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MANAGER REVENUE CYCLE

scasurgery
Otherjunior

Job description

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : • Clinical quality • Integrity • Service excellence • Teamwork • Accountability • Continuous improvement • Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Accountabilities / Responsibilities ** The work schedule will be Monday - Friday with hours between 8am - 5pm EST / 7am - 4pm CST ** The Revenue Cycle Manager serves as the process owner for all revenue cycle functions within the centralized business office. They are responsible for process improvement, execution of goals, meeting KPI standards, and providing service excellence to our clients, patients and teammates. This person interfaces with and presents information to clients regarding the results of the CBO’s Revenue Cycle Operations. Key Responsibilities : • Demonstrates expert knowledge of revenue cycle metrics including Cash Collections, AR Days, AR >90, DNFB, Denials, Unbilled Accounts, Billing Rejections, Managed Care Variances, and Collections Inventory. • Independently analyzes performance trends, quantifies financial impact, and develops corrective action plans. • Explain key revenue cycle performance drivers and financial impacts. • Identify root causes behind top denial categories and aging AR trends. • Develop and execute measurable improvement plans. • Hold teams accountable for results. • Present KPI performance and recovery strategies to operational and executive leaders. • Consistently demonstrate proactive leadership versus reactive management. • Creates a culture of continuous improvement, education, and employee engagement. Qualifications • High School diploma or GED required; Associates Degree or Bachelor’s Degree in business, healthcare, or related field preferred • Minimum two years of management/Leadership experience within all revenue cycle functions in the healthcare, medical, or ambulatory surgery center industry • Understanding of the various roles, responsibilities, and technical aspects of the entire revenue cycle, specifically in the healthcare, medical, or ambulatory surgery center industry • Knowledge of medical terminology and health insurance billing • Advanced proficiency in Microsoft Excel, including pivot tables, VLOOKUP/XLOOKUP, formulas, data analysis, conditional formatting, and dashboard creation • Strong working knowledge of revenue cycle management platforms, EMR/EHR systems, claims management systems, denial management tools, collection software (e.g., Artiva), managed care applications, and internal reporting platforms • Ability to quickly learn and optimize new technologies to support operational excellence and KPI management • Demonstrate strong communication skills, verbal and written

Skills

Microsoft ExcelPivot TablesVLOOKUPXLOOKUPFormulasData AnalysisConditional FormattingDashboard CreationRevenue Cycle Management PlatformsEMR/EHR SystemsClaims Management SystemsDenial Management ToolsCollection SoftwareArtivaManaged Care ApplicationsInternal Reporting Platforms