Manager Revenue Cycle Management

About the Role

Manages employees engaged in patient scheduling, pre-registration, insurance verification, and/or admission. Ensures the accuracy and completion of records, assignment of accommodations, payment schedules, and related scheduling/registration technology.

Responsibilities

• Manages staff; interviews, hires, and trains; evaluates employee performance; addresses performance problems as appropriate; delegates work assignments effectively.
• Gathers, investigates, researches, analyzes, and/or studies activities affecting hospital-wide or intra/interdepartmental operations.
• Develops policies and procedures designed to ensure delivery of seamless service in compliance with legal and regulatory requirements.
• Develops and administers established training plans, programs, and procedures; develops overall objectives, policies, and operating plans for the department.
• Establishes and evaluates quality and performance standards within the department; ensures efficient performance of assigned personnel/areas of responsibility to support or provide quality health care services.
• Assists in managing department budget.
• Communicates effectively in writing and verbally to ensure expeditious resolution of problems.
• May coordinate with clinical areas to establish scheduling rules and revisions.
• May oversee and monitor the generation of Advanced Beneficiary Notices when medical necessity is not established.
• Adheres to TMC organizational and department-specific safety, confidentiality, values, policies, and standards.
• Performs related duties as assigned.

Requirements

• Bachelor’s Degree from an accredited college or university in a related field or related experience on a year-for-year basis.
• Five (5) years of healthcare insurance, billing, or admitting experience, preferably in an acute care setting and a supervisory or managerial role.
• CHAM (Certified Healthcare Access Manager) certification preferred.

Skills

• Knowledge of best practices used in patient scheduling, pre-registration, insurance verification, and billing.
• Knowledge of management and leadership theory and best practices.
• Skill in evaluating, training, and guiding staff and making recommendations for improvement.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to prepare detailed written reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to inquiries or complaints from employees, patients, and/or their representatives and the general public.
• Ability to speak effectively before groups of customers or employees of the organization.
• Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs; and apply basic algebraic concepts.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.