Revenue Cycle Manager

Spruce Health Group is looking for a dedicated billing manager to serve as a liaison to the senior management team; organizes and coordinates billing outreach and special projects. The billing Manager must be creative and enjoy working in a team-oriented environment. This person will be results-driven and willing to go above and beyond.

PRIMARY RESPONSIBILITIES:

• Ensure billing and coding for all current and new medical service lines are accurate, consistent, and maximize revenue opportunities.
• Evaluate, report on, and improve results after implementation of new services or payers.
• Report and resolve payment and system issues with urgency, escalating if needed and putting processes into place to prevent similar future issues.
• Ensure everyday the billing staff and team have scrubbed all the superbills and have sent them to the clearinghouse.
• Plan, implement, evaluate, and administer all Revenue Cycle strategies and processes, including authorization, eligibility and benefits verification, claims submission, payment posting for ERA’s, denial management, accounts receivable follow-up, reporting and aged claims.
• Analyze current and potential contracts in terms of costing, volume, and reimbursement rates and use findings to drive contract strategies.
• Sent Patient statements and collections monthly- apply all patient and family credits prior to sending out statements.
• Employee must collaborate with the collection agency, provide authorization for collections agencies to initiate small claims actions etc.
• Respond and research patient inquiries.
• Daily batch total balanced.
• Ensure ongoing knowledge and compliance with all contracts beyond initial implementation and throughout the full revenue cycle.
• Monitor, respond to, and communicate changes in billing requirements, regulations, and reimbursement rates, and maintain provider enrollments with payers.
• Monitor accounts with payment plans.
• Update & enter in OP (EMR) all information that has to do with billing, such as new codes, prices changes/increases, etc.
• Increase revenue though the proper billing channels.
• Works with management assure billing is being completed properly.
• Participate in projects or other duties as assigned.
• Processing Payments/ensure staff/team is completing all payments in a timely manner.

Requirements:

• Experience: 5 Years as a billing manager (Medical Billing and or coding experience)
• Credentialing Experience Required, CAQH updates
• Strong organizational skills that reflect ability to perform and prioritize multiple tasks seamlessly with excellent attention to detail.
• Expert level written and verbal communication skills.
• Demonstrated ability to achieve high performance goals and meet deadlines in a fast paced environment.
• Forward looking thinker, who actively seeks opportunities and proposes solutions.
• Use of computers and software programs (EXCEL, WORD, POWERPOINT, EMR)
• Willing to work effectively with other departments.
• Comfortable presenting account status to senior leadership.

Job Type: Full-time

Pay: $98,541.00 - $110,153.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: Remote