The Revenue Cycle Innovation Manager is responsible for leading automation initiatives to optimize hospital revenue cycle operations, focusing on denials management. This role collaborates closely with internal teams and external clients to identify process inefficiencies, develop automation scenarios, and implement robotic process automation (RPA) solutions. By leveraging AI-driven technologies, the Manager will work to reduce client denials, improve cash flow, and enhance overall revenue cycle performance.
Duties/Responsibilities
* Collaborate with IT, operations, and third-party vendors to optimize processes and integrate automation into existing hospital systems (e.g., Epic, Cerner, Meditech)
* Work with operations and IT to develop automation strategies that align with business objectives
* Work directly with clients to assess workflow challenges and develop customized automation scenarios
* Develop and manage an automation roadmap, aligning with revenue cycle goals and regulatory compliance
* Analyze denials data (denial/remark codes) to identify trends, root causes, and areas for automation-driven improvement
* Implement and manage automated workflows to prioritize, categorize, and resolve denied claims efficiently
* Work with operations, clients, and payers to streamline denial resolution through automated appeals, adjustments, and follow-ups
* Work with operations to establish key performance indicators (KPIs) and dashboards to track automation impact and measure ROI
* Enhance revenue cycle processes by leveraging Annuity Intelligence and RPA to improve efficiency and accuracy
* Provide guidance and training to clients on automation tools, workflows, and best practices
* Work closely with compliance to ensure all automation solutions adhere to healthcare regulations (HIPAA, CMS, payer guidelines)
* Act as a liaison between clients, IT teams, automation vendors, and revenue cycle leadership to facilitate smooth implementation and ongoing support
* Represent the Company in a positive manner through professional conduct, attitude, and appearance
* Follow Company confidentiality and security policies and procedures
* Understand and comply with Company policies and procedures
* Other duties as assigned
Required Skills/Knowledge
* Expertise in revenue cycle management, payer regulations, and claim denials resolution
* Proficiency with hospital billing and EHR systems (e.g. Epic, Cerner, Meditech)
* Excellent communication, interpersonal and decision-making skills
* Strong leadership and project management skills
* Ability to collaborate cross-functionally, build relationships with clients, and drive process improvements
* Strong attention to detail
* Proficient with Microsoft Office Suite
* EPIC certified preferred
Education/Experience
* Bachelor’s degree (BA) from four-year college/university; or equivalent combination of education and related experience preferred
* 5+ years of experience in hospital revenue cycle management, with a focus on denials management
Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).
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