Cotiviti
Manager Revenue Cycle
Overview

A Manager of Revenue Cycle is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished.

The Manager, Revenue Cycle position is responsible for providing leadership and management for one or more accounts or significant audit support projects. Oversee audit support revenue cycle activities for assigned account to maximize valid claim identification and overpayment recoveries, meet contractual commitments, and deliver customer satisfaction consistent with established operating practices and audit procedures. This will be accomplished through effective financial audit operations management, quality and service assurance, and effective people management and development.

Responsibilities

 Hire, develop, coach, lead and retain top-tier talent with a focus on building and improving a team and culture that canassist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.  Analyzes the organization's revenue streams to identify opportunities to maximize revenue or margins. Collects, analyzes, and interprets revenue-related data across multiple revenue streams.  Uses findings to recommend changes to product/service pricing based on availability and expected demand, with the goal of driving incremental revenue and increasing profitability.  Modifies revenue management strategies to reach targeted markets.  Monitors team or department efficiency and ensures that output meets expectations.  Oversees financial operations of the department. Responsible to develop, plan, organize and implement strategies to process payments, improve cash flow and manage the overall health of the company's receivables.  Enhances and standardizes work-flow processes throughout the revenue cycle to assist in achieving consistency and ensureseffectiveness in maximizing the utilization of efforts and resources.  Compiles and prepares various status reports for management to analyze trends and make recommendations for efficiency improvements. Develops and maintains relationships with outside vendor(s) to better understand their policies to better serve their needs.  Directs the successful delivery of Accounts Receivable (AR) audit services to the client by managing the team(s) assigned to the engagement. Develops appropriate policy and standard operating procedures that will complement the collection process and ID cash allocation against original claim ID. Provides leadership and direction and ensuring thatthe client' needs and expectations are met and exceeded.  Reviews audit progress against established metrics and direct activities as needed to ensure achievement of business goals and customer expectations. Ensures effective coordination with Business Optimization and other support functions to achieve audit goals. Demonstrates awareness and sensitivity to the needs of the client, the needs of the audit team, and the profitability of the audit engagement.  Continually works to improve efficiency, productivity and reduce operational costs while providing 100% compliance with customer contract and company policies.  Supports the continuous development of innovative solutions and withaudit team. Works to optimize audit processes and efficiencies.  Effectively manages customer problems and conflict, including directcommunication with customers to achieve mutually accepted resolution.  Aids and remove barriers as needed to identify opportunities for process improvements. Serves as top escalation point to resolve any customer issues that are roadblocks to customer satisfaction. Leads the implementation of all appropriate actions byother leaders and teams to understand and resolve issues and ensures follow through until closure and complete customer satisfaction.  Ensures the audit team is looking at all possible claim categories andclaim types and is using all available proprietary software, reports, and IT resources to conduct their audits. Collaborates with SAM to achieve in growth opportunities within existing and potential clients.  Ensures compliance all HIPAA regulations regarding the safe guarding of Protected Health Information (PHI) and communicate to all associatesinvolved in the audit engagement.  Consistent with good people management practices and company values. Provides managerial leadership and direct the selection,supervision, evaluation and development of staff. Sets objectives andconducts performance reviews for direct reports and oversees the remaining evaluations indirect team members.  Demonstrates ability to effectively work with clients, customers, and partners to accurately assess needs. Provides information orassistance, resolve problems, or satisfy requirements; demonstrates knowledge of and interest in Cotiviti's business, products and customersand commitment to providing exceptional service and support to customers.  A thorough understanding of the roles, relationships and systems among Sales, Operations Finance, IT and others, and the desire toimprove processes to the advantage of customers and the organization.  Knowledgeable organizational function and dynamics; knows how to getthings done both through formal channels and the informal network.  Demonstrates intellectual horsepower in dealing with complex challenges. Able to coordinate and execute effective meetings with senior client and company personnel.  Demonstrates the ability to build and maintain positive and productive working relationships across a broad range of people and groups at all levels – both internally and externally. Takes initiative in gathering information and incorporates this knowledge and information to ensure projects meet organizational goals.  Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers in the organization; very bottomline oriented and strategically focused; steadfastly pushes self andothers for results. Understands the importance of teamwork in achieving organizational goals and builds strong organizational alliances.  Demonstrates ability to manage and optimize the resources available within organization.  Open to change and new information; adapts behavior and workmethods in response to new information, changing conditions, or unexpected obstacles; adjusts rapidly to new situations warranting attention and resolution; willing to champion new ideas and methods, despite opposition, when the organizational benefits outweigh the costs.  Makes sound, well informed, and objective decisions; perceives the impact and implications of these decisions; commits to action, even inuncertain situations, that support accomplishment of organization. 

Qualifications

 3-5+ years prior work experience in accounting or business operations; preferably healthcare experience with financial systems.  Bachelor’s Degree in Accounting/Finance/Business required  2-4 years of People Management and related experience required  Prior experience with direct client contact (account management, audit, sales, etc.) required.  Exceptional problem-solving, lateral thinking, communications, project management, planning organizational and interpersonal skills.  Ability to lead, influence, manage, and motivate others  Knowledge of basic accounting practices.  Excellent organizational ability required to handle multiple priorities.  Strong attention to detail and accuracy.  Computer proficiency in Microsoft Office (Word, Excel, Outlook) required; Microsoft Access experience preferred.  Requires working knowledge of and applicable industry-based standards.  Excellent verbal and written communication skills.  Ability to work well in an individual and team environment.  Knowledge of revenue cycle practices; Healthcare experience a plus.  Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally. 

Base compensation ranges from $70,000 to $98,000. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
United States