Job Purpose:
The Revenue Cycle Manager is responsible for developing, planning, organizing and implementing current and future strategies for the billing team. The Revenue Cycle Manager will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes and train others in implementing a cross functional revenue cycle team.
Essential Functions:
- Participate and help implement a system to ensure that accurate billing information is entered into the billing system.
- Supervise the Revenue Cycle Department in various duties, such as account management, communications with insurance providers, collections, cash posting, and billing.
- Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
- Oversees the interviewing and hiring of new staff.
- Efficiently managing patient complaints in respect of billing and collections.
- Ensures accurate diagnoses and procedure codes are utilized.
- Protects organization's value by keeping information confidential.
- Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks.
- Plans and structures the department workflow while maintaining and managing cash flow.
- Receives and responds to special requests and resolves complex problems.
- Provide positive direction, guidance and leadership to ensure effective teamwork and motivation.
- Oversee, develop and recommend training programs that are relevant and necessary for the continuous development of the Revenue Cycle Team.
- Communicate with the board and leadership team.
- Define/streamline various functional activities to ensure effectiveness in maximizing the utilization of both asset and people resources.
- Work collaboratively with all staff as well as the Operations Team and Revenue Cycle Department to provide feedback and identify areas of opportunities.
- Perform end of month reporting in collaboration with the Chief Financial Officer.
- Stay abreast of payer requirements and changes in the industry and communicate those changes to team and leadership.
- Manages and maintains employee hours/PTO and time management for 10-20 team members.
Qualifications and Education Requirements
- Associates degree or Higher in Business Administration, Healthcare Administration, or related field.
- Proven Minimum 5–10 years’ experience in Revenue Cycle.
- Experience with billing and EMR Systems.
- Working knowledge of ICD-9/ICD-10, HCPCS, and CPT coding.
- Understanding of Medicare, Medicaid, and third party billing/coding guidelines.
- Proficient in all Microsoft Office application as well as medical office software.
Salary is commensurate with experience
Originally founded as Talley Eye Care by Terry W. Talley, MD in 1972, Talley Eye Institute has grown to now include nine specialists and provide care to patients in three states with eight satellite clinics. Talley has been the trusted and experienced leader in eye care in the area for nearly 50 years and continues to have one of the largest referring networks of optometrists in the region. Talley Eye Institute is dedicated to providing patient-centered, compassionate care with cutting-edge technology using the latest and best techniques, equipment, and trainings to provide the utmost in innovative patient care. All doctors and staff at Talley Eye Institute have a common goal of preserving, enhancing, and maximizing vision, one patient at a time.