Manager of Revenue Cycle - Physician Partnerships & Collections Optimization
- Assess legacy system data to convert financial performance from legacy system to EHA NextGen system.
- Facilitate legacy practice system run-outs of both debit & credit AR. Manage associated stateside & global partner or other vendor resources.
- Manage onboarding tasks (including service items & payer cross walking), expected timelines using Gantt chart tools to ensure on-time integration of new practices and physicians.
- Serve as the primary liaison between the Revenue Cycle team and physicians' offices, translating RCM performance into actionable insights.
- Serve as primary liaison for EHA finance & RCM with legacy system financials
- Educate providers on KPIs, coding and financial benchmarks, payer policies and revenue trends to promote engagement and accountability.
- Create and maintain an RCM directory for distribution throughout the organization, collaborating with various RCM pillars on best practices for communications with offices & issue resolutions.
- Collaborate with EHA EMR integrations for identification of template design and documentation improvement opportunities identified by denials, audit or discretionary adjustments when front-end clinical documentation is the root cause.
- Analyze and communicate collections performance, coding efficiency, and payer trends to physicians and site leadership.
- Identify underperforming areas and recommend solutions for improving collections, charge capture, and coding compliance.
- Collaborate with operational clinical and billing teams to support clean claim submission and minimal denials.
- Author applicable documentation, coding & collection job aids & distribute to relevant offices.
- Lead implementation and optimization of automated credit/debit card payments.
- Monitor patient credit and debit balances, by MSA / office location, collaborating with patient engagement on billing patient complaints.
- Compile monthly pillar “Vital Signs” report to key RCM and / or Operational stakeholders. Vital Signs for Physician Partnership is a comprehensive dashboard tracking engagement, inquiries, and performance.
- Track and analyze physician RCM inquiry email trends, including volume, response time, and resolution outcomes.
- Publish and maintain an evolving FAQ resource for common physician and staff revenue cycle questions.
- Use data from "Vital Signs" to drive accountability, transparency, and continuous improvement across all physician-facing RCM operations.
- Bachelor’s degree in Health Administration, Business, Finance, or related field (Master’s preferred).
- 5+ years of experience in Revenue Cycle Management, with a focus on physician integration and collections.
- Demonstrated experience in physician-facing roles, especially during acquisitions or onboarding.
- Strong understanding of credentialing processes, payer regulations, and coding workflows.
- Proven ability to analyze financial KPIs and communicate them effectively to clinical stakeholders.
- Experience managing or implementing call centers, IVR systems, and automated payment solutions.
- Project management experience, including use of Gantt chart tools or platforms (e.g., Smartsheet, MS Excel, MS Powerpoint etc.).
- Working knowledge of Microsoft products including: MS Excel, MS Word, MS PowerPoint
- Excellent communication, leadership, and cross-functional collaboration skills.
- Experience in ophthalmology or specialty medical practices.
- Working knowledge of revenue cycle systems (e.g., Compulink, NextTech, NextGen, Modernizing Medicine).
- Familiarity with Lean Six Sigma or revenue cycle performance improvement methodologies.
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