Revenue Cycle Manager

About the role

At TURN, our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values—People, Culture, and Growth—are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment.

The Revenue Cycle Manager (Billing Systems Manager) will oversee billing functions at all programs for unit/service billing entry and reconciliation. The role works with MHS Billers to ensure timely submission into all funder billing systems and resolves any outstanding denied or open claims.

Responsibilities

• Oversee the billing operations of service coding, charge entry, claims submissions, payment postings, accounts receivable follow-up, collections, and reimbursement management.
• Audit current procedures to monitor and improve efficiency of billing and collections operations.
• Ensure that billing activities are conducted consistently with MHS protocol, Federal, State, and local regulations, as well as payor guidelines and requirements.
• Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to revise policies and procedures.
• Provide training to new and existing billing staff on applicable operating policies, systems and procedures, standards, and techniques.
• Ensure all MHS Billers enter service claims daily.
• Review daily billing receipts to monthly system reports.
• Assist MHS Billers with charge correction/denials.
• Check billing logs for completion/errors.
• Coordinate billing reconciliation process with the MHS Billers.
• Generate data reports required monthly by MHS’ Accounting Department and the Program Manager to ensure reimbursement by the Insurance for services rendered.
• Collaborate with the programs to monitor billing procedures and conduct utilization review.
• Attend Fiscal meetings as assigned by supervisor and communicate with fiscal staff regarding billing units and productivity.
• Perform word processing, spreadsheet operations, and database operations using an MS Windows-compatible computer format and MS Office software.

Requirements

• Experience with Medi-Cal, Short/Doyle, or ODS-DMC Medi-Cal billing.
• Advanced knowledge of county funder service claim entry systems.
• One year of experience in County Behavioral Health billing systems and policies.
• One year of experience in management.
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
• Experience with CPT and ICD Coding.
• Typing at 50 wpm.
• Complete basic computer skills using MS Windows operating system, including file backup and problem troubleshooting.
• Word processing skills utilizing MS Word.
• Resourcefulness, initiative, and the ability to work with minimal direction and supervision.

Physical Requirements

These physical demands represent what must be met to successfully perform the essential functions of this position. Reasonable accommodation may be made for qualified disabilities.

• Seeing
• Hearing
• Speaking
• Stooping/Bending
• Working in cramped spaces
• Moving around facility
• Moving between offices/clients
• Driving
• Lifting/carrying heavy items
• Pushing/pulling/dragging items
• Standing for long periods
• Using hands/fingers
• Sitting for long periods

I Can Perform The Above Functions: Without accommodation With accommodation. If so, please specify:

Other Duties

This job description is not a comprehensive list of activities, duties, or responsibilities required for this job. Duties, responsibilities, and activities may change at any time with or without notice.