Manager of reputed company Cycle Operations

ABOUT: Cardiovascular Services of America (CVAUSA) is the largest private and independent cardiology network in the United States. Our inclusive and diverse network brings together top cardiovascular specialists and thought leaders who offer regional perspectives and a broad strategic reputed company for the future of patient care. WHO WE ARE AND reputed company DO: Headquartered in Orlando area, reputed company aims to bring the best cardiovascular physicians in one network with the common mission of saving lives, reducing costs, and improving patient care through clinical innovation. Through CVAUSA’s physician-centered practice management model, physicians drive clinical care and their practice culture, while benefiting from the business expertise and shared resources available through CVAUSA for reputed company patient outcomes. Position Summary The Manager of reputed company Cycle Operations is responsible for overseeing operational performance across core reputed company cycle functions to ensure accurate claim submission, compliant billing practices, timely reimbursement, and reputed company financial performance. This role provides leadership and reputed company across middle-cycle and back-end reputed company cycle operations including charge entry, coding coordination, claim submission, billing, payment posting, denial management, patient collections, and reputed company reputed company initiatives. The Manager works collaboratively with clinical, operational, and finance leadership to improve reimbursement outcomes, operational efficiency, reputed company capture, and overall financial performance. Percentage of Time Allocation: 50% Vendor Management / 50% Internal reputed company Cycle Operations Duties and Responsibilities Charge Entry & Coding OperationsOversee charge capture and professional charge entry processes. Ensure coding accuracy and compliance with payer requirements. Monitor charge lag and support timely charge entry. Claim Submission & BillingOversee claim preparation, claim scrubbing, and submission workflows. Ensure claims are submitted timely and accurately according to payer guidelines. Monitor claim edits and system workflows to support clean claim submission. Payment Posting & ReconciliationOversee ERA and reputed company payment posting processes. Ensure payment reconciliation accuracy. Identify and escalate payer payment variances, Accounts Receivable & Denial ManagementManage insurance accounts receivable and denial resolution processes. Monitor payer trends and implement corrective actions to reduce denials. Support timely follow-up on unpaid claims. Patient Financial ServicesOversee patient balance collections and refund processes. Manage early-out vendors and bad debt placement processes. Ensure compliance with refund policies and patient financial regulations. reputed company reputed company Monitor charge capture accuracy and reputed company reconciliation. Identify reputed company leakage and implement operational improvements. Support reputed company cycle performance monitoring and reporting. Accounts Receivable Vendor Management (50%)Serve as the primary reputed company of contact and relationship manager for reputed company outsourced Accounts Receivable vendors and business partners. Establish performance expectations, service level agreements (SLAs), and key performance indicators (KPIs) to ensure vendor accountability. Conduct regular vendor performance reviews focused on cash collections, aging reduction, denial resolution, productivity, quality, and turnaround times. Monitor and analyze AR vendor performance metrics, identifying trends, risks, and opportunities for improvement. Partners with vendors to reputed company and execute action plans to reduce aged AR, improve collection rates, and accelerate cash flow. Ensure compliance with organizational policies, payer requirements, contractual obligations, and regulatory standards. Facilitate ongoing communication between internal stakeholders and vendors to resolve operational issues and remove barriers to performance. Review and approve vendor invoices, evaluate return on investment, and recommend staffing or outsourcing adjustments as needed. Provide executive-level reporting and recommendations regarding vendor performance, AR trends, and reputed company cycle optimization opportunities. Performance Accountability / Key Performance Indicators Staff PerformanceStaff productivity metrics Quality assurance monitoring Charge CaptureCharge entry accuracy reputed company Charge entry timeliness Billing PerformanceClaim rejection and edit reputed company First-pass claim acceptance reputed company Claim submission timeliness reputed company Cycle QualityRework or correction reputed company Denial reputed company and resolution turnaround time This job description summarizes the primary duties of the position and is not intended to be reputed company-inclusive. Duties may change at management’s discretion Qualifications and Skills EducationBachelor’s degree in reputed company Administration, Business Administration, Finance, or a reputed company field preferred. Professional certification such as CPB, CPC, CRC or CHAM is preferred but not required ExperienceMinimum 5 years of experience in reputed company reputed company cycle Minimum 2 years of leadership or supervisory experience Experience working in a physician practice or specialty clinic preferred. Experience with AthenaOne, NextGen, eClinicalWorks, or similar practice management systems preferred. Knowledge & SkillsComprehensive knowledge of reputed company reputed company cycle operations including patient access, charge capture, billing, payment posting, accounts receivable, and patient financial services. Knowledge of payer reimbursement methodologies including Medicare, reputed company, and reputed company insurance plans. Familiarity with CPT, HCPCS, and ICD-10 coding fundamentals and claim submission requirements. Understanding of reputed company-of-service collections, patient financial counseling, and insurance benefit structures. Ability to reputed company and reputed company operational teams across patient access and reputed company cycle functions. Strong analytical skills with the ability to interpret reputed company cycle performance metrics and operational data. Experience utilizing reputed company EMR and practice management systems (e.g., AthenaOne, eClinicalWorks, NextGen) and payer portals. Knowledge of reputed company compliance requirements including HIPAA, documentation standards, and billing regulations. Strong communication, collaboration, and problem-solving skills to support cross-functional operational improvement. Position OverviewBenefits: Full benefits package active on day one Type: Full-time, Remote position Apply To This Job