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Revenue Cycle Manager

Behavioral Health Works, Inc.

Revenue Cycle Manager

Anaheim, CA
Full Time
Paid
  • Responsibilities

    Job Description

    POSITION SUMMARY: The Revenue Cycle Manager, who reports to the VP of Finance, will provide strong leadership and directly manage all functions of billing and collections, and indirectly influence all functions that impact the revenue cycle. The Revenue Cycle Managers objective is to maximize cash flow while maintaining and improving internal and external payor and customer relations. The Revenue Cycle Manager will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes and train others in implementing a cross functional revenue cycle team.

    ESSENTIAL JOB DUTIES AND RESPONSIBILITIES (INCLUDES, BUT NOT LIMITED TO)

    • Oversee the revenue cycle process in various duties, such as account management, charge reconciliation, communication with insurance providers, collections, cash posting, contract analysis, and billing
    • Review daily, weekly and monthly key accounts receivables performance metrics to identify trends and areas in need of specific attention
    • Coordinate with accounting to ensure accurate month-end accounts receivable balances are recorded
    • Analyze data to identify trends related to denials and rejections; develop and execute plans to avoid, reduce and resolve denials and rejections
    • Create and communicate revenue cycle policies and procedures
    • Plan and structure department workflow and staffing
    • Develop quantifiable goals and metrics for the department
    • Hire, train, and develop staff; provide coaching and support toward achievement of goals
    • Understand and interpret insurance Explanation of Benefits/Payment
    • Ensure that all billing related inquiries from patients, guarantors, staff and payors are responded to in a professional and timely manner
    • Maintain knowledge of and ensure compliance with state and federal laws/regulations for Medicare, Medicaid, managed care and other third-party payors
  • Qualifications

    Qualifications

    • Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration (or equivalent combination of education and experience), or related field
    • Five years’ experience in healthcare billing, with two years’ experience in supervision of healthcare billing personnel
    • Excellent verbal and written communication skills
    • Effectively thinks big picture and able to drill down into the details
    • Strong analytical and problem-solving skills
    • Demonstrated knowledge of Healthcare reimbursement/collections, medical billing, CPT/ICD9/ICD10 coding, financial reporting and management, with a strong knowledge of the collections process
    • Demonstrated ability to successfully lead process improvement projects
    • Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups
    • Self-starter who possesses initiative and demonstrates follow through
    • Multi-state experience 
    • Experience in ABA claims processing and Central Reach preferred

    Additional Information

    COMPANY CULTURE

    CARES: BHW highly values its employees; they are a significant part of our culture. We compensate well and offer attractive benefits, but that’s not the main reason why our culture thrives. We believe it’s because we hire the right people through our CARES hiring philosophy. We’re always looking for talented people who display the following qualities: Creative, Adaptable, Resourceful, Exceptional, and Synergistic.

    _BHW does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or belief, disabled veteran, veteran of the Vietnam Era, or citizenship status (except in those special circumstances permitted or mandated by law). All employees must complete and pass a background check and show proof of immunization. _