Manager, Revenue Cycle (Front End) Internal Candidates Only

TrueCare • San Marcos, CA

6h • $90,776 - $136,165

About The Position

TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.

Under the direction of the Director of Revenue Cycle Front-End PFS Manager will work and collaborate closely between billing and front office staff. The Front-End PFS Manager will perform duties that ensure training, development and implementation, auditing, and front office operational improvement opportunities. The Manager will monitor data, analyze reports, and track specific activity to ensure processes are efficient, and will offer recommendations to enhance workflows and increase operational efficiency. Additionally, the Manager will serve as an insurance and program content expert for the organization in conjunction with PFS.

Requirements

• Bachelor’s degree from an accredited institution in business administration, healthcare administration, operations management, health information management, a related field, or an equivalent combination of education and professional experience in a related field.
• A minimum of two (2) years supervisory experience.
• A minimum of three (3) years in healthcare operations, business, or administrative functions.
• Experience working in a community health center or Federally Qualified Health Center (FQHC).
• Knowledge of CPT, HCPCS, and ICD-10 coding protocols.
• Familiarity with medical billing terminology.
• Knowledge of third-party billing and state and federal collection regulations.
• Knowledge of healthcare laws and regulations involving major insurance plans, Medicaid, and Medicare.
• Proficiency in Microsoft Office suite products, including Outlook, Word, Excel, and PowerPoint.

Nice To Haves

• Management experience.
• Experience in an ambulatory setting with medical billing, and collections.
• Two (2) years of healthcare project management, medical billing, and/or coding experience.

Responsibilities

• Provide training to new hires, volunteers, and existing staff working at the front office.
• Establish and maintain an action plan to improve the Front Office Training Program.
• Test trainees to measure progress and to evaluate effectiveness of training.
• Develop strong relationships with Learning & Development, Operations and Billing departments to improve workflows and receive feedback.
• Work to bridge the gap between the front office staff and patient financial services. Regularly attend meetings with PFS and work to enhance front desk workflows to ensure Registration accuracy.
• Work closely with Health Center Managers to ensure monthly ongoing front office trainings are implemented.
• Monitor the operation of systems to ensure the effective delivery of front office and billing operations..
• Hold knowledge and act as a resource person for staff regarding policies, procedures, various funding sources, and other matters related to the front office.
• Understand all payor/program enrollment and eligibility requirements accepted at TrueCare.
• Participate as an active member of the Billing and Operations Meetings as well as EHR Revenue Cycle and Practice Management Workgroups.
• Emphasize, demonstrate, promote, and adhere to excellent customer service skills including professionalism, confidentiality, and proper etiquette.
• Positively impact patient experience by demonstrating values of Transforming Care including, but not limited to, courteous and helpful behavior and a commitment to accuracy.
• Analyze, monitor, and measure the quality of billing information in accordance with data standards, policies and procedures and implement correction action plans to correct faulty data.
• Analyze, monitor, and measure the quality of Fact Sheet/Sliding Fee Scale information in accordance with data standards, policies and procedures and implement correction action plans to correct faulty or missing information.
• Utilize software knowledge, business process knowledge, and standard operating procedures to correctly manage front office workflows.
• Test new features of EPIC as they are implemented to verify accuracy of front office and billing processes.
• Coordinate, complete, and update management on project results.
• Maintain confidentiality in all aspects of client, staff, and agency information.
• Travel to all TrueCare sites to implement trainings, evaluate, or monitor compliance.
• Function at a high level according to credentials and competency.
• Contribute to the success of the organization by participating in quality improvement activities.

Benefits

• Competitive Compensation
• Competitive Time Off
• Low-cost health, dental, vision & life insurance
• Tuition Reimbursement, Employee Assistance program
• The pay range for this role is $90,776 to $136,165 on an annual basis.
• Pay transparency: If you are hired at TrueCare, your salary will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining an offer.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees