Revenue Cycle Manager

Description

Essential Functions:

• Recruits, hires, trains and supervises highly skilled individuals to support the claim billing process.

• Monitors accounts receivable activity.

• Develop and maintain working relationships with health plans to ensure efficient and effective problem solving and issue resolution.

• Analyze and manage payer denials and develop strategies to minimize denials and write-offs.

• Evaluates effectiveness of billing and collection processes and work flow.

• Recommends and implements changes to revenue procedures as appropriate.

• Maintains ongoing collaboration with the Arizona Alliance billing group.

• Oversees the provider and site credentialing with payers.

• Develops innovative methods for increasing staff productivity, quality and effectiveness of revenue cycle management.

• Maintains regular communication with the companys EHR platform representative regarding revenue cycle and claims processing functions.

• Support the training of the front desk staff as it relates to the revenue cycle.

• Communicates regularly with providers relating to ongoing coding changes and provides training as needed..

• Monitors and prepares the AHCCCS reconciliation on a regular basis.

• Performs other duties as required.

Qualifications

Required Qualifications:

• Thorough knowledge of the healthcare billing environment.

• Experience with the unique billing aspects relating to FQHCs.

• Excellent interpersonal and communications skills.

• Highly organized with the ability to manage multiple projects simultaneously.

• Highly proficient in computer systems including EHR, Microsoft Suite and QuickBooks.

Preferred:

• Experience in the FQHC healthcare billing cycle.

• Bachelors degree in accounting, finance or related business field.

• Experience with Athenahealth EHR

Physical and Mental Requirements:

• Position requires extended periods of sitting and standing including bending and reaching

• Handles stress in a positive manner

• Ability to be flexible and to multitask

• Demonstrated interest in working with an under-served population