RCM Billing Manager

American Vision Partners•Phoenix, AZ

7d•Hybrid

About The Position

The Revenue Cycle Manger (RCM) of Acquisition and Training is responsible day-to-day operations of the RCM teams related to acquisitions, revenue cycle department training and quality assurance. At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees!

Requirements

Minimum five years in a leadership role within a healthcare revenue cycle department.
Previous supervisory experience with strong leadership skills and an ability to motivate others with a positive attitude.
Leadership capability and proven successful experience in managing medium to large A/R teams.
Experience working in Excel (advanced formulas, pivot table), PowerPoint, Word and Outlook.
High school diploma or GED required.
Must be able to travel to newly acquired practice to perform training and process mapping in addition to system integrations.
Strong background and experience in full Revenue Cycle Management.
Active knowledge of CMS guidelines contracted insurance guidelines and coding policies.
Demonstrated ability working in Excel (advanced formulas, pivot table).
Well-organized with attention to detail.
Ability to read and understand oral and written instructions.
Excellent math skills.
Professional customer service skills.
Have a desire and dedication to work with self-discipline.
Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations.
Ability to manage time in order to meet deadlines and deliverables
Experience with work flow and process mapping software.

Nice To Haves

BA/BS in Business Administration, Account, Finance or equivalent is preferred.

Responsibilities

Manages the day to day operations of newly acquired revenue cycle teams to maximize cash flow by managing all aspects of the insurance billing and third-party collections while ensuring adherence to department policies and procedures.
May serve as the departmental liaison with all vendors, including but not limited to, clearinghouses, contracted business partners, third party payers, and information systems.
Provides project management, coordination, implementation, education, training, and oversight to approved RCM projects including but not limited to practice management system upgrades and RCM functions related to acquisitions, system integrations.
Identify any potential opportunities to increase EDI transactions with clearinghouses or business partners. Actively research and inquire any technology or product offering that improves RCM process efficiency and/or reduces cost with existing vendor partners
Onsite process mapping using workflow mapping software including Microsoft Visio.
Provide hands on training to new acquired RCM staff, mapping of roles and oversight of development.
Oversees the hiring, training, and supervision of department staff. Ensures that department policies are fairly administered by overseeing corrective action process, employee training, mentoring and coaching employees and supervisors as well as completing performance reviews.
Develop and maintain an annual assurance plan to proactively ensure accurate and optimal revenue capture, and seek to continually improve revenue cycle operational processes while assuring compliance with regulatory guidelines.
Monitor quality assurance results to identify risks, quality assurance opportunities and training needs.
Assist with development of the revenue cycle training programs and new hire orientation.
Remain knowledgeable on all HIPAA electronic transactions including claims (837), remits (835), eligibility (270/271), and claim status (276/277) Identify opportunities for implementation of HIPAA transactions
Meets or exceeds quality, productivity and deadlines standards as set by senior management.
Monitor and drive continuous improvement in key performance metrics around financial, activity and quality indicators; address performance gaps with team and processes.
Conducts self in accordance with the company’s standard values and policies.
Participates in a variety of educational programs, corporate and professional, to maintain current skill and competency levels.
Other duties as assigned.