Revenue Cycle Department Manager

Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.      

We are looking to hire a Revenue Cycle Department Manager. This position will entail leading a team that is knowledgeable and highly respected, surpassing its goals throughout the years. In this role, you will report to the Director of Alternative Billing and Compliance.  Within this department, you will find united and supportive caregivers who all strive to achieve the same goals. On occasion,  you will need to report to BOC or Main Campus for business-related meetings or training. 

A caregiver in this position works 8:00AM—5:00PM

A caregiver who excels in this role will:   

• Manage department operations and personnel. 

• Complete staffing, training, workflow analysis and performance management. 

• Manage staffing to ensure appropriate allocation and compliance with goals and objectives. 

• Monitor quality and financial performance. 

• Ensure compliance with government health regulations, JCAHO guidelines, quality requirements and customer service standards. 

• Recommend enhancement and cost saving strategies. 

• Resolve interdepartmental issues to ensure consistency in quality, procedure and policy application. 

• Develop, monitor and implement programs to enhance customer service, develop skills and improve scope of service. 

• Analyze programs and make improvements.  

• Participate in meetings and relevant committees as assigned by Director. 

• Expert in understanding Government and Managed Care terms and conditions, methodologies and adjudication rules

• Subject matter expert (SME) in the identification of payment discrepancies, pursuit of underpayments and recovery tracking.
• Assists in the development, implementation and execution of quality control programs for timely and accurate resolution.
• Provides recommendations to leadership regarding adjudication and payer performance
• Recommends and executes changes to internal processes to align with state, federal and private insurance regulations
• Interaction and oversight of the management reporting systems to ensure accurate and timely reporting of department goals and results.
• Familiarity with payor websites and portals as well as active engagement in payor operational meetings
• Collaboration with various Revenue Cycle areas including, but not limited to, Patient Access, Health Information Management, Revenue Resolution, Clinical Documentation, Revenue Integrity, Market & Network Services, Contract Management, Financial Reporting, Enterprise Analytics and Cash Application 
• Ability to foster positive working relationship with internal and external Payor Specialists, Departments, Institutes and fellow Caregivers
• Team player with strong written and verbal communication skills.
• Proficient in Epic and Microsoft suite of products
• Ability to produce quality outcomes that are both accurate and timely.
• Innovative mindset focused on Continuous Improvement and automation opportunities

Minimum qualifications for the ideal future caregiver include:   

• Associate’s degree  

• 3 years of team lead, supervisory or management experience 

• OR High School diploma/GED and five years of experience may substitute the work experience and education requirements 

• OR Bachelor’s degree and one year of experience may substitute the work experience requirement 

Preferred qualifications for the ideal future caregiver include: 

• Bachelor’s degree in Business Administration, Health Care Administration or related field 

• Can read and interpret data/dashboards, identify trends, and use insights to drive team actions  

• Project Management experience  

• Healthcare experience 

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/