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.