RCM Billing Manager

Overview

The Revenue Cycle Manager (RCM) of Acquisition and Training at American Vision Partners (AVP) is responsible for managing the day-to-day operations of newly acquired revenue cycle teams, maximizing cash flow, and ensuring adherence to department policies and procedures.

Responsibilities

• Manages the day to day operations of newly acquired revenue cycle teams to maximize cash flow by managing all aspects of the insurance billing and third-party collections while ensuring adherence to department policies and procedures.
• Serves as the departmental liaison with all vendors, including but not limited to, clearinghouses, contracted business partners, third party payers, and information systems.
• Provides project management, coordination, implementation, education, training, and oversight to approved RCM projects including but not limited to practice management system upgrades and RCM functions related to acquisitions, system integrations.
• Identifies any potential opportunities to increase EDI transactions with clearinghouses or business partners.
• Actively researches and inquires about technology or product offerings that improve RCM process efficiency and/or reduce costs with existing vendor partners.
• Onsite process mapping using workflow mapping software including Microsoft Visio.
• Provides hands-on training to new acquired RCM staff, mapping of roles and oversight of development.
• Oversees the hiring, training, and supervision of department staff. Ensures that department policies are fairly administered by overseeing corrective action process, employee training, mentoring and coaching employees and supervisors as well as completing performance reviews.
• Develops and maintains an annual assurance plan to proactively ensure accurate and optimal revenue capture, and seeks to continually improve revenue cycle operational processes while assuring compliance with regulatory guidelines.
• Maintains quality assurance results to identify risks, quality assurance opportunities and training needs.
• Assists with development of the revenue cycle training programs and new hire orientation.
• Identifies opportunities for implementation of HIPAA transactions.
• Mets or exceeds quality, productivity and deadlines standards as set by senior management.
• Maintains continuous improvement in key performance metrics around financial, activity and quality indicators; addresses performance gaps with team and processes.
• Other duties as assigned.

Qualifications

• Minimum five years in a leadership role within a healthcare revenue cycle department.
• Previous supervisory experience with strong leadership skills and an ability to motivate others with a positive attitude.
• Leadership capability and proven successful experience in managing medium to large A/R teams.
• Experience working in Excel (advanced formulas, pivot table).
• Well-organized with attention to detail.
• Excellent math skills.
• Professional customer service skills.
• A desire and dedication to work with self-discipline.
• Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.
• Ability to manage time in order to meet deadlines and deliverables.
• Experience with workflow and process mapping software.

Essential Skills And Core Competencies

• Strong background and experience in full Revenue Cycle Management.
• Demonstrated ability working in Excel (advanced formulas, pivot table).
• Well-organized with attention to detail.
• Ability to read and understand oral and written instructions.
• Excellent math skills.
• Professional customer service skills.
• A desire and dedication to work with self-discipline.
• Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.
• Ability to manage time in order to meet deadlines and deliverables.

Benefits & Perks

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!