Senior Manager of Revenue Cycle

Join us as the Senior Manager of Revenue Cycle!

Full Time 40 Hours onsite in Auburn, MA

The Senior Manager of Revenue Cycle provides strategic leadership and oversight for all revenue cycle operations at the Vista Hospital System. This position is responsible for optimizing the end-to-end revenue cycle process — including patient access, billing, collections, and compliance — to ensure timely, accurate, and compliant reimbursement for services, for Multi-site Revenue Cycle, including Outpatient Services. The Senior Manager ensures adherence to Massachusetts specific regulations, federal healthcare laws, and payer requirements.

As the Senior Manager of Revenue Cycle:

• Monitor the integrity of end-to-end revenue cycle functions including insurance verification, claims processing and follow up, denials management, and credit balance management.
• Monitor and manage in metric-driven environment using KPIs such as AR days, cash collections, denial rates, and bad debt; implement performance improvement plans as needed.
• Ensure accurate charge capture, billing, and reimbursement in accordance with Medicare, Mass Health and commercial payer regulations.
• Completes monthly Medicare Bad Debt Log
• Completes monthly Denial Log in partnership with Utilization Management
• Responsible for weekly AR Team Meetings and monthly presentation to Leadership

Regulatory Compliance

• Ensure compliance with all federal, state, and local laws including HIPAA, EMTALA, CMS billing rules, and Mass Health Policies
• Stay current on changes to reimbursement methodologies and payer contract terms.
• Work closely with the CFO to identify and mitigate risk.

Technology & Process Improvement

• Drive automation and process improvements to reduce denials, improve clean claim rates, and enhance patient financial experience.

Financial Management

• Develop and manage department forecasts.
• Analyze financial reports and implement corrective actions to improve revenue capture and reduce revenue leakage.
• Oversee vendor relationships related to revenue cycle (e.g., third-party collections, outsourced coding or billing services).
• Coordinate with Finance and Accounting on effective revenue recognition practices during month-end close and year-end audits.
• Oversee day-to-day operations of Revenue Cycle department.
• Monitor metrics and KPI’s and improve procedures
• Supervise OP Billing Supervisor
• Supervise Credentialing position to ensure all providers are credentialed with Medicare and Medicaid, and Commercial payors