Revenue Cycle Manager at SharpeVision

About SharpeVision:

Be part of the change. Join SharpeVision and work with a national leader in refractive surgery bringing clear, unencumbered sight to people from around the world. We are modern, transformative vision-correction boutiques located in Seattle, Chicago and Austin. Our goal is to help our patients realize their full human potential. We believe in people and the magic that happens when they focus on a common goal. We believe in the power of technology to transform lives, and we believe we are here to be part of it. The day is coming when no adult will need to put plastic in their eyes or on their face to see clearly. At SharpeVision, we are bringing that day closer, one patient at a time.

All SharpeVision employees must continuously demonstrate our 5 Core Values:

• Be Committed to Growth (Personal & Professional)
• Be an Excellent Communicator
• Have Fanatical Attention to Detail
• Be Genuine and Authentic
• Be Patient-Focused

Summary:

The Revenue Cycle Manager will oversee all aspects of the revenue cycle process for our multi-location Ophthalmology practice. This role is responsible for optimizing revenue flow, ensuring accurate billing, coding, collections, and implementing strategies to improve overall financial performance. The ideal candidate will have a deep understanding of ophthalmology-specific billing processes, payer policies, and regulatory compliance, and will lead a team to ensure efficiency across all practice locations.  

Key Responsibilities include the following. Other duties may be assigned.

 Strategic Leadership

• Develop and execute revenue cycle strategies to maximize reimbursement. 
• Collaborate with executive leadership, billing, and clinical teams to identify revenue enhancement opportunities.
• Monitor payer contracts and reimbursement policies specific to ophthalmology. 

Billing and Collections Oversight

• Ensure timely and accurate submission of claims, including handling of denied claims. 
• Oversight collections processes, including patient billing, insurance follow-ups, and resolving outstanding balances. 
• Maintains and manages third party payer contract negotiations.
• Implement best practices for reducing denials and improving claim acceptance rates. 

Compliance and Regulatory Management

• Stay updated on federal, state, and payer-specific regulations related to ophthalmology billing and coding (e.g.,           Medicare, Medicaid) 
• Ensure all revenue cycle operations comply with HIPAA, CMS Guidelines, and other regulatory standards.
• Regularly review and audit billing practices for compliance and accuracy. 
• Oversees physician and payer credentialing process and file maintenance.
• Maintains insurance matrix. 

Coding and Documentation 

• Ensure proper coding of ophthalmology services, surgeries, and procedures (CPT, ICD-10 and HCPCS codes).
• Provide training and support to clinical staff on proper documentation to support coding accuracy.
• Oversees and assists with the transcription, coding, and billing. 
• Work with coding specialists to ensure all services are properly documented and billed. 

Team Leadership and Development 

• Lead, mentor, and manage a team of billing specialists, schedulers, insurance verification and authorization, and           RCM staff.
• Foster a culture of continuous improvement, training, and professional development. 
• Set and track KPI's, performance goals, and team accountability. 

Financial Reporting and Analysis  

• Prepare and present regular financial reports and a/r KPI dashboard to senior leadership, highlighting key                     performance indicators, trends, and recommendations for improvement. 
• Monitors and tracks the collections of premium services, packages, and physician direct pay items. 
• Conduct monthly and quarterly reviews of revenue cycle metrics, identifying opportunities for increased efficiency.
• Assists in preparation of annual budget for approval. Participates in budget/financial problem solving to promote          fiscal responsibility.  
• Monitors the fee schedule and suggests any appropriate changes. 
• Monitors cash flow and the accounts receivable and collections process. 
• Works closely with the finance team to forecast revenue, manage budget, and address variances. 

In addition to a modern, progressive and friendly team culture, we offer:

• Competitive Pay
• Free LASIK
• Medical/Dental/Vision Insurance
• PTO (Accrual Increases after 1 Year)
• 9 Paid Holidays - Includes 1 Birthday Holiday
• Employer Paid Figs Scrubs
• Continuing Education Allowance Benefits 
• 401(k) Plan with 6% Match
• Group Life Insurance
• Long & Short Term Disability Insurance
• A Beautiful Work Environment

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Bachelors degree in Healthcare Administration, Business, Finance or related field. 

Minimum of 5-7 years of revenue cycle management experience, preferably in a multi-location medical or ophthalmology setting. 

Proven experience in overseeing billing, collections, and compliance processes in a healthcare environment. 

Skills:

• Strong knowledge of ophthalmology-specific billing, coding, and reimbursement policies.
• Excellent leadership and team management abilities.
• Proficiency in healthcare billing systems and practice management software. Experience in Modernizing Medicine is       highly preferred. 
• Ability to work effectively across multiple locations and teams. 
• Computer skills Microsoft Office Suite, Email, Calendar and Scheduling Software, Medical Software, Internet, Data         Entry
• Language Ability- Fluency of the English language. Excellent oral and written comprehension and expression.                 Speech clarity and recognition. Active learning and listening. Ability to respond to common inquiries and provide           information to patients and colleagues. Good interpersonal skills.
• Math Ability- Ability to use mathematical methods or formulas for related medical and billing calculations. 
• Reasoning Ability- Ability to collect data and establish department metrics. Ability to use logic. Ability to identify           information by categorizing and recognizing differences or similarities.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate. The work environment is indoors and environmentally controlled. Work environment is structured. 

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit for prolonged periods of time; constant use of hands and arms to handle, grasp, position, move and control objects and tools; reach with hands and arms; talk and hear; and maintain a stationary position. Specific vision abilities required by this job include near vision, distance vision, depth perception and ability to adjust focus. Employee may need to occasionally lift up twenty lbs.   

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

SVML is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.