Manager, Revenue Cycle

Tegria

12d • $120,000 - $135,000 • Remote

About The Position

Manages the Revenue Cycle services team that provides clients with claims, payments, credit balance, insurance reimbursement, denials, coding, systems, third-party management, and self-pay management services. Manages the day-to-day operations, budgeting and forecasting, financial management of clients, and human resource management.

Requirements

• High school diploma or GED.
• Has substantial experience in revenue cycle management including some prior personnel and budget management.
• 5+ years of experience with EHR applications
• Broad knowledge of healthcare revenue cycle, including multiple types of billing, coding, and reimbursement models
• Complete understanding of laws and regulations affecting healthcare revenue cycle
• Solid understanding of EHR revenue cycle modules
• Solid understanding of the operations of the department
• Recognized as a subject matter expert in medical billing, claims, denials, etc
• Apply developing leadership skills effectively
• Exercise operational and strategic planning ability and execution
• Analyze data, workflows, and operations to identify root causes to systemic issues
• Apply critical thinking, discovery, and analysis to question the status quo, identify issues, evaluate options, and develop solutions
• Apply excellent mathematical skills
• Articulate thoughts clearly and fully, accurately conveying their ideas and reasoning
• De-escalate customer situations and resolve team conflicts appropriately and timely
• Able to create efficient workflows and standardize processes
• Delegate work appropriately and monitor progress and quality of work
• Mentor and develop team members capabilities
• Are accountable for actions, decisions, and responsibilities
• Have the self-discipline, integrity, reliability, and ability to manage time and tasks in a remote work environment.
• Has reliable internet access and sufficient internet speed
• Swiftly adjust priorities and plans in response to changing circumstances or feedback
• Employ critical thinking; question assumptions, evaluate evidence, and scrutinize arguments to arrive at well-reasoned conclusions
• Seek out meaningful metrics to use in decision making and performance improvement
• Proactively consider the impact of changes and facilitate comprehensive change management planning
• Demonstrate affinity for working cross-functionally while respecting boundaries
• Initiate and maintain open communication with relevant stakeholders, providing updates on progress, seeking clarification when needed, and collaborating to achieve goals
• Are comfortable engaging with all levels of employees and leaders
• Are results oriented while being sensitive to people and team dynamics
• Maintain high standards for the quality of their own and others’ work
• Excel as negotiators and influencers

Nice To Haves

• Bachelor’s degree in healthcare administration or related field (preferred)
• Business development, client services or business operations background (preferred)

Responsibilities

• Manages day-to-day operations of the Revenue Cycle Services team by delegating tasks, monitoring progress, and evaluating work for timeliness, quality, and compliance with policies
• Administers and documents personnel actions including hiring, training, coaching, disciplining, corrective action, pay changes, performance appraisals, promotions in accordance with Tegria policies and procedures
• Develops team members capabilities and fosters engagement through guidance and mentoring
• Continually assess services, identify problems, analyze data and propose approaches for solutions
• Develop new processes and improve existing ones to achieve team goals
• Follow and force guidelines, processes, and procedures to meet objectives and ensure compliance with company and regulatory requirements
• Responds to escalated issues, providing subject matter expertise or seeking such to resolve the issues
• Monitors customer satisfaction with the department’s services and recommends approaches to improve or recover service when needed
• Helps ensure the continued development of a successful, satisfied customer base
• Helps translates business strategies into marketable, billable services
• Assists the Director in partnering with Tegria’s sales team to bring in new clients and promote new services to current clients to drive revenue goals of the team
• Remain current on new trends, regulatory rules and changes, best practices, and incorporates them into Revenue Cycle practices and programs
• Model Tegria values

Benefits

• We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
• We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
• Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED