Manager of Revenue Cycle (Hybrid)

ERIE FAMILY HEALTH CENTER•Chicago, IL

2d•$72,000 - $82,000•Hybrid

About The Position

Under the direction of the Chief Financial Officer, the Manager of Revenue Cycle oversees and analyzes the overall output of Erie’s revenue cycle functions, collaborating with the outside revenue cycle vendor. They work to facilitate smooth revenue cycle operations and ensure compliance and efficiency in capturing and billing for all services performed in compliance with all applicable payor and government regulations. Erie Family Health Centers, a nationally recognized top workplace with 14 sites in Chicago and suburbs, is looking for a valuable addition to our Finance team!

Requirements

Bachelor’s degree required
Minimum five (5) years progressive healthcare billing and revenue cycle experience
Overall revenue cycle knowledge and billing familiarity
Medicaid, Medicare, Managed Medicaid, Commercial payment regulations, as well as electronic billing.
Knowledge of Medical terminology, patient registration, CPT-4, ICD-9CM/ICD-10, HCPCS Level II, and Modifiers.
Knowledge of: Medical terminology, patient registration, CPT-4, ICD-9CM/ICD-10, HCPCS Level II, and Modifiers.
Interpret Remittance Advices and Explanation of Benefits.
Understanding Medicaid and Medicare denial and rejection codes.
Billing knowledge to facilitate clean claim submission.
Ability to communicate effectively with a variety of internal and external parties.
Ability to liaise effectively between Erie operations and outside revenue cycle vendor.
Analytical skills and ability to process large volume of data.
Strong Excel proficiency needed.

Nice To Haves

Medical Claims billing process.
AMA Guidelines and HIPAA Compliance.
Epic or similar EHR experience preferred.
FQHC Sliding Fee Discount

Responsibilities

Ensures claim processing by outside vendor is timely; monitors key indicators such as clean claim rate, denials, and rejections. Works collaboratively with outside vendor and internal key stakeholders to ensure timely, accurate billing.
Assists CFO in Revenue cycle reporting and monitoring of outputs and trends.
Assists and collaborates to facilitate clean claim submission and timely payment with multiple insurance carriers as well as credentialing with insurance carriers, partner hospitals, and Erie Family Health Center.
Collaborates with Finance team members, clinical, operations, Information Technology staff, and outsourced revenue cycle partner and other Revenue Cycle consultants as appropriate in the development and enhancement of all billing and revenue cycle processes and systems to allow for the most effective billing and collection of all patient-related revenue activities.
Assists CFO and Erie leadership in development and execution of managed care strategy, including contract review negotiations.
Performs other job-related duties as assigned.

Benefits

Competitive salaries
High-quality health care plans
Generous time off benefits
Retirement benefits
Medical, Dental, Vision, Life and Disability Insurance
Flexible Spending (FSA) for Health Care or Childcare
401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee’s biweekly salary.
Annual Paid Time Off: starting at 20 days of PTO
8 paid holidays
Annual merit increases
Room for growth and career advancement