Revenue Cycle Manager

Chicago, Illinois, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Precision Medicine, BiotechnologyIndustries

Requirements

Candidates should possess a Bachelor's degree in healthcare administration, business, or a related field, or equivalent experience, along with familiarity in healthcare reimbursement, payer policies, and revenue cycle regulatory compliance. Strong paralegal skills, including documentation management, legal research, and client communication, are highly desirable. Excellent written communication skills are essential, as is a strong attention to detail and the ability to prioritize multiple tasks. A proven track record of establishing and monitoring KPIs and SOPs within a revenue cycle context, a creative mindset for problem-solving, comfort with ambiguity, and the ability to develop strong cross-departmental relationships are also required.

Responsibilities

The Revenue Cycle Manager will lead the post-payment appeals and refunds team, focusing on continuous improvement and developing robust policies and procedures for timely and accurate refunds. Responsibilities include establishing and monitoring KPIs, creating SOPs, providing feedback on trends and strategies for resolving payer issues, and identifying root causes of overpayments to reduce future refunds. The role also involves overseeing the collection and organization of documentation for payer audits, conducting research to support responses and appeals, serving as the primary contact for audit inquiries, and writing appeal response letters. Collaboration with external auditors, payer representatives, clients, and internal departments to address findings and implement corrective actions is also key.

Skills

Revenue Cycle Management

Post-Payment Appeals

Refund Policies

Payer Relations

Audits

Paralegal Expertise

Audit Documentation

Process Optimization

Compliance

Leadership

Standard Operating Procedures (SOPs)

Key Performance Indicators (KPIs)

Tempus

AI-driven healthcare data analysis platform

About Tempus

Tempus focuses on enhancing patient outcomes through the use of data and artificial intelligence in healthcare. The company offers a platform that analyzes medical data to provide insights for physicians, helping them make better treatment decisions. This platform also aids pharmaceutical and biotech companies in drug development by identifying new targets and assessing treatment effectiveness. For patients, Tempus identifies personalized therapy options, particularly in cancer care, where their research has shown increased opportunities for tailored treatments. They have developed a pan-cancer organoid platform and a liquid biopsy assay for profiling circulating tumor DNA. Tempus generates revenue by charging healthcare providers and companies for access to their platform and insights, setting them apart from competitors by their focus on personalized medicine and extensive cancer research.

Chicago, IllinoisHeadquarters

2015Year Founded

$894.9MTotal Funding

IPOCompany Stage

AI & Machine Learning, Biotechnology, HealthcareIndustries

1,001-5,000Employees