Revenue Cycle Manager

HHAeXchange
New York, NY Full Time
POSTED ON 9/13/2024 CLOSED ON 10/25/2024

What are the responsibilities and job description for the Revenue Cycle Manager position at HHAeXchange?

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.  


Cashé was recently acquired by HHAeXchange, another leading provider of homecare software for homecare providers, caregivers, MCOs and State Medicaid programs. 


We are seeking an experienced Revenue Cycle Manager to oversee our billing operations and ensure timely and accurate claims billing for customers. The ideal candidate will have excellent attention to detail, strong analytical skills, prior experience with managing a billing function for Medicaid claims, and the ability to drive process improvements. The Revenue Cycle Manager will create and maintain billing policies and procedures, ensure compliance with regulatory requirements, and develop strategies to improve billing efficiency and accuracy.


To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Essential Job Duties
  • Oversee the billing services process and ensure accurate and timely billing and claims management of Cashe Software customers.
  • Manage a team of billing specialists and provide leadership and support as needed.
  • Develop and maintain billing policies and procedures to ensure compliance with regulatory requirements. Ensure that all billing specialists are using consistent process, reporting, and steps to complete assigned tasks.
  • Keep apprised of upcoming payor related changes that impact successful transmission of claims, such as payor ID changes, and communicate changes to internal teams for systems changes.
  • Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals.
  • Review and analyze billing data to identify trends and areas for improvement.
  • Establish Key Performance Indicators to maintain oversight and management of billing department and individual biller workload.
  • Regularly review account status with billing services customers to ensure that all expectations, commitments and requirements are being met.
  • Collaborate with other departments to ensure smooth and efficient billing operations and that billing process is optimized with current system capabilities.
  • Respond to billing inquiries and resolve billing issues as needed.
  • Prepare and present billing reports to senior management.


Other Job Duties
  • Other duties as assigned by supervisor or HHAeXchange leader.


Travel Requirements
  • Travel up to 10%, including overnight travel


Required Education, Experience, Certifications, and Skills
  • Minimum of 5 years of experience in billing and/or claims management
  • Bachelor’s Degree preferred
  • Strong leadership and management skills, including at least 2 years prior experience managing a team of billing specialists
  • Excellent attention to detail and analytical skills
  • Proven experience in process improvement and standardizing billing operations
  • Familiarity and prior experience with Medicaid claims billing and MCO billing through Clearinghouses for MN Home & Community Based Services is required
  • Strong communication and interpersonal skills
  • Ability to work under pressure and meet deadlines
  • Proficient in MS Office (especially Excel)
  • Knowledge of regulatory requirements related to Medicaid claims billing
  • Experience with Medicaid billing in various states outside of MN a plus


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The base salary range for this US-based, full-time, and exempt position is $80,000-$100,000, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

 

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.


HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

Salary : $80,000 - $100,000

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