Sr. Manager, Revenue Cycle & AR
About the role
Planned Parenthood Los Angeles is seeking an experienced Revenue Cycle Accounts Receivable Sr. Manager to work in our Downtown Los Angeles Headquarters. This position contributes to the organization's mission by providing day-to-day leadership of the Accounts Receivable Teams.
Responsibilities
- Maintain accurate and timely charges
- Monitor daily reconciliation dashboard and reports
- Perform daily Continuous Quality Improvement reviews
- Lead the Revenue Cycle supervisory team
- Identify and implement solutions to operational difficulties
- Provide guidance to Revenue Cycle Supervisors
- Conduct audits and audits of medical records and claims data
- Report productivity metrics and compile monthly KPI reports
- Manage direct report(s)
- Ensure compliance with existing and new rules, regulations, and revisions
- Review changes in pricing, CPTs, HCPCs, rev codes, etc.
- Manage undercharging monitoring and response program
- Propose fee schedule optimization opportunities
Requirements
- High school diploma or GED
- Bachelor's degree in Business, Finance, Healthcare or related field preferred
- Coding certification required
- Auditing certification preferred
- Five (5) years of experience with revenue cycle operations management
- Five (5) years of coding and/or audit experience preferred
- Thorough understanding of CMS (Medicare / Medicaid) billing regulations
- Minimum eight (8) years of experience with ICD10, CPT/HCPCS and revenue codes, CMS billing regulations and healthcare reimbursement
- Strong knowledge of clinical practice and revenue cycle management including third-party reimbursement guidelines and procedures
- Minimum five (5) years of supervisory experience
Qualifications
- Five (5) years of experience with revenue cycle operations management
- Five (5) years of coding and/or audit experience preferred
- Thorough understanding of CMS (Medicare / Medicaid) billing regulations
- Minimum eight (8) years of experience with ICD10, CPT/HCPCS and revenue codes, CMS billing regulations and healthcare reimbursement
- Strong knowledge of clinical practice and revenue cycle management including third-party reimbursement guidelines and procedures
- Minimum five (5) years of supervisory experience
Skills
- Effective communication skills
- Problem-solving skills
- Attention to detail
- Ability to manage multiple priorities
- Knowledge of healthcare regulations and compliance
Benefits
Includes generous salary and benefits package, including medical, dental, and vision coverage options, free basic life/AD&D policy, Short Term Disability, Critical Illness and Accident policies, 403(b) Retirement plan with up to 3% employer match, Medical and Dependent Flexible Spending Account plans, Public Transportation and Commuter Pre-Tax Reimbursements, Generous vacation, sick, and holiday benefits, and more.
Pay
$104,683 - $125,620 annually (Exempt)
Schedule
Full-time position