Revenue Cycle Supervisor jobs in Shreveport, LA

REVENUE CYCLE MANAGER

STATEMENT OF PURPOSE

To provide support for the mission and vision of the hospital through your actions, attitudes, and personal conduct as the team leader of your department, an employee of the hospital, and a contributor to the health and wellbeing of the patients we service; to provide the duties outlines in this job description to the best of your abilities; and to strive for excellent service to your customers.

JOB SUMMARY:

The Revenue Cycle Manager [RCM] is responsible for overseeing revue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing- related issues. The RCM will minimize bad debt, improve cash flow, and effectively manage accounts receivables. They will be responsible for setting the annual facility fee schedule. This position is to stay apprised of coding and revenue trends; and is responsible for implementing coding changes and providing coding education to clinical and coding/billing staff.

GENERAL MANAGEMENT DUTIES:

1. Oversee and manage the entire revenue cycle process including billing, coding, collections, and denial management.

2. Manage relationships with external vendors for practice management software and clearinghouse vendor.

3. Communicate professionally with various payers.

4. Manage, develop, and mentor all revenue department staff, including coders and revenue cycle specialists.

5. Responsible for management and maintenance of billing and practice management software platform.

6. Manage coding audits of provider charts.

7. Provide up to date education for clinical, billing and coding staff of CPT and ICD-10 coding trends.

8. Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies.

9. Reconcile all receivable and revenue reports and work closely with the finance department in the development of the monthly financial statements.

10. Manage and update the charge master based on the current CMS fee schedule and negotiated contracts.

11. Conduct monthly analysis of Medicare/Medicaid/Third Party Payers.

12. Responsible for the generation and management of revenue, admissions, and metric reports. Review and resolve issues related to claim generation and rejected/denied billings.

13. Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information.

14. Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations.

15. Maintains appropriate internal controls over accounts receivable and RCM Process.

16. Monitors accounts sent for collection and reimbursements from insurance companies and other third party payers.

17. Reviews, monitors, and evaluates third party reimbursement and research variances.

18. Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payers.

PHYSICAL/MENTAL DEMANDS and WORK ENVIRONMENT:

1. Work is performed in a standard office environment.

2. Flexible schedule with possible evening and/or weekends when necessary.

3. Requires knowledge of office equipment, such as copiers, computers, tablets, telephones, fax machines, cell phones, and pagers. May view computer screens for long periods of time.

4. Vision must be correctable to 20/20 and hearing must be in a normal range for telephone contracts.

5. Work requires hand dexterity for office machine operations, stooping and bending to files and supplies, mobility to complete errands, or sitting for extended periods of time.

6. Performs highly complex and varied tasks requiring independent knowledge and its application. Occasional stress in dealing with tense, angry, and/or upset clients or staff, and/or multiple demands during deadline periods.

EDUCATION/QUALIFICATIONS REQUIRED:

1. Excellent communication and interpersonal skills.

2. A Bachelor’s Degree and 3-5 years of related work experience; in lieu of Bachelor’s Degree, 7-10 years of progressive management experience.

3. Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process.

4. Proven experience in healthcare billing, including Medicaid/Medicare.

5. Knowledge of basic insurance policies, procedures, and reimbursement practices with Medicare.

6. Certified coder, coding auditor, or coding education experience.

7. Experience supervising staff

8. Prior experience with process development and execution.

9. Experience with auditing provider coding and knowledge of the most appropriate CPT and ICD-10 coding for specific services and diagnoses.

10. This is a financially sensitive position and is contingent upon clear results of a thorough background screen including: Social Security Verification, Education Verification, Background Check and Drug Screen

PREFERRED:

1. 3 years healthcare experience at the management level.

2. 3 years supervising hourly staff or managing a department staff

DISCLAIMER:

The demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

RESPONSIBILITY:

The Revenue Cycle Manager is directly responsible to the Chief Financial Officer.

DIRECT REPORTS:

Health Information Management staff

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: In person