Revenue Cycle Manager - Billing

Barrow Brain and SpinePhoenix, AZ
Onsite

About The Position

The Revenue Cycle Manager, under the direction of the Director of Revenue Cycle, is responsible for managing the day-to-day operations of the Revenue Cycle and Health Information Management (HIM) departments for a multi-specialty, multi-site group practice.

Requirements

  • Excellent oral, written and telephone communication skills, along with tact, diplomacy, and strong customer service orientation.
  • Reports to work regularly without undue tardiness.
  • Works independently, without direct supervision.
  • Prioritizes work activities for team and self to achieve department goals.
  • Completes work accurately and in a timely manner.
  • Maintains effective working relationships with physicians, administration, patients and other staff members.
  • Strong analytical and problem solving skills
  • Proven ability to manage multiple projects concurrently.
  • Maintains strict confidentiality regarding patient and practice information.
  • CPC Preferred
  • High School Diploma or G.E.D. required.
  • Five+ years of full cycle medical billing experience required
  • Previous surgical specialty experience required, preferably neurosurgery.
  • Minimum of three years in a manager/supervisory role required.
  • Experience with EMR systems required, Centricity (Athena Practice) a plus.
  • Knowledge of HIPAA required

Nice To Haves

  • Bachelor’s Degree preferred
  • Two years coding (CPT, ICD-10, Modifiers) knowledge and experience preferred.
  • Knowledge of medical records and transcription practices, standards and practices preferred

Responsibilities

  • Manages assigned staff to ensure the performance of tasks are completed in an efficient and professional manner.
  • Serves as a resource to staff by answering questions and assisting with problems related to the revenue cycle and HIM processes.
  • Monitors weekly ROI, indexing, separating, and transcription numbers to assure staff quotas are being met.
  • Continuously updates, in conjunction with related clinical data collection, appropriate procedures for all revenue cycle and HIM activities.
  • Facilitates and assists in the training and development of existing and new team members.
  • Responsible for Quality and Assurance of claims review, utilizing the one touch methodology.
  • Serves as liaison between Office Coordinators, Medical Secretaries, and Insurance Verification Specialists to resolve issues regarding accuracy in completeness of patient records.
  • Is responsive to payer billing and claims appeal requirements, and maintains strong relationships with payer provider representatives.
  • Audits team members’ work for accuracy and efficiency based on performance standards.
  • Assists Director of Revenue Cycle and COO with preparing and presenting reports as needed.
  • Actively participates in A/R management, patient collections, and other business office functions.
  • Supports and maintains a work environment that embodies professional excellence, teamwork, integrity, and confidentiality.
  • Assists with analyzing department needs and suggesting ways to improve overall revenue and process efficiency.
  • Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare, Medicaid and Commercial insurances.
  • Responsible for management of staff including recruitment, training, coaching, discipline and performance appraisals.
  • Performs other duties and tasks as assigned.
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