Manager of Revenue Cycle Management

HCMS Napa • Loveland, CO

2d

About The Position

Position Summary: The primary purpose of this role is to manage and track the productivity of the account team and to ensure the health of the client's Accounts Receivable and communication with client is timely and proactive. Job Description Manager of Revenue Cycle Management Manager of RCM Oversees collections' performance (KPIs), billing team Exhibits exceptional customer service skills; answering client calls; prompt return and follow up to all interactions Maintains a schedule of client meetings either monthly or quarterly depending on the size and scope of client Optimizes and implements guidance of revenue cycle operations required for billing, billing system configuration, charge capture, coding, claim submission, insurance and patient accounts, collections, payment posting and customer service Updates and monitors a relevant performance reporting suite of metrics, and related structure of performance review meetings to establish an accountable environment Directs the strategic growth and development of RCM services while effectively managing the training and utilization of RCM staff, technology, and resources to ensure quality, high performing, work processes and results. Leads and/or coordinates business process improvement projects to increase effectiveness, improve efficiency, reduce denials, eliminate waste, and improve service experience Oversees Collection guidelines as well as the allocation of write-offs, related controls, and the procedures and tactics to minimize bad debt Monitors the local and national emerging and best practices associated with Revenue Management. Continuously enhances the patient and physician service delivery aspects of the Revenue Cycle, including monitoring contact center metrics, patient satisfaction data, physician satisfaction data, and other data points to refine the procedures which impact the delivery of service and customer satisfaction Reviews and approves client monthly financial reporting and completes client-requested, specialized data analysis Creates and maintains policies, procedures and standards that support Best Practices and effective management within a cross-departmental organizational structure Accountable for training the team, and sustaining superior customer service in the call center operations: inquiry follow-up, tactful, compassionate, professional and courteous handling of customers. Ensures compliance with regulations and billing and collections policies Monitors and makes decisions regarding the value and collectability of accounts receivable. Meets with practices/individuals to review specific coding issues or processes as needed. Develops and adheres to approved budget by maintaining business unit operations in coordination with the Director of Operations Collaborates with the credentialing team to ensure that physician participation with payers is accurate and completed without delay Serves as a liaison between the team and the customer in any challenging or potential negative situations Manages the internal compliance program for the company (Compliance officer) as well as supports clients in any questions they may have on compliance Has working/expert knowledge of all positions and procedures. Able to step in if needed and provide expert guidance. Actively manages 1-2 key clients RCM process to ensure that working knowledge. Responds to potential clients' leads, initiates contact and fact finding, quote terms, negotiate as needed, completes the sales cycle to signed client contract. Trains and manages other team members to assist in new client acquisition. Developing and maintaining strong relationships with the clients Extremely flexible quickly shifts from/to clients and projects as the needs arise with efficient hand offs to others. Ability to effectively and appropriately manage a remote work force. We offer a competitive salary, 401(k) with Employer Match, Paid Time Off and paid Holidays. Owner will provide reasonable training for the new RCM Manager.

Requirements

• 5-10 years of management experience in revenue cycle in a fast paced, high volume environment preferred
• High level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy
• Experience communicating with client
• Mentorship and management of a high functioning RCM team, and a strong track record of driving business results are essential.
• Knowledge of pertinent Federal, State, and local laws, codes, and regulations related to reimbursement, collection, and insurance related requirements
• Strong skills in fostering working relationships
• Understanding how to read and interpret AR reports to develop action plans
• Strong working knowledge of medical terminology, CPT, HCPCS, ICD10
• Detail oriented; organized; sets priorities; meets deadlines
• Advanced skills in computer programs, particularly Microsoft Excel, medical billing software (Kareo preferred), and EMR programs
• Expert skills in research, problem solving and identifying resources to solve any client or team-member questions or issues
• Experience in third-party payor setup / configuration within the revenue cycle system
• Adapt to changes in the work environment and manage competing demands
• Self-starter with high degree of drive, initiative, and follow through
• Outstanding interpersonal and communication skills,
• College or University degree preferred

Nice To Haves

• Certified Coder or other industry certification preferred

Responsibilities

• Oversees collections' performance (KPIs), billing team
• Exhibits exceptional customer service skills; answering client calls; prompt return and follow up to all interactions
• Maintains a schedule of client meetings either monthly or quarterly depending on the size and scope of client
• Optimizes and implements guidance of revenue cycle operations required for billing, billing system configuration, charge capture, coding, claim submission, insurance and patient accounts, collections, payment posting and customer service
• Updates and monitors a relevant performance reporting suite of metrics, and related structure of performance review meetings to establish an accountable environment
• Directs the strategic growth and development of RCM services while effectively managing the training and utilization of RCM staff, technology, and resources to ensure quality, high performing, work processes and results.
• Leads and/or coordinates business process improvement projects to increase effectiveness, improve efficiency, reduce denials, eliminate waste, and improve service experience
• Oversees Collection guidelines as well as the allocation of write-offs, related controls, and the procedures and tactics to minimize bad debt
• Monitors the local and national emerging and best practices associated with Revenue Management.
• Continuously enhances the patient and physician service delivery aspects of the Revenue Cycle, including monitoring contact center metrics, patient satisfaction data, physician satisfaction data, and other data points to refine the procedures which impact the delivery of service and customer satisfaction
• Reviews and approves client monthly financial reporting and completes client-requested, specialized data analysis
• Creates and maintains policies, procedures and standards that support Best Practices and effective management within a cross-departmental organizational structure
• Accountable for training the team, and sustaining superior customer service in the call center operations: inquiry follow-up, tactful, compassionate, professional and courteous handling of customers.
• Ensures compliance with regulations and billing and collections policies
• Monitors and makes decisions regarding the value and collectability of accounts receivable.
• Meets with practices/individuals to review specific coding issues or processes as needed.
• Develops and adheres to approved budget by maintaining business unit operations in coordination with the Director of Operations
• Collaborates with the credentialing team to ensure that physician participation with payers is accurate and completed without delay
• Serves as a liaison between the team and the customer in any challenging or potential negative situations
• Manages the internal compliance program for the company (Compliance officer) as well as supports clients in any questions they may have on compliance
• Has working/expert knowledge of all positions and procedures. Able to step in if needed and provide expert guidance.
• Actively manages 1-2 key clients RCM process to ensure that working knowledge.
• Responds to potential clients' leads, initiates contact and fact finding, quote terms, negotiate as needed, completes the sales cycle to signed client contract.
• Trains and manages other team members to assist in new client acquisition.
• Developing and maintaining strong relationships with the clients
• Extremely flexible quickly shifts from/to clients and projects as the needs arise with efficient hand offs to others.
• Ability to effectively and appropriately manage a remote work force.

Benefits

• competitive salary
• 401(k) with Employer Match
• Paid Time Off
• paid Holidays
• reasonable training

What This Job Offers

• Job Type: Full-time
• Career Level: Manager