Revenue Cycle Manager

Salary: $83,728.00 Annually

Location : Waukegan, IL

Job Type: Full-Time

Job Number: 15205

Department: Health Department

Division: Finance

Opening Date: 12/10/2024

General Description

The Revenue Cycle Manager is a valuable member to our Finance Team who performs a lead managerial role in the Finance and Healthcare Operations functions with the purpose of enhancing healthcare revenue cycle outcomes. Manage a staff of nine that focuses on medical coding, provider credentialing, electronic health record system setup, accounts receivable balances and rejections/denials from all insurance companies. The position will review, analyze, develop and provide management oversight of key aspects of the healthcare revenue cycle. Perform research and analysis related to reimbursement; maintain current knowledge in the areas of third-party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations. Knowledgeable of each line of business in order to recommend comprehensive, informed business decisions through data analysis. This includes working with directors, managers, providers, teams, programs and the organization to facilitate and increase agency revenue. Knowledgeable in all financial software systems used by LCHD/CHC focusing on the healthcare revenue cycle. Strong management skills, coordination ability, problem-solving skills, high level analytical ability and critical thinking skills are needed to perform this role successfully.

Scheduled Hours: 40 hours per week
Essential Functions

• Conducts needs analysis to identify revenue gaps across the agency.
• Coordinate teams working on major, complex performance improvement efforts that affect multiple facility and clinical practice revenue cycle protocols throughout the agency.
• Manage a staff of nine responsible for coding, electronic health record system setup, provider credentialing related to providers and site locations, and resolving payment issues with third party insurance companies.
• Perform research and analysis related to reimbursement; maintain current knowledge in the areas of third-party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations in order to facilitate third party payer contract negotiations.
• Analyzes and reviews data generated by numerous systems to validate data accuracy, performance management and for revenue cycle trends.
• Analyze data for specific trends by insurance payer, accounts receivable aging, payer rejections, and write offs.
• Examines historical revenue cycle transactions and make accurate and reliable recommendations for management, example compile all data needed for the purpose of calculating insurance company settlements.
• Notify the appropriate staff to correct data integrity issues that are discovered through data analysis efforts.
• Ability to translate revenue trends and analysis to Program Operational managers as needed.
• Provides direction, technical assistance, and coordination as needed to assist in resolving payment issues with the MCO's.
• Clear and concise communication skills in to order to facilitate payer calls to resolve payment issues. .
• Analyzes a variety of statistical and management dashboard data regarding service utilization trends and program productivity.
• Provides trend analysis information to Associate Director of Finance or Directors of Finance and Healthcare Operations to aid in making financial, operational and/or training recommendations.
• Develop and deliver organized, concise yet thorough, communications to management, regarding proposed changes, deficiencies, developments, and opportunities affecting the Agency and the Central Billing Office.
• Responsible for interfacing with Health Informatics, Healthcare Operations, Finance/Business Offices, and Program Coordinators/Leaders and providing data analysis as requested.
• Creates and maintains procedural manuals and directions as needed for routine analysis that are performed
• Provide input for training operations based on data analysis and investigation.
• Maintains supporting documentation to provide as an audit trail for any financial or revenue cycle reporting.
• Assists with audit and analysis of 340B compliance billing regulations.
• Prepare various reports such as the annual supplier disclosure reports for the managed care organizations (MCO's).
• Utilizes NextGen, WayStar, Oracle, Tableau, Access, and Excel to obtain data and create reports.
• Assists with the budgeting process as assigned.
• Perform other projects as assigned.

Knowledge Skills Abilities and Education Required

• Requires a bachelor's degree in Healthcare Management or Administration, Business, Finance or related field required with minimum five years of progressively responsible medical billing and healthcare business operations experience.
• Successfully receive a certificate in medical coding within six months of hire.
• A minimum of five (5) years of supervisory experience in a healthcare finance/business office with a medical billing practice is required. Knowledge or specialization in Medical or Behavioral Health Services is preferred along with government payers.
• Experience and documented ability in the areas of financial analysis using information from an Electronic Practice Management Systems and Electronic Health Records system.
• Proficiency in Excel, MS Word, PowerPoint is required.
• Experience with Tableau is preferred.
• Experience and understanding of medical coding such as CPT and HCPC's codes is required.
• Ability to work independently and proactively with limited supervision.

Supplemental Information

As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members who can help make a difference in our agency and, most importantly, in our community.

Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at

Currently, you must reside in Illinois or Wisconsin to work for the Lake County Health Department. Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.

The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.

Here at the Health Department, we are proud to employ a diverse workforce of dedicated individuals focused on promoting the health and well-being of all who live, work, and play in Lake County. We are committed to cultivating an inclusive culture that values diversity of thought and collaboration, enabling each employee to perform at their maximum potential and to more effectively work with clients, patients, and employees. We offer:

• Comprehensive Benefits package (medical, dental, vision, etc.) for full-time employees
• Paid Time Off to support work-life balance
• IMRF Pension and 457 retirement plans
• Paid Parental Leave
• Tuition Reimbursement

You can find more details on our benefits on our website at

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