Manager, Revenue cycle
About The Position
Manages and coordinates accounts receivable functions to ensure efficiency and maximum reimbursement. Analyzes processes to identify payer issues, results and progress, and implements plans for improvements. Assists in ensuring compliance with contracting agreements and governmental regulations. Provides systems guidance along with operation level understanding and direction. Assists both users and systems development staff with design, evaluation of controls, development of procedures, user training, and conversion. Acts as a liaison with insurance companies, government agencies, hospital departments, physicians, patients and/or their responsible parties. Assists in development and implementation of new services and programs. Develops and administers policies and procedures to accomplish department-specific and organizational initiatives. Utilizes key performance indicators to analyze processes to streamline workflow design operations, improve quality, service and revenue cycle performance. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives. Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business. Stays current with all regulations and standards to ensure compliance with governmental regulatory agencies and third-party payers.
Requirements
- Bachelor's Degree (or equivalent knowledge) or related field
- Typically requires 5 - 7 years of experience in Revenue Cycle Billing Operations with a minimum 3 years in a supervisory role managing staff, budgets, reimbursement and receivables management.
- Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service, relationship building, diplomacy, and conflict resolution.
- Strong interpersonal, communication and organizational skills.
- Ability to interact and positively influence at all levels of the organization to impact change.
- Demonstrated knowledge of managed care contracts and/or government billing/payment regulations.
- Demonstrated proficiency in the Microsoft Office Suite or similar products and in patient and billing systems.
- Demonstrated skills in financial and statistical analysis necessary to examine patient accounting activities and detect/resolve any related issues.
- Demonstrated ability to effectively manage claims processing, accounts receivable, billing audits, medial audits, and coding functions.
- Ability to deal and work effectively across departments and in matrix organizational structures.
- Strong negotiating skills.
- Strong oral and written communications skills as well as proven presentation skills.
Nice To Haves
- Epic experience highly desired.
Responsibilities
- Manages and coordinates accounts receivable functions to ensure efficiency and maximum reimbursement.
- Analyzes processes to identify payer issues, results and progress, and implements plans for improvements.
- Assists in ensuring compliance with contracting agreements and governmental regulations.
- Provides systems guidance along with operation level understanding and direction.
- Assists both users and systems development staff with design, evaluation of controls, development of procedures, user training, and conversion.
- Acts as a liaison with insurance companies, government agencies, hospital departments, physicians, patients and/or their responsible parties.
- Assists in development and implementation of new services and programs.
- Develops and administers policies and procedures to accomplish department-specific and organizational initiatives.
- Utilizes key performance indicators to analyze processes to streamline workflow design operations, improve quality, service and revenue cycle performance.
- Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
- Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
- Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
- Stays current with all regulations and standards to ensure compliance with governmental regulatory agencies and third-party payers.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Manager
