Revenue Cycle Manager Per Diem
Henry J Austin Health Center
Trenton, NJ
MAJOR FUNCTION
This position works in conjunction with the Chief Financial Officer and Director of Finance and Revenue Cycle to oversee essential functions critical to the organization's financial health. They provide visionary leadership, ensuring high team performance through clear goal setting, regular evaluations, and ongoing coaching. Responsible for strategic planning and policy development with the Director of Finance & Revenue Cycle, they optimize medical coding compliance, revenue integrity, and billing practices. Additionally, the manager analyzes revenue cycle metrics, identifies process improvement opportunities, and effectively communicates findings to stakeholders while staying abreast of healthcare regulations and reimbursement trends. ESSENTIAL FUNCTIONS:
he physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend, and perform light lifting in the amount of 10lbs max. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials.
This position works in conjunction with the Chief Financial Officer and Director of Finance and Revenue Cycle to oversee essential functions critical to the organization's financial health. They provide visionary leadership, ensuring high team performance through clear goal setting, regular evaluations, and ongoing coaching. Responsible for strategic planning and policy development with the Director of Finance & Revenue Cycle, they optimize medical coding compliance, revenue integrity, and billing practices. Additionally, the manager analyzes revenue cycle metrics, identifies process improvement opportunities, and effectively communicates findings to stakeholders while staying abreast of healthcare regulations and reimbursement trends. ESSENTIAL FUNCTIONS:
- Supervisory
- Provide leadership and guidance to the revenue cycle team, ensuring high performance and professional development.
- Assign duties to the billing team and review their work product to ensure accuracy and efficiency.
- Set clear goals, expectations, and performance metrics for team members.
- Conduct regular performance evaluations and address issues promptly.
- Provide ongoing coaching, feedback, and support to enhance team capabilities and efficiency.
- Foster a collaborative and positive work environment.
- Communicate effectively with team members, stakeholders, and senior management.
- Participate in strategic planning and decision-making processes.
- Identify training needs and coordinate professional development opportunities for the team.
- Assist Director of Finance & Revenue Cycle in development and implementation of departmental policies and procedures and internal control systems.
- Medical Coding
- Lead and support the CFO, Director of Finance and Revenue Cycle, and finance team in analyzing opportunities for business performance improvement related to coding practices.
- Ensure coding compliance with federal and state regulations, payer policies, and industry standards.
- Assist Revenue Cycle Specialist as needed with internal coding audits to ensure accuracy and compliance in billing practices.
- Revenue Integrity
- Provide analytical support to other departments on revenue cycle issues.
- Monitor billing metrics, generate reports to track revenue performance, and identify areas for improvement.
- Maintain compliance with coding and billing regulations, including HIPAA, CPT coding guidelines, and local coverage determinations.
- Present best practices based on audits to prevent findings and recommend documentation improvements for maximum reimbursement.
- Compliance and Documentation
- Maintain compliance with coding and billing regulations, including HIPAA, CPT coding guidelines, and local coverage determinations.
- Oversee and monitor preparation for audits related to billing.
- Ensure timely and accurate submissions for Medicare and Medicaid WRAP billing, NJ Letter of Agreement (LOA) billing, and quarterly City of Trenton grant billings.
- Oversee preparation and submission of annual Sliding Fee Scales (SFS) to comply with grant and HRSA requirements with the Revenue Cycle Supervisor.
- Oversee preparation and submission of Medicare credit balance reports.
- Review proposed patient account adjustments and Bad Debt write-offs with Revenue Cycle Supervisor in accordance with policy.
- Coordinate case policy adjustments with Revenue Cycle Supervisor to ensure compliance with grant requirements.
- Evaluate new federal, state, and commercial coding and billing requirements and develop processes, procedures, and codes to ensure accurate billing capture.
- Revenue Analysis and Reporting
- Generate reports and analyze revenue cycle metrics such as coding accuracy, claim submission timeliness, and denial rates.
- Identify trends, patterns, and opportunities for revenue enhancement or process improvement.
- Present findings and recommendations to management or stakeholders.
- updates to management on billing and collection activities.
- Works closely with the Director of Finance & Revenue Cycle to establish priorities in duties/responsibilities for the revenue cycle team.
- Work with the Patient Access department (Medical and/or Dental) to resolve billing and registration issues.
- Manage relationships with outsourced revenue cycle vendor(s).
- Attend Medical Staff meetings and deliver special presentations as needed.
- Collaborate with all employees to achieve Henry J. Austin Health Center's goals and objectives, following established policies and procedures.
- Demonstrate willingness and flexibility to perform tasks and projects assigned in the Finance Department.
- Stay updated on healthcare regulations and reimbursement trends to optimize revenue generation.
- Train and educate staff on FQHC billing and coding requirements as needed.
- Oversee month-end and year-end closing processes, as well as external audit preparations.
- Assist in training new staff members on revenue cycle processes and procedures.
- Ability to keep up with multiple deadlines, project goals, and to keep up with high volume of work.
- Performs any additional duties as may be assigned by supervisor, manager or director.
- Works on special projects as needed/assigned.
- Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.
- Minimum of 4-5 years of experience in FQHC settings preferred with an understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants.
- Minimum of 5-7 years of billing experience required in a primary care setting.
- Proficiency in Athena EHR system preferred.
- Certified Professional Coder (CPC) Required.
- Organization reserves the right to request certifications and/or licensures as needed
- Bachelor’s degree Required, or some college combined with 5-7 years of revenue cycle management experience.
- At least 3 years of experience in a Supervisory or position of leadership required.
- Knowledge of medical terminology, CPT and ICD-10 coding principles.
- Proficiency in using Electronic Health Records (EHR) and billing software (Athena Preferred).
- Understanding of Medicare, Medicaid, and commercial insurance billing requirements. Provider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical and dental insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits.
- Proficient in word processing and skilled in utilizing Excel and its functionalities.
- Knowledge: Understanding of healthcare billing practices, compliance regulations, and reimbursement methodologies, preferably for FQHC’s. Understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants.
- Skills: Strong analytical skills, attention to detail, and proficiency in Microsoft Office Suite (Excel, Word). Excellent writing skills with the ability to present high level data and information to senior level staff. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Supervisory Skills: Demonstrate exceptional leadership abilities to inspire and motivate our revenue cycle team. Possess proficient performance management capabilities to set clear expectations, provide constructive feedback, and conduct regular evaluations. Strong communication skills are essential for effectively coordinating revenue cycle processes, performance metrics, and fostering collaboration across departments. Identify areas for training and development to enhance team capabilities. Excel in problem-solving to address complex issues, make decisive decisions based on data, implement process improvements to optimize workflows, resolve conflicts to maintain a collaborative environment, and demonstrate adaptability in navigating changes in healthcare regulations and technology.
- Abilities: Ability to multitask, prioritize workload, follow through on tasks and work independently as well as part of a team. Must be willing to take ownership of work deliverables to ensure assignments/projects are met in a timely fashion. Ability and willingness to meet critical deadlines. Ability to independently set and achieve goals. Demonstrates excellent problem-solving skills, using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
- Other: Strong organizational and communication skills, adept in both verbal and written forms. Committed to upholding patient confidentiality and delivering exceptional customer service. Skilled in fostering and maintaining effective working relationships with colleagues. Bilingual proficiency preferred. Demonstrates recognition and respect for cultural diversity. Adheres to dress code standards with a neat and clean appearance. Diligently attends annual reviews and departmental in-services as scheduled.
he physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend, and perform light lifting in the amount of 10lbs max. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials.
Posted 2025-11-21
Recommended Jobs
Registered Nurse (RN)
Wellpath
Morris County, NJ
You Matter • Make a difference every day in the lives of the underserved • Join a mission driven organization with a people first culture • Excellent career growth opportunities Join us an…
View Details
Posted 2025-11-19
Manager, Business Development Representatives (EdTech Publishing)
Pearson
Trenton, NJ
**Manager, Business Development Representatives (EdTech Publishing)** **Location:** Remote **Shape the Future of Learning with Pearson** Pearson is the world's leading EdTech company, transforming edu…
View Details
Posted 2025-11-18
Client Services Associate / Travel (Remote)
HB Travels
Atlantic City, NJ
About Us: We are a professional travel services organization dedicated to making trip planning simple, seamless, and stress-free. By working with trusted travel providers, we ensure clients receiv…
View Details
Posted 2025-10-28
Live-In Caregiver Home Care for Seniors
Guardian Angel Senior Services
Shrewsbury, NJ
Our Mission: Is to provide home care service with love; to enhance the quality of living through our attentive yet subtle style of care; to maintain their dignity and their independence while serv…
View Details
Posted 2025-10-31
School Office Associate
Lead Charter School
Newark, NJ
THE ROLE LEAD Charter School seeks an exceptional School OfficeAssociate to join our mission-driven community. The school clerk plays a vital role in maintaining seamless and efficient operation…
View Details
Posted 2025-11-21
Medical Staff Credentialing Specialist
Somerset
Somerset, NJ
Job Title: Credentialing Specialist Location: SBC Corporation Department Name: Medical Staff Req #: 0000212335 Status: Salaried Shift: Day Pay Range: $52,666.00 - $72,416.00 per year…
View Details
Posted 2025-11-18
Merchant Services Business Manager - Senior Associate
JPMorgan Chase & Co.
Jersey City, NJ
Job Description Join our Business Management team, where we optimize business performance by driving key initiatives and acting as trusted advisors to Business/Group Heads. We are responsible for …
View Details
Posted 2025-11-19
Research Scientist - Artificial Intelligence in Chemistry
Universal Display Corporation
Ewing, NJ
At Universal Display Corporation (Nasdaq: OLED)(UDC), we’re changing the way people see the world. If you’re reading this on a smartphone, there’s a good chance UDC’s materials are producing the li…
View Details
Posted 2025-11-21
Music Instructor - Multi-Instrumentalist & Ensemble Coach
Bach to Rock - Denville, NJ
Denville, NJ
Bach to Rock (“B2R”) America’s Music School for students of all ages is currently seeking Music Teachers for their Denville, New Jersey location to work as a part-time employee providing music and per…
View Details
Posted 2025-08-28
Associate Director / Director, Global Generative AI
Biontech
Berkeley Heights, NJ
The Associate Director / Director, Global Generative AI will establish and scale BioNTech’s generative AI capabilities to support its upcoming global Oncology launches. This leader will drive the vis…
View Details
Posted 2025-10-23