Revenue Cycle Manager Revenue Cycle Manager Hopedale Medical Complex Hopedale, IL Full-Time Salaried/Exempt Salary: $85,000-$105,000 About Hopedale Medical Complex For more than 70 years, Hopedale Medical Complex has provided exceptional, patient-centered healthcare close to home. We are an independent, nonprofit Critical Access Hospital rooted in a small-town community-but the scope of care we provide is anything but small. What makes HMC special is the relationship between our patients, physicians, and care teams. Our patients are our neighbors, friends, and families, and many have trusted Hopedale Medical Complex with their care for generations. From our 25-bed hospital, 24-hour Emergency Department, ICU, and four operating rooms to primary and specialty care, advanced surgical services, diagnostic imaging, rehabilitation, long-term care, senior living, and wellness services, HMC provides the capabilities of a larger health system with the personal connection of community healthcare. At HMC, healthcare is personal-and every member of our team plays a part in keeping exceptional care close to home. About the Position Hopedale Medical Complex is seeking an experienced Revenue Cycle Manager to provide leadership and oversight for our Patient Financial Services and revenue cycle operations. The Revenue Cycle Manager is responsible for the effective management and continuous improvement of revenue cycle processes, with a focus on accurate patient account management, timely reimbursement, financial integrity, regulatory compliance, and a positive patient financial experience. This position provides leadership across key revenue cycle functions, including patient registration, billing, accounts receivable, collections, coding, charge capture, reimbursement, and payer requirements. The Revenue Cycle Manager works collaboratively with clinical, administrative, and financial teams to identify opportunities for improvement, reduce financial risk, and strengthen overall revenue cycle performance.
What You'll Do
Revenue Cycle Management:
Oversee the daily operations of Patient Financial Services and related revenue cycle functions. Develop, implement, and monitor strategies designed to improve revenue cycle performance and financial outcomes. Monitor key revenue cycle metrics, including accounts receivable, aging, denials, collections, write-offs, and billing accuracy. Identify and address barriers that negatively affect timely reimbursement and cash flow. Ensure billing processes support accurate, complete, and timely claim submission. Oversee processes for account follow-up, claim resolution, payment collection, and resolution of outstanding balances. Monitor registration and patient account processes to improve accuracy and reduce preventable billing issues. Maintain current knowledge of healthcare reimbursement practices, payer requirements, and industry standards. Analyze revenue cycle data and trends and use findings to guide operational decisions and improvement initiatives.
Compliance & Financial Integrity:
Maintain appropriate internal controls related to accounts receivable, cash management, collections, and other financial processes. Ensure compliance with applicable federal and state regulations, payer requirements, contractual obligations, and HMC policies and procedures. Promote accurate patient registration, documentation, coding, billing, and reimbursement practices. Ensure medical record documentation supports appropriate coding and billing. Monitor payer contracts, reimbursement requirements, and payment practices for compliance and accuracy. Support charge capture and chargemaster/CDM integrity. Identify potential compliance, reimbursement, or financial risks and recommend appropriate corrective action. Maintain appropriate confidentiality and security of patient financial and health information.
Leadership & Team Management:
Provide leadership, direction, coaching, and support to Patient Financial Services staff. Establish departmental expectations, priorities, and performance standards. Monitor staffing needs, productivity, timekeeping, and departmental performance. Assist with recruitment, selection, onboarding, training, and development of department employees. Ensure employees receive the education, training, tools, and resources necessary to perform their responsibilities effectively. Promote accountability and adherence to HMC policies, procedures, and standards. Foster a collaborative, respectful, and service-focused work environment. Encourage teamwork and effective communication within Patient Financial Services and across the organization.
Process Improvement & Strategic Initiatives:
Identify opportunities to improve operational efficiency, financial performance, and the patient financial experience. Lead and participate in revenue cycle improvement initiatives. Develop and implement process improvements that reduce errors, delays, denials, and unnecessary administrative work. Collaborate with clinical, administrative, and financial departments to resolve issues affecting reimbursement and revenue cycle performance. Participate in organizational committees, special projects, and strategic initiatives as assigned. Provide recommendations and regular updates to executive leadership regarding revenue cycle performance, challenges, risks, and opportunities. Assist with the development and monitoring of departmental goals and performance measures.
What We're Looking For:
Bachelor's degree in Healthcare Administration, Health Information Management, Finance, Business Administration, or a related field preferred. An equivalent combination of education and experience may be considered. Minimum of 8 years of healthcare revenue cycle, patient accounting, reimbursement, or related healthcare financial experience. Progressive leadership or management experience within healthcare financial operations. Strong knowledge of hospital and physician billing and reimbursement processes. Strong understanding of accounts receivable management, insurance processes, payer requirements, and revenue cycle workflows. Knowledge of healthcare compliance and applicable regulatory requirements. Strong analytical, organizational, communication, and problem-solving skills. Demonstrated ability to lead teams, manage competing priorities, and drive process improvement. Ability to communicate effectively and collaborate with clinical, financial, administrative, and executive leadership. Experience working in a hospital or Critical Access Hospital environment. Experience with TruBridge, CPSI, and/or OrbiPay. Experience with hospital and physician billing operations. Knowledge of chargemaster/CDM processes and charge capture. Experience with payer contracts and reimbursement analysis. Experience developing and monitoring revenue cycle performance metrics. Experience leading revenue cycle process improvement initiatives.
Compensation & Benefits
Salary Range: $85,000-$105,000
Hopedale Medical Complex offers a comprehensive benefits package, including: Health, dental, vision, and disability insurance Competitive PTO package HMC Wellness Center membership Quality childcare located on site 401(k) plan with employer match Why HMC? At Hopedale Medical Complex, you won't simply be managing numbers and processes. You'll be leading a team whose work directly impacts our patients, our providers, and the financial health of our organization. As an independent community healthcare organization, HMC offers the opportunity to work closely with leaders and departments across the organization and see the direct impact of your work. Your leadership will help support the financial strength that allows HMC to continue providing exceptional healthcare close to home. If you are an experienced revenue cycle professional looking for an opportunity to lead, improve processes, and make a meaningful impact in an independent community healthcare organization, we'd love to hear from you. Background Check and Drug Screen All HMC employees are required to successfully complete applicable federal and state background checks and a pre-employment drug and alcohol screening. HMC's drug screening process includes testing for substances prohibited under HMC policy, including cannabis (THC), consistent with applicable law and organizational requirements. Hopedale Medical Complex is an Equal Opportunity Employer.
Compensation details: 0 Yearly Salary PIaf9a-7501
