Revenue Cycle Manager in Pasadena, CA at Shriners Hospitals for Children

Date Posted: 11/7/2019

Job Snapshot

  • Employee Type:
  • Location:
    909 South Fair Oaks Avenue
    Pasadena, CA
  • Job Type:
  • Experience:
    At least 4 year(s)
  • Date Posted:

Job Description

Job Summary: 

Revenue Cycle Manager is the primary resource to facilitate daily revenue cycle specific needs and communications between the local facility, SHC Headquarters, and External Business Office Vendors. Facilitate oversight and activity for the daily resolution of pre-bill edits and denials. Interact with department directors in key clinical areas, as well as Physicians, to obtain necessary documentation to support clinical services provided, in efforts to clear pre-bill edits. Investigate denial trends and initiate communication with root cause owners and action owners to prevent future claim edits, denials and report these issues in a timely manner to local Leadership as well as the Corporate Director of Patient Financial Services. Participate in internal and SHC system-wide Revenue Cycle meetings designed to improve revenue cycle processes. Analyze Key Performance Indicator (KPI) data and coordinate revenue cycle analytics for key functions, utilizing available data; quantify expected revenue impact and other characteristics supporting prioritization decisions. This position will be responsible for analyzing and overseeing all Patient Access functions. The position will be required to perform QA of all Patient Access functions on a consistent basis and utilize reports to analyze registration output to compile recommendations for improvement. The manager will provide continuous training for quality improvement and stay abreast of all State, Federal and Managed Care regulations as they pertain to Patient Access. The manager will also communicate appropriate changes that need to occur due to these regulations.


• Maintain, create, and analyze QA statistics and reports.

• Ensure QA on registrations for all areas of Patient Access

• Complete bi-weekly and monthly reports for Corporate Director, PFS and RCC

• Review the quality of patient registration document.

• Contribute to meeting and exceeding A/R goals for Patient Registration.

• Maintain and develop a high degree of expertise in revenue cycle operations, technical process and reports

• Analyze and communicate financial and operational data for decision-making and strategic planning

• Develop and recommend effective business improvement initiatives

• Manage various personnel functions including, but not limited to: hiring, performance appraisals, promotions, transfers and vacation schedules.

• Monitor to ensure all Patient Access policies are followed

• Maintain Patient Access Policies and Procedures

• Promptly report any system changes or enhancements to IS and/or Corporate Director, PFS as appropriate

• Track, trend, and resolve facility denials

Job Requirements


4 Years Management/Supervisory Required

Bachelor’s Degree in Accounting, Business or Equivalent.  Rev Cycle Certifications a Plus

Excellent customer service and communication skills, both written and verbal Self-starter with strong team player and demonstrated leadership skills Strong communication, analytical and problem solving skills Outstanding project management and task prioritization abilities; ability to meet pre-determined deadlines Knowledge of managed care policies and medical terminology preferred; Knowledge ambulatory systems required; Cerner- Millennium / Profit experience preferred.



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