Job Description

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Job Description:  We are seeking a highly skilled and experienced Healthcare Revenue Cycle Manager (RCM) to join our team in Fort Worth, Texas. This onsite role requires expertise in the NextGen platform. The RCM Manager will be responsible for overseeing and optimizing all functions of the revenue cycle process, ensuring compliance with healthcare regulations and maximizing revenue.

Key Responsibilities:

• Manage and oversee the entire revenue cycle, including patient registration, billing, claims processing, collections, and accounts receivable.
• Ensure accurate and timely submission of claims to Medicare, Medicaid, and commercial insurers.
• Analyze and improve revenue cycle processes to reduce denials and enhance efficiency.
• Monitor key performance indicators (KPIs) related to billing, collections, denial rates, and AR days.
• Develop strategies to improve cash flow and streamline billing processes.
• Lead and train the RCM team, ensuring compliance with industry standards.
• Collaborate with clinical and administrative staff to resolve billing issues and maintain accurate patient information.
• Stay current with healthcare regulations and payer requirements.
• Conduct audits to ensure accuracy and compliance in revenue cycle processes.
• Manage vendor relationships for RCM-related services and tools, including NextGen software.
• Act as a NextGen subject matter expert, providing guidance to staff.

• Bachelors degree in Healthcare Administration, Business, or a related field.
• 5+ years of healthcare revenue cycle management experience, with 2+ years using NextGen.
• Proven ability to manage an RCM team in a multi-specialty medical group or similar environment.
• Strong knowledge of billing, coding (CPT, ICD-10), and collections processes.
• Deep understanding of healthcare regulations (HIPAA, Medicare, Medicaid).
• Excellent leadership and team management skills.
• Analytical skills to interpret financial data and make informed decisions.
• Exceptional communication and interpersonal skills.
• Ability to work onsite in Fort Worth, Texas.

• Certification in Medical Billing and Coding (CMRS, CPC, or equivalent).
• Experience managing RCM for multiple specialties.
• Familiarity with healthcare AI tools and automation in revenue cycle processes.

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