Revenue Cycle Optimization Manager

The Revenue Cycle Optimization Manager is responsible for leading initiatives that improve the efficiency, accuracy, and financial performance of revenue cycle operations. This role focuses on identifying process gaps, implementing best practices, and leveraging technology to optimize workflows across patient access, benefit verification, cost estimations, patient collections, and patient billing support. The manager collaborates with cross-functional teams to drive measurable improvements in key performance indicators (KPIs), prioritizes and implements meaningful projects that drive transformational value, and ensures compliance with regulatory requirements.

Revenue Cycle Project Development and Implementation:
• Lead and manage revenue cycle optimization projects from planning through execution.
• Analyze current revenue cycle processes to identify inefficiencies, bottlenecks, and areas for improvement.
• Develop and implement strategies to improve cash flow and enhance patient and provider financial experience.
• Plans for change and address risks across all workstreams within the program.
• Support system upgrades, automation efforts, and integration of innovative technologies (e.g., RPA, AI tools).
• Maintains all necessary project documentation – project plans, governance slides, risk and mitigation logs, decision logs.
• Ensures IT roadmap is synchronized between ATI IT and pertinent vendor relationships.
• Ensures tech product optimizations meets ATI standards and is delivered on time to meet program goals.

Stakeholder Engagement and Communication:
• Collaborate with IT, clinical operations, finance, and compliance teams to align revenue cycle initiatives with organizational goals.
• Works closely with internal stakeholders to ensure that agreements, relationships, reporting, and interdependencies are accounted for and executed against.
• Proactively oversee the vendor partnership, encompassing vital areas such as staffing, technological integration, operational excellence, and strict adherence to Service Level Agreements (SLAs)
• Serve as the primary liaison for offshore vendor partners, maintaining daily/weekly communication, and holding production and quality meetings. Provide reporting, challenge assumptions, and ensure vendor partners meet performance and quality expectations.
• Drives team engagement by creating an atmosphere of respect through consistent, open, and honest communication. Builds camaraderie within their service line(s) and displays the ATI Way in their behavior.

Operational Oversight:
• Ensures development, deployment, and maintenance of all necessary standard operation procedures.
• Identifies and develops operational and administrative efficiencies that will accelerate, maintain, and track value for their overall span of control.
• Responsible for implementing & enforcing all RCM policies and standard operating procedures to improve efficiencies.
• Participates in department level monthly leadership meeting(s) and meets regularly with RCM supervisors from other service lines to ensure continuity of RCM process.
• Develops and improves operational training programs including but not limited to onboarding inexperienced staff, retraining existing staff, prepping for system upgrades, and escalating staff issues.

Analytics:
• Assists in the development, implementation, and maintenance of key performance indicators (KPIs) and evaluation plans of assigned projects and/or programs.
• Leverages the right tools and applications to report out on KPIs on a regular cadence.
• Uses data and feedback to prioritize optimization opportunities effectively.
• Works closely with key stakeholders to implement prioritized optimization efforts over time.

Compliance and Risk Management:
• Stay current on industry trends, payer requirements, and regulatory changes affecting revenue cycle operations.
• Ensure adherence to HIPAA, CMS, and other regulatory standards.
• Ensure all revenue cycle activities adhere to legal and regulatory compliance requirements (e.g., SOX compliance, Government & Commercial Payor guidelines, and internal ATI policies).

Minimum Education
Required:
• Bachelor’s degree in healthcare administration, business, finance, healthcare, or related field
Preferred:
• Master’s degree in business or healthcare

Minimum Experience
Required:
• 5+ years of experience in healthcare, revenue cycle, or healthcare operations
Preferred:
• 5+ years of revenue cycle experience
• 5+ years of process implementation improvements, including the use of modern technological advancements

Knowledge Skills and Abilities
• Ability to solve problems and get to the root cause of any issue, no matter how complex by investigating and suggesting solutions.
• Strong understanding of end-end revenue cycle processes.
• Experience with EHR/EMR systems and revenue cycle analytics tools.
• Proven ability to lead cross-functional teams and manage complex projects.
• Excellent communication, analytical, and critical thinking skills.
• Prior experience in developing and executing against an overall project plan.
• Proficient in Microsoft Office Suite.
• Ability to use multiple data sets and reports to develop meaningful analyses.
• Ability to navigate and work in a highly ambiguous, unstructured work environment.
• Ability to communicate timely and effectively across matrixed partnerships and senior leaders across the organization, as well as with third party vendors.
• Demonstrate analytical, organizational, problem-solving, critical thinking and conflict management/ resolution skills.