We have an opportunity for a Revenue Cycle Manager to join our growing employee-owned company. This role manages all functions of the organization's billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. Key functions of this position include but are not limited to:
Provides day-to-day management of the Regional Billing Office.
- Manages the authorization, billing, and collections staff in handling payer relations, and handles complex complaints and issues.
- Oversees all Billing Department operations including the data entry process, coding and documentation, claim preparation and submission, Accounts Receivable with account follow-up, posting of payments and denials, the collections process, customer service, and appeals operations.
- Plans and allocates resources as needed.
- Participates in the hiring of new employees and provides ongoing training and development resulting in a well-rounded, cross-trained billing team.
- Evaluates employee performance and delegates tasks and work assignments appropriately.
- Communicates effectively with leadership and location managers.
- Recommends process improvements that increase team efficiency and maximize results.
Oversees all billing activities.
- Coordinates all activities of the Regional Billing Office; and assures compliance with all Federal, State, and local regulations in regards to billing and data management.
- Evaluates reimbursements to ensure amounts received are consistent with amounts expected.
- Maintains up-to-date expertise and knowledge of healthcare billing laws and regulations. Provides information and recommendations necessary for the organization to make informed business decisions.
- Oversees the credentialing process.
- Evaluates and recommends changes to policies and procedures related to all aspects of the revenue cycle process.
- Understands MACRA/MIPS guidelines and implements necessary revisions each year. Files annual reporting to avoid payment reduction.
- Oversees the records requests process.
Prepare, analyze, and maintain reports to help ensure maximum profitability.
- Monitors financial management by reviewing all necessary reports. Identifies discrepancies in the data and research/recommend solutions.
- Creates and monitors reports to monitor staff productivity, AR buckets, and adjustments.
- Tracks and reports on revenue cycle metrics. Ensures timely reporting of reports and metrics to the Finance Director and leadership team.
A successful candidate will have the following qualities:
A minimum of three to five years of experience in medical billing is required. A minimum of two years of leadership experience with proven results is required. College degree or certification preferred, or equivalent education/experience.
Benefits Include:
- Employee Stock Ownership Program (ESOP) and 401k
- Generous paid time off including up to 3 weeks of PTO in the first year and 7 paid holidays
- Medical and Dental Insurance, including up to a $500 employer contribution to your HSA
- Company-paid life insurance with supplemental plans available
- Long-term and short-term disability insurance
- Free eye exam and glasses