Revenue Cycle Manager

Shriners Hospitals For Children
Lexington, KY Full Time
POSTED ON 5/18/2023 CLOSED ON 6/5/2023

What are the responsibilities and job description for the Revenue Cycle Manager position at Shriners Hospitals For Children?

ID 2023-3193 Category Revenue Cycle Position Type Regular Full-Time Company Overview Shriners Children's is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience defines us as leaders in pediatric specialty care for our children and their families. Job Overview Shriners Children's is the premier pediatric burn, orthopaedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties medical center. We have an opportunity for a Revenue Cycle Manager. Responsibilities The Revenue Cycle Manager is the primary resource to facilitate all activities related to Revenue Cycle needs and communications between the medical center, headquarters and external business office vendors. This will include direct supervision of the Patient Access department and processes. The Revenue Cycle Manager reports to the Director of Financial Services and indirectly reports to the Corporate Director of Patient Financial Services.
  • Interact with Medical Center leadership, clinical managers and physicians to support clinical services provided.
  • Manage and direct the daily operations of the Patient Access department to ensure the timely and accurate process of patient flow through the cycle. This includes Intake, Registration, Scheduling, Insurance Verification/Authorization and Financial Counseling.
  • Manage various staffing functions including, but not limited to: identifying personnel needs, hiring, performance appraisals, promotions, timekeeping, and counseling.
  • Interact with Department Managers in key clinical areas to obtain necessary documentation and processes to support accurate claims.
  • Investigate pre-bill edits and denial trends to correct and prevent future errors. Report trends and actions to Corporate Director of Patient Financial Services.
  • Participate in internal and corporate meetings designed to improve revenue cycle processes.
  • Ensure Patient Access internal and external audits are in compliance.
  • Analyze metrics and Key Performance Indicators to validate quality assurance.
Shriners Children’s Lexington is an EOE/Drug-Free, Smoke-Free Workplace. Qualifications Current full Covid-19 vaccination status required.
  • Bachelor’s Degree or equivalent experience in a healthcare setting preferred.
  • 2 years of supervisory/managerial experience in one or more of the following areas: Patient Access (Intake, Registration, Scheduling), Revenue Cycle (Authorization, Eligibility, Denial Management), or Patient Financial Services (Billing and Collections), required.
  • 4 years of supervisory/managerial experience in one or more of the following areas: Patient Access (Intake, Registration, Scheduling), Revenue Cycle (Authorization, Eligibility, Denial Management), or Patient Financial Services (Billing and Collections), preferred.
  • Excellent Customer Service and Communication skills.
  • Experience with healthcare or physician practice EMR (EPIC Systems), preferred.
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