporting: Analyze revenue cycle performance metrics, identify trends, and generate insightful reports to monitor key performance indicators (KPIs) and inform decision-making processes.
Required Skills/Abilities:
- Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech).
- Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid).
- Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights.
- Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams.
- Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.
Benefits:
- 401(k)
- 401(k) matching
- Dental Insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Requirements
Required Skills/Abilities:
- Proficiency in medical billing software and revenue cycle management systems (e.g., Epic, Cerner, Meditech).
- Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations (e.g., HIPAA, Medicare/Medicaid).
- Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights.
- Effective leadership and team management skills, with a proven track record of motivating and developing high-performing teams.
- Exceptional communication and interpersonal skills, with the ability to collaborate effectively across departments and with external stakeholders.
Education and Experience:
- Bachelor's degree in healthcare administration, finance, business, or related field. Master's degree preferred.
- Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting.
- Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) certification preferred.
Physical Requirements:
- Prolonged periods sitting at a desk and working on a computer.
- Must be able to lift to 15 pounds at times.
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Skills Required
- Proficiency in medical billing software and revenue cycle management systems, such as Epic, Cerner, or Meditech.
- Strong knowledge of healthcare billing, coding, reimbursement methodologies, and compliance regulations, including HIPAA and Medicare/Medicaid.
- Excellent analytical skills with the ability to interpret data, identify trends, and develop actionable insights.
- Effective leadership and team management skills, with experience motivating and developing high-performing teams.
- Exceptional communication and interpersonal skills, with the ability to collaborate across departments and with external stakeholders.
- Bachelor's degree in healthcare administration, finance, business, or a related field.
- Master's degree.
- Minimum of 5 years of experience in revenue cycle management, preferably in a healthcare setting.
- Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) certification.
What We Do
CLS Health is a physician-owned, multispecialty healthcare group serving Greater Houston with coordinated primary and specialty care across dozens of clinics. They offer on-site laboratory and imaging services, same-day appointments, and a centralized contact center, supporting more than 200 providers and multiple specialties to deliver patient-centered, integrated outpatient and some inpatient services across their clinic network.
