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Manager Remote Revenue Cycle Management Jobs in Georgia

... revenue cycle management (RCM) services, including denials and claims submission, denials ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

What you bring... • Minimum of seven years of experience in healthcare consulting or healthcare operations with a strong emphasis on governmental compliance, revenue cycle management, audits and ...

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Manager Remote Revenue Cycle Management information

What is a manager remote revenue cycle management?

A Manager of Remote Revenue Cycle Management oversees the financial processes of healthcare organizations to ensure efficient billing, coding, and payments, all while working remotely. This role involves managing teams who handle claims processing, patient billing, and insurance follow-ups from off-site locations. The manager is responsible for optimizing workflow, ensuring compliance with regulations, and improving cash flow and revenue capture. Strong communication and organizational skills are essential, as is familiarity with healthcare billing software and regulations.

What are the key skills and qualifications needed to thrive as a manager remote revenue cycle management?

To thrive as a Manager in Remote Revenue Cycle Management, you need a deep understanding of healthcare billing, coding, compliance regulations, and strong leadership experience, usually supported by a bachelor's degree in healthcare administration or a related field. Proficiency with revenue cycle management systems (such as Epic, Cerner, or Meditech), data analytics tools, and relevant certifications like CRCR or HFMA are commonly required. Outstanding organizational skills, communication, and the ability to motivate and manage remote teams are vital soft skills in this role. These abilities ensure efficient revenue capture, regulatory compliance, and cohesive team performance in a distributed work environment.

How does a manager remote revenue cycle management typically collaborate with other departments to optimize billing processes?

A Manager of Remote Revenue Cycle Management plays a pivotal role in coordinating with clinical, IT, and finance teams to ensure seamless billing and collections. Regular cross-functional meetings, clear documentation, and the use of shared platforms help address issues such as claim denials or data discrepancies. Effective collaboration ensures that revenue cycle initiatives align with organizational goals, improves cash flow, and enhances patient satisfaction. This role often involves leading remote teams, setting performance metrics, and providing ongoing training to adapt to changing regulations.

What is the difference between Manager Remote Revenue Cycle Management vs Revenue Cycle Analyst?

AspectManager Remote Revenue Cycle ManagementRevenue Cycle Analyst
CredentialsTypically requires a bachelor's degree in healthcare administration, finance, or related field; certifications like CPC or RHIT are commonUsually holds a bachelor's degree; certifications like CPC or RHIT may be preferred
Work EnvironmentLeads teams remotely, oversees billing, coding, and collections processesWorks in healthcare settings or remotely, analyzes revenue cycle data, supports billing and coding
Employer & IndustryHospitals, clinics, healthcare organizationsHealthcare providers, billing companies, hospitals

The Manager Remote Revenue Cycle Management focuses on overseeing and leading revenue cycle processes remotely, ensuring revenue optimization. In contrast, the Revenue Cycle Analyst primarily analyzes data and supports billing and coding activities. Both roles require healthcare knowledge and certifications, but the manager has additional leadership responsibilities.

What are the most commonly searched types of Remote Revenue Cycle Management jobs in Georgia?

The most popular types of Remote Revenue Cycle Management jobs in Georgia are:

What are popular job titles related to Manager Remote Revenue Cycle Management jobs in Georgia?

For Manager Remote Revenue Cycle Management jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Manager Remote Revenue Cycle Management jobs in Georgia look for?

The top searched job categories for Manager Remote Revenue Cycle Management jobs in Georgia are:

What cities in Georgia are hiring for Manager Remote Revenue Cycle Management jobs?

Cities in Georgia with the most Manager Remote Revenue Cycle Management job openings:

INSURANCE BILLING SPECIALIST II, REVENUE CYCLE MEDICAL GROUP

South Georgia Medical Center

Valdosta, GA • On-site, Remote

$13.75 - $17.50/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 13 days ago


Key responsibilities

  • Manage the accurate and timely billing, follow-up, and resolution of professional claims for employed and contracted SGMC providers.

  • Handle complex claims and simple denials, providing payer-specific expertise and supporting overall revenue cycle performance.

  • Independently manage higher complexity accounts, serve as a subject matter expert for assigned payers or denial categories, and support peers.


South Georgia Medical Center rating

7.1

Company rating: 7.1 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

471st of 1,065 rated hospitals


Job description

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

  • Low Healthcare Insurance Premiums
  • 401(k) with employer match
  • Paid Time Off (PTO)
  • Employee discounts
  • Company paid life insurance
  • Short-Term and Long-Term Disability
  • Cancer Insurance
  • Accident Insurance
  • Pet Insurance
  • Tuition Reimbursement
  • On-the-job training and skills development
  • Opportunities for growth and advancement
  • Employee Assistance Program

JOB LOCATION : SGMC Patient Financial Services

DEPARTMENT: REVENUE CYCLE MEDICAL GROUP

SCHEDULE: Full Time, 8 HR Day Shift, 8-5

POSITION SUMMARY  

The Insurance Billing Specialist II is an advanced individual contributor responsible for the accurate and timely billing, follow up, and resolution of professional claims for employed and contracted SGMC providers. This role serves as a senior billing resource, handling complex claims and simple denials, providing payer specific expertise, and supporting overall revenue cycle performance. In addition to performing all core functions of an Insurance Billing Specialist, the Insurance Billing Specialist II independently manages higher complexity accounts, serves as a subject matter expert for assigned payers or denial categories, and provides guidance and support to peers. This position does not have formal supervisory responsibility, but is expected to demonstrate leadership through expertise, mentorship, and accountability for outcomes. Progression into this role is based on demonstrated competency, performance, and organizational need. 

EDUCATION

  • High school graduate or equivalent required. 
  • Certified Patient Account Representative certification required. 

EXPERIENCE

  • Two (2) or more years of professional billing experience with complex payer exposure. 
  • Experience supporting denial management, appeals, or payer projects. 

KNOWLEDGE, SKILLS & ABILITIES 

  • Advanced knowledge of professional billing and reimbursement processes. 
  • Extensive understanding of Medicare, Medicaid (Georgia and Florida), managed care, commercial payers, and government programs. 
  • Advanced ability to interpret and analyze EOBs and remittance advice. 
  • Strong working knowledge of CPT 4, HCPCS, ICD 10, and professional claim (CMS 1500) requirements. 
  • Thorough understanding of payer timely filing rules, coordination of benefits, and secondary payer guidelines. 
  • Ability to independently research payer policies and apply findings to claim resolution. 
  • Proficiency in Epic PB Resolute Billing and payer web portals. 
  • Strong analytical, organizational, and problem-solving skills. 
  • Ability to communicate effectively with patients, payers, providers, and internal departments. 
  • Demonstrated ability to work independently with minimal supervision. 
  • Ability to mentor peers and provide constructive guidance. 
  • Strong attention to detail with a high level of accuracy. 
  • Excellent customer service skills. 
  • Knowledge of HIPAA privacy and compliance requirements. 
WORKING CONDITIONS - ADA INFORMATION 

May spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. This position is subject to high stress levels. The role has the ability to function as a hybrid position, however the incumbent must have and maintain reliable high-speed internet and is able to agree to organizations IT Security policies for remote access work should leadership allow remote work. 


SEE WHAT ALL OF THE HYPE IS ABOUT

https://www.youtube.com/watch?v=_DeqKw8xk54



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