City of Austin - JOB DESCRIPTION

Revenue Cycle Manager

Under direction, performs financial, administrative, customer service, and systems management functions and performs analyses to identify and maintain revenue potential. 

1. Directs and oversees the overall procedures, objectives, and initiatives of the department’s revenue cycle to optimize patient financial interaction along the care continuum.
2. Reviews, designs, and implements processes surrounding billing, third-party payer relationships, collections, and other financial analyses to ensure that the clinical revenue cycle is effectively and properly utilized.
3. Tracks numerous metrics related to the patient engagement cycle including recording coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting.
4. Manages relationships with payers and providers to generate high reimbursement rates and a low level of denials.
5. Recommends solutions to critical business issues and presents alternatives that maximize insurance plan benefits.
6. Monitors patient billing and customer service processes to ensure regulation compliance and appropriate application to billing processes.
7. Provides analysis and makes recommendations for process improvements as it pertains to billing and operational procedures.
8. Participates in short- and long-range planning activities for billing, collections, remittance processing, revenue measurement, and workforce development.
9. Evaluates program effectiveness and efficiency to meet departmental business goals.
10. Prepares and presents reports and oversees the design of visual presentation materials including charts and graphs to accompany reports.
11. Coordinates cross-functional projects and personnel to assess departmental requirements.
12. Acts as the department liaison in the operations of Billing Services with other City departments.

Responsible for the full range of supervisory activities including selection, training, evaluation, counseling, and recommendation for dismissal.

• Knowledge of business strategies, objectives, departmental goals, and initiatives.
• Knowledge of fiscal planning and budget preparation.
• Knowledge of medical billing and/or coding practices and systems.
• Knowledge of supervisory and managerial techniques and principles in an emergency response operation.
• Skill in determining needs; and gathering, analyzing, and presenting data to provide accurate information for management's use.
• Skill in oral and written communication at all levels of the organization including executive, management, and emergency responders.
• Skill in handling multiple tasks and prioritizing.
• Skill in using computers and related software applications.
• Skill in quantitative, qualitative, and financial data analysis, including statistics and problem solving.
• Ability to work with frequent interruptions and changes in priorities.
• Ability to train others.
• Ability to quickly recognize and analyze irregular events.
• Ability to establish and maintain effective communication and working relationships with emergency responders, other City employees, and the public.

• Graduation with a Bachelor’s degree from an accredited college or university with major course work in Business Administration, Public Administration, or in a field related to the job, plus six (6) years of administrative/management billing experience in a medical insurance environment, including two (2) of which were in a supervisory capacity.
• Experience may substitute for education up to four (4) years.