Revenue Cycle Manager

Revenue Cycle Manager

Reports to: COO & CFO

General Job Description

Under general supervision and according to established policies and procedures, the Revenue Cycle Manager will oversee the day-to-day operations of the billing department. Will oversee revenue cycle procedures for multiple clinics with emphasis on ensuring the accuracy and consistency of data for all accounts receivable, cash flow management and financial reporting. Responsible for process improvement, execution of goals and providing service excellence.

Essential Job Responsibilities:

• Exhibits and demonstrates a leadership style that promotes the company and adheres to the highest ethical standards and management philosophies.
• Plans, directs and supervises coding, data entry, billing and collections.
• Manages accounts receivables including timely and accurate insurance claim processing and patient billing.
• Ensures the accuracy and consistency of data for all accounts receivable and cash management.
• Conducts overview of patient accounts to identify and resolve billing and claims processing problems in a timely manner.
• Develops and maintains all billing policies and best practices including collection procedures.
• Establishes and implements a system for the collection of delinquent accounts ensuring third party payers are contacted
• Performs root cause analysis of claim denials.
• Established and maintains credit and collection policies.
• Establishes production goals and quality standards for billing department.
• Responsible for maintaining and reporting on revenue metrics, and departmental and payer revenue performance.
• Reviews processes to identify efficiencies and drive improvements.
• Reviews and maintains in-depth billing practices to ensure compliance internally and externally is met consistently and timely.
• Manages online payment processes.
• Manages the billing office within budget.
• Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payer regulations.
• Oversees charge master files, reimbursement methodologies, denials, insurance audits and contract management issues.
• Trains all staff on significant coding and billing changes.
• Maintains accuracy and productivity levels as established by department standards.
• Performs, organizes and streamlines operational tasks to reduce the potential for errors.
• Maintains patient safety and confidentiality at all times.
• Travels as required.
• All other duties as assigned by COO/CFO.

WORK EXPERIENCE

• Bachelor’s degree in business administration, healthcare or related field or equivalent experience.
• Minimum of five-year experience in medical billing, including managerial or supervisory work experience.
• Knowledge of revenue cycle management functions including, but not limited to, data entry, ICD10 coding, accounts receivable management and remittance application.

Skills

• Exceptional customer service and phone etiquette.
• Ability to maintain effective and organized systems to ensure timely patient flow.
• Working knowledge of medical terminology.
• Computer proficiency and prior experience with Electronic Medical Records preferred.
• Ability to work in a fast-paced environment.

PHYSICAL REQUIREMENTS

• Requires frequent bending/carrying items weighing up to 50 pounds.
• Adequate physical ability including sufficient manual dexterity to perform the requisite healthcare services including computer entry.

Education

• High school diploma or GED; some college preferred.

Equal Opportunity Employer

Job Type: Full-time

Pay: From $67,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• healthcare Revenue Cycle Management: 3 years (Required)

Work Location: In person