Privia Health

Manager, Revenue Cycle

Houston, us Full-time Hybrid
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Job Description

This full-time position is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but may be in office on occasion. Under the direction of the Associate Director, Director, or AVP of Revenue Cycle Management, the Senior Manager, Revenue Cycle Management, is responsible for oversight and training of staff, management of functions and processes and accountable for the team hitting performance, quality and production metrics. In addition, the Sr. Manager will support the Gulf Coast Market RCM Associate Directors with escalations and larger strategic projects as needed. The Manager is responsible for ensuring that the Accounts Receivables are worked in accordance with best practices and that all Manager Holds, Zero Pay, Unapplied, Unpostables and other Aged Accounts Receivable are reviewed, reconciled and resolved in a timely and compliant manner. Additionally, they will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of SalesForce cases and management of issues as well as management of the team resolving the cases is a key element in this role. We look for strong training and claims management skills along with strict attention to detail, a solutions focused mindset, and a driving work ethic. Primary Job Duties: Oversee the entire claims submission and follow-up process, ensuring claims are worked accurately for resolution, submitted accurately and on time • Lead and manage large payer projects and care center support projects, updating leadership and affected stakeholders as needed • Keep ADs AVP abreast of opportunities for improvement in daily operations along with recommendations on process improvements • Management of the teams accountable for the accounts receivable (AR) including analysis and resolution of the aged AR, looking for root cause issues • Utilize data to identify patterns in claim denials or delays and develop actionable solutions to address them • Independent decision making -regarding claim adjustments, resubmission, appeals, and other claim resolution techniques • Makes policy updates as needed, to all RCM policies. • Meets with the Performance Operations, Implementation, Sales and other Privia teams, review escalated issues and discuss payer or claim concerns. • Meets with Care Center leadership including the lead physician partners, office managers and other staff to discuss complex claim or other revenue cycle matters • Laser focused drive toward achievement of department’s daily and monthly KPIs, requiring a team focused approach to attainment of these goals • Identify gaps in the workflow and create training programs to address them. • Responsible for performing or assisting with duties related to staffing to include hiring, termination, coaching and training • Provides ongoing feedback to staff regarding of performance throughout the year • Counsels employees in disciplinary matters and obtains assistance from human resources appropriately for disciplinary actions and/or employee termination process • Serve as the lead or co-presenter at various meetings, including Office Manager Summits, Provider POD Meetings, and Market Retreats. • Other duties as assigned

Frequently Asked Questions

What does the Manager, Revenue Cycle role at Privia Health involve?

The Manager, Revenue Cycle position at Privia Health in Houston, us is a full-time role. This full-time position is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but may be in office on occasion. Under the direction of the Associate Director, Director, or AVP of Revenue Cycle Management, the Senior Manager, Revenue Cycle Management, is responsible for oversight and training of staff, management of functions and processes and accountable for the team hitting performance, quality and production metrics. In addition, the Sr. Manager will support the Gulf Coast Market RCM Associate Directors with escalations and larger strategic projects as needed.

What skills are required for Manager, Revenue Cycle at Privia Health?

Key skills for this role include: Scala, Salesforce.

What is the salary for Manager, Revenue Cycle at Privia Health?

The salary for this position is not publicly listed. You can negotiate during the interview process. Check Glassdoor or Levels.fyi for estimates.

Is the Manager, Revenue Cycle position at Privia Health remote or on-site?

This position is Hybrid. Expect a combination of office and remote work, typically based in Houston, us.

How do I apply for Manager, Revenue Cycle at Privia Health?

You can apply for this position directly through the employer's careers page. Click the 'Apply Now' button on this page to be redirected to the original listing. Make sure your resume is ATS-optimized. Use SpotChange's free ATS test to check.

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About This Role

Manager, Revenue Cycle at Privia Health is a full-time management position in Houston, us. Key skills include Scala, Salesforce. Education: Master's Degree preferred.

This role is classified as hybrid and is suitable for manager-level professionals. Ghost Score 5/100 (Fresh) indicates this listing is very likely active and recently refreshed.

To apply, visit the official application page through the Apply Now button above. SpotChange Jobs provides AI-powered career tools including resume optimization, ATS testing, interview preparation, and salary negotiation assistance.