Revenue Cycle Manager

tenavistaffing

Revenue Cycle Manager

Pittsburgh, PA
Full Time
Paid
  • Responsibilities

    Our client is seeking a Revenue Cycle Manager. Under direction of the Senior Director of Revenue Cycle Management, this position works to continually increase revenue in the most cost-effective and efficient manner.

    Essential Duties and Responsibilities of this position include:

    • Supervising the revenue cycle data process for payment posting, adjustments, write offs, denials, appeals and refunds in EMR’s.
    • Monitoring claims in payor and clearinghouse portals to ensure timely receipt and acceptance, ensuring claims are processed accordingly.
    • Supervising payment posting and reconciling remittance posting in EMR to balance bank deposits.
    • Managing month end close for billing purposes.
    • Preparing and monitoring revenue cycle dashboards
    • Collaborating with Operations and Clinical teams to ensure receipt of accurate billing information.
    • Implementing all new payors including rate/service types and contractual rules.
    • Performing daily, monthly, and quarterly audits to confirm claim requirements are met for clean claim submission.
    • Efficiently manages client complaints relating to billing and collections.
    • Negotiate payment arrangements with private pay clients, sending statement letters on a weekly and monthly basis.
    • Coordinates uncollectible accounts, sending them to the attorney or collection vendor as specified, for further collection options.
    • Assists in training coordination and support between agencies for revenue cycle processes, providing insight and recommendations to optimize organizational efficiencies.
    • Oversee the hiring and training of revenue department staff.
    • Manages Team performance via ongoing feedback, one-on-one coaching, and on-going productivity metrics.
    • Perform duties detailed in the Revenue Cyle Analyst and Revenue Cycle Team Lead job descriptions, as needed
    • Performs additional duties and responsibilities as assigned, including special projects, as deemed necessary.

    Education and Experience:

    • Bachelor’s degree in finance, accounting, business, healthcare, or related field.
    • Ability to travel and work on site at branch office(s) as needed.
    • Minimum of 4-7 years of experience in Healthcare Management.
    • Proficient in all Microsoft Office suite applications (Excel, Word, Outlook, PowerPoint, Access) as well as medical office software. Advanced Excel skills are highly preferred.
    • Solid quantitative and analytical skills with initiative for problem-solving.
    • Effective written and verbal communication skills.
    • Experience working in a dynamic and fast-growing company environment a plus.
    • Strong interpersonal and organizational skills.
    • Proven experience in healthcare billing and sound knowledge of health insurance providers.