Revenue Cycle Manager jobs in Washington, DC

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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
  • Planned Parenthood of Metropolitan Washington
  • Washington, DC FULL_TIME
  • Description: The Revenue Cycle Manager is responsible for the implementation, execution, and completion of all day-to-day Revenue Cycle functions, while ensuring workflows remain aligned with strategy...
  • 16 Days Ago

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Revenue Cycle Manager
  • ASC Ortho Management Company/Aligned Orthopedic Partners
  • Bethesda, MD FULL_TIME
  • DescriptionWho we are:Aligned Orthopedic Partners is a well-respected private orthopedic team comprised of highly trained, board-certified orthopedic surgeons devoted to delivering the highest orthope...
  • 9 Days Ago

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Senior Program Manager Revenue Cycle
  • Children's National Medical Center
  • Silver Spring, MD OTHER
  • The Senior Program Manager Revenue Cycle will work under the direction of the Director to provide administrative, project and financial oversight for Department activities. Will manage the day-to-day ...
  • 2 Months Ago

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Revenue Cycle Specialist
  • Confidential
  • Washington, DC FULL_TIME
  • Job Overview: Company relies on a meticulous financial accounting system to produce information that informs management and drives business decisions based on up-to-date and accurate financial reporti...
  • 4 Days Ago

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Revenue Cycle Specialist
  • Confidential
  • Washington, DC FULL_TIME
  • Job Overview: Company relies on a meticulous financial accounting system to produce information that informs management and drives business decisions based on up-to-date and accurate financial reporti...
  • 4 Days Ago

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0 Revenue Cycle Manager jobs found in Washington, DC area

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Dual Revenue Manager-Hybrid
  • Sage Hospitality Resources, LLP
  • Bethesda, MD
  • Why us? Sage Hospitality Group is in search of a Dual Revenue Manager - Hybrid to join the Sales & Marketing Team at the...
  • 4/23/2024 12:00:00 AM

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Clinical Documentation Integrity Nurse
  • Networks Connect LLC
  • Washington, DC
  • Job Description Job Description Introduction: Join our partnership with a top-tier hospital in the Washington DC area as...
  • 4/23/2024 12:00:00 AM

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Pricing and Revenue Manager
  • AvalonBay Communities, Inc.
  • Arlington, VA
  • Pricing and Revenue Manager Position Type: Full time State: Virginia City: Arlington Zip Code: 22203 Overview AvalonBay ...
  • 4/21/2024 12:00:00 AM

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Revenue Manager, RMAS (Remote)
  • Marriott International
  • Bethesda, MD
  • Job Description JOB SUMMARY Maintains the transient rooms inventory for the hotel(s) and responsible for maximizing tran...
  • 4/21/2024 12:00:00 AM

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Assistant Director - Revenue Cycle
  • Networks Connect Professional Staffing
  • Washington, DC
  • Description: Networks Connect is conducting a search on behalf of our client, a local prominent healthcare system, for a...
  • 4/21/2024 12:00:00 AM

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Patient Access Representative - Full-Time/PRN
  • Networks Connect LLC
  • Washington, DC
  • Job Description Job Description Job description Networks Connect Professional Staffing is currently seeking an experienc...
  • 4/21/2024 12:00:00 AM

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Practice Manager - Primary Care Old Town
  • Virginia Hospital Center
  • Alexandria, VA
  • Practice Manager - Primary Care Old Town Job Description Purpose & Scope: Responsible for the overall management of a ph...
  • 4/21/2024 12:00:00 AM

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Assistant Director - Revenue Cycle
  • Networks Connect Professional Staffing
  • Washington, DC
  • Description: Networks Connect is conducting a search on behalf of our client, a local prominent healthcare system, for a...
  • 4/19/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Revenue Cycle Manager jobs
$84,502 to $100,138
Washington, District of Columbia area prices
were up 1.3% from a year ago

Revenue Cycle Manager in Wilmington, DE
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
Developing and implementing policies and procedures to maximize the efficacy and efficiency of operations within the assigned function(s).
June 22, 2021
Revenue Cycle Manager
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
Maintains and understanding of front offices process and procedures for improvement initiatives as it applies to revenue cycle workflows.
May 28, 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
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