Revenue Cycle Manager

The vision of Clinical Health Network for Transformation (CHN) is to support the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.   CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health equity in our organization.
Reporting to the Vice President of Revenue Cycle, the Revenue Cycle Manager will provide leadership over the day-to-day and strategic operations of the Revenue Cycle Management (RCM) department. This includes managing a team of revenue cycle representative staff and being accountable for consistent quality performance, including the service’s ability to consistently meet established key performance indicators that support access and an optimal customer and patient experience. Additionally, the Revenue Cycle Manager is responsible for following all revenue cycle management systems, processes, and policies, ensuring the effectiveness and efficiency of revenue cycle operations. This position interprets operational-level reports, analyzes data, and presents revenue cycle improvement opportunities to affiliate customers, as well as the Vice President of Revenue Cycle.  The Revenue Cycle Manager is required to have demonstrated advanced knowledge and understanding of all aspects of billing office operations, including principles of staff management/supervision; office workflows; and billing and collection operations, including compliance requirements, as well as training and quality standards. 

Essential Functions

• Partners with CHN Customer Success team to lead RCM updates to the affiliate customer success meetings. Establishes strong partnerships with CHN and affiliate teams that are built on transparency, professional knowledge and credibility, and a commitment to identifying ideas and actions that deliver the best patient experiences  

• Develops expert level technical knowledge of revenue, patient access, and financial verification business processes to understand how they impact revenue cycle  

• Prepares reports, analyzes data, and presents revenue cycle results to CHN leaders and affiliate administrative and clinical leaders on an established schedule through the Customer Success meetings 

• Collaborates with affiliates, providers if needed, and the central business office on process improvement opportunities.  Facilitates the development and implementation of solutions 

• Analyzes and interprets substantial amounts of data and identifies denial/error trends to share with CHN process owners and affiliate teams