Revenue Cycle Manager jobs in Virginia

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Revenue Cycle Net Revenue Manager
  • Inova
  • Fairfax, VA FULL_TIME
  • The Manager of Patient Financial Services is responsible for the timely and accurate processing of claims by assigned supervisors and staff monitored through productivity measurement, quality review and feedback. Ensures that all claims meet clearinghouse and/or payer processing criteria, are followed up on in accordance with departmental/contractual requirements and that payments/adjustments are handled properly. Supervises the operational and financial functions of the Patient Accounting department. Provides the Director of Patient Financial Services with issues and potential resolutions regarding problems with the claims submission and payment process. Ensures regulatory compliance enforcement with policies and procedures.

    Job Responsibilities

     

    • Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority.
    • Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments.
    • Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs.
    • Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools.
    • Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream.
    • Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards.
    • Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems.
    • Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG.
    • Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks.
    • May perform additional duties as assigned.



    Additional Requirements

    Experience - Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles

    Education - Bachelors Degree or lesser educational degree with four additional years of experience

     

  • 1 Month Ago

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Revenue Cycle Manager - AR
  • TEKsystems
  • Norfolk, VA FULL_TIME
  • Revenue Cycle Manager - AR Location: Onsite in Norfolk, VA Experience Level: Expert Employment Type: Full-Time Salary: $65,000-$80,000k Hours: M-F 8:30-5:00pm A Day in the Role: This position is an in...
  • 11 Days Ago

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Revenue Cycle Manager/Accounts Receivable
  • The US Oncology Network
  • Norfolk, VA FULL_TIME
  • Overview: Employment Type : Full Time In Office Position Benefits : M/D/V, Life Ins., 401(k) Norfolk, Virginia Salary: $65,000-$90,000 The US Oncology Network is looking for an upbeat and ambitious Re...
  • 7 Days Ago

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Revenue Cycle Financial Counselor
  • Commonwealth of VA Careers
  • NEWCOMB HALL, VA FULL_TIME
  • This role is responsible for providing financial support to include- financial assistance application assessment and approval, HPE Medicaid application, pre service estimates, pre service insurance el...
  • Just Posted

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REVENUE CYCLE SPECIALIST
  • Centra Health Careers
  • , VA FULL_TIME
  • Overview The revenue cycle specialist is responsible for the company's third-party medical claims processing. This position works with the computerized practice management system for the validation, s...
  • 1 Day Ago

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Revenue Cycle Administrator
  • MyEyeDr.
  • Vienna, VA FULL_TIME
  • Description About the role The Revenue Cycle Administrator is responsible for facilitating the efficient and accurate submission of insurance claims to various vendors, to ensure that the organization...
  • 14 Days Ago

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Revenue Cycle Manager
  • Vaco
  • Louisville, KY
  • Position Overview: The Revenue Cycle Manager will be responsible for overseeing and managing the revenue cycle operation...
  • 4/26/2024 12:00:00 AM

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Revenue Cycle Manager
  • Lhh
  • Farmingdale, NY
  • Mid-sized healthcare network is looking for a talented Revenue Cycle Manager to join heir team. This organization is goi...
  • 4/25/2024 12:00:00 AM

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Communications Manager - Revenue Cycle Management
  • Envision Healthcare
  • Kansas City, MO
  • Overview: Communications Manager - Revenue Cycle Management Envision Healthcare Envision Healthcare is a leading nationa...
  • 4/25/2024 12:00:00 AM

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Revenue Cycle Manager
  • LHH
  • Farmingdale, NY
  • Mid-sized healthcare network is looking for a talented Revenue Cycle Manager to join heir team. This organization is goi...
  • 4/23/2024 12:00:00 AM

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Vice President, Revenue Cycle Management
  • Urgent Team Management
  • Nashville, TN
  • Urgent Team, an independent operator of urgent and family care centers, is seeking a dynamic VP of Revenue Cycle Managem...
  • 4/22/2024 12:00:00 AM

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Revenue Cycle Manager
  • Ventra Health
  • San Diego, CA
  • Job Summary The Manager, Revenue Cycle is responsible for the management of the accounts receivable (“AR”) of Ventra Hea...
  • 4/22/2024 12:00:00 AM

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Revenue Cycle Manager
  • Maimonides Medical Center
  • Brooklyn, NY
  • MAIMONIDES: TOP TEN IN THE U.S. FOR CLINICAL OUTCOMES We're Maimonides Health, Brooklyn's largest healthcare system, ser...
  • 4/22/2024 12:00:00 AM

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Director, Revenue Cycle Management
  • Abbott Laboratories
  • Orlando, FL
  • Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-chan...
  • 3/28/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Manager jobs
$76,151 to $90,241

Revenue Cycle Manager
Works directly with Human Resources to review applications, arrange for interviews and interview applicants to obtain information on work history, training, education, and job skills.
July 09, 2021
Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized.
June 16, 2021
Maintains and understanding of front offices process and procedures for improvement initiatives as it applies to revenue cycle workflows.
May 28, 2021
Demonstrates thorough understanding of and oversees all aspects of coding functions, to include monitoring and interpreting insurance reimbursements and implementing procedures that ensure optimum reimbursement and compliance with regulations.
May 02, 2021
Revenue Cycle Manager in Wilmington, DE
Developing and implementing policies and procedures to maximize the efficacy and efficiency of operations within the assigned function(s).
June 22, 2021
Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
June 03, 2021