Revenue Cycle Manager

Key Functions

• 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.
• Covers 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.
• 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.
• Fills annual reporting to avoid payment reduction.
• Oversees the records requests process.
• Prepares, analyzes, and maintains 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.

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.
• A college degree or certification preferred, or equivalent education/experience.

Benefits

• 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