Manager, Revenue Cycle Management

Team Select Home Care•Phoenix, AZ

2d•$60,000 - $75,000•Hybrid

About The Position

The Manager, Revenue Cycle Management (MRCM) is a position that manages the billing, authorization, and collections of accounts for all payers specific to the business unit(s). In this role, you will report to the VP of Revenue Cycle Management.

Requirements

Demonstrated leadership capabilities in operations and process development
Excellent time management skills
Excellent communication skills with all levels of authority both internally and externally
Excellent organizational skills with attention to details and consistent follow-up
Excellent business decorum and appearance
Excellent computer skills
Able to effectively manage change, deadlines and moving priorities
Results-oriented, customer focused with experience in a fast-paced environment
Minimum of three years of health care experience required in a supervisory/management capacity
Minimum of five years of health care insurance billing experience

Nice To Haves

Bachelor’s degree in business/Marketing/Communications/Provider Relations (preferred)

Responsibilities

Oversees all aspects of full cycle billing processes for applicable division, with responsibility for billing, authorization, posting, adjustments, and collections
Ensure team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate
Lead, coach and mentor a scalable team through team building, constructive feedback, work delegation and goal setting
Owns all aspects of the collection process and meets aging goals as defined by business and financial managers
Responsible for set-up and operation of multiple billing types including Medicaid, managed care and private pay either on paper or electronic claims for all applicable systems
Participates in efforts with other departments to define and maintain payer strategy
Participates in the Quality Assurance Performance Improvement (QAPI) process as requested by Clinical Supervisor/Director of Nursing/Regional Director
Interfaces as point person with Contracts Department and Clinical Departments to ensure proper implementation of new payers
Interfaces with Compliance Department to ensure compliance with federal, state, and payer specific regulations
Audits current procedures to monitor and improve efficiency of billing and collections operations
Responsible for payer set-up in EMR system and maintenance of payer files
Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements
Participates in the development and implementation of operating policies and procedures
Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency
Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures
Keep up to date with carrier rule changes and distribute the information within the practice
Attains goals as set forth in annual performance evaluation