Revenue Cycle Manager jobs in Burlington, VT

For over 132 years, Lund has been harnessing hope and providing opportunities to help strengthen families and ensure a safe, secure and loving environment for all Vermont children.  As a multi-service nonprofit organization, Lund serves more than 5,000 individuals each year.  Lund’s mission is to help children thrive by empowering families to break cycles of poverty, addiction and abuse. Lund offers hope and opportunity to families through education, treatment, family support and adoption. 

Join The Lund Team: support and empower Vermont families!

Revenue Cycle Manager

Lund is a qualified employer for Public Student Loan Forgiveness.

About the Position:

• Oversee all fee-for-service billing within the revenue cycle.
• Educate providers on proper coding and charting information as needed.
• Ensure all services rendered are being reported and payment is captured appropriately.
• Advise, assist, and educate program intake staff on insurance related topics.
• Stay up to date on industry standards including, but not limited to, coding and billing
• Complete provider and new payer credentialing, enrollment, and contracting needs.
• Provide monthly reports to management:
  • AR Days - Time it takes between services rendered to receipt of payment compared to industry standard of under 27 days
  • Ensure insurance aging outstanding accounts receivable industry standards are being met: 60 <12%
  • Denial analysis
  • Charges and claims month-to-date
•  Present annual reporting and analysis to providers and management and make recommendations:
  • Average revenue per visit, per program
  • Gross collection and ratios
  • Productivity trends
  • Time of service collection ratios
  • Charges & payments monthly totals and trends
  • Timely filing review and reporting
  • Other lost revenue reporting
• Review charts of services ready to be billed. Ensure all charting is completed and matches services billed.
• Preview and work claims paid in full or adjusted in full.
• Sign-up and utilize EFT and ERA when applicable.
• Work insurance credit balances for overpayments. Initiate refund requests as appropriate.
• Work weekly unbilled charges report
  • Send to individual providers or supervisors for chart completion.
• Manage, oversee, and report on duties of the Program Management Team listed below
  • Grant based reporting and invoicing
  • CIS billing and support
  • Residential Room and Board billing and support
  • RPP support
  • Adoption and Post Permanency support
  • Enter ADAP claims into STATIS reporting portal.
  • Post insurance payments as they are deposited in the bank and balance payments after entry.
  • Work insurance denials and appeals and correct as necessary
  • Review and work insurance mail including refund requests and record requests
  • Fee schedule maintenance - monthly
• Self pay billing responsibilities
  • Collect any member responsibility outstanding after insurance
  • Unpaid balance phone calls and mailing when necessary
  • Assess family ability to pay status based on sliding scale
  • Manage incoming patient billing questions
  • Turn unpaid over to collections
• Annual pricing review and maintenance
• Manage and update billing configurations as needed
• Assist providers in meeting quality benchmarks and enrolling in available payer incentive programs.
• Additional duties may include:
• Enroll new payers in electronic claim submission (837) and electronic remit files (835)
• Identify areas for efficiency, find solutions, document, and implement changes.
• Assist and collaborate on EHR conversion and workflow efficiency.
• Other duties as assigned.

 What We Look For:

• Associate degree and five years of coding and billing experience or an equivalent combination of education and experience are required.
• Experience with behavioral and mental health billing and payer contracting is preferred.
• Ability to perform the essential functions of the position either with or without reasonable accommodation.
• Ability to maintain a valid VT Driver’s License and access to reliable transportation. Occasional statewide travel may be required.
• Upon conditional offer of employment, must be able to successfully pass a background check.
• Regular attendance is necessary and essential to meeting the expectations of the job.
• Ability to consistently demonstrate Lund’s values of collaboration, compassion, empathy, integrity, and respect.
• Ability to understand and comply with operational standards, safety requirements, and employee policies.
• Ability to actively support diversity, equity, and cultural competency efforts withing stated job responsibilities and work effectively across diverse cultures.
• Ability to handle multiple tasks effectively in a busy environment with frequent interruptions.
• Ability to deescalate and resolve sensitive situations respectfully.
• Ability to demonstrate excellent judgement and operate with the utmost confidentiality.
• Ability to maintain positive working relationships with co-workers, families, and other departments.
• Ability to communicate effectively and respectfully both orally and in writing.
• Proficiency in the use of applicable hardware and software as required.

Why Join Our Team at Lund:

• We honor and celebrate the distinctive strengths and talents of our clients and staff.
• Our work encompasses collaboration with a strong team of professionals and a strengths-based approach to providing services to families. 
• Lund’s adoption program provides life-long services to families brought together through adoption.
• Lund’s residential and community treatment programs are distinctive as our work focuses on both treatment and parenting.
• Lund’s educators believe in laughter, the importance of fun, community-oriented activities, and non-stop learning.
• Professional growth and ongoing training opportunities are available; Lund offers weekly supervision.
• Lund values employee well-being and strives to be a welcoming and inclusive workplace; staff are encouraged to engage in staff led initiatives for wellness, employee recognition, and diversity, equity, and inclusion.
• Lund is a family-centered organization filled with supportive colleagues and offers work-life balance; some positions offer opportunities for hybrid schedules or schedule flexibility.
• Lund offers competitive pay and paid training.
• Lund offers a comprehensive and very generous benefit package including health, dental, life, disability, and retirement.
• Employees earn extensive time off accrual in addition to 13 paid holidays, and annual wellness reimbursement.  
• Lund does not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, marital status, genetic information, ancestry, place of birth, age, veteran status, disability, or any other characteristic protected by applicable law. EEO/AA