Revenue Cycle Manager

SOUTHWESTERN AND AFFILIATES • Evansville, IN

5d

About The Position

Southwestern Healthcare is seeking a full-time Revenue Cycle Manager to join our dedicated team. In this key leadership role, you’ll oversee the daily operations of our billing and collections team, ensuring smooth workflows, strong staff support, and timely revenue cycle performance. You’ll collaborate closely with the Patient Financial Services Director and help drive our mission to deliver compassionate, efficient care to every patient — every time. WHY WORK FOR SOUTHWESTERN? Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment! 401K Employer Contribution & Match Student Loan Assistance Program Physical & Financial Wellness Programs Generous Paid Time Off Plan Competitive Total Compensation Program On-site training available for qualified candidates We are GROWING!!! WHAT IS THIS POSITION RESPONSIBLE FOR? Responsible for the daily activities of Patient Financial Services including coverage, smooth operation of the workflow, assuring work expectations are met, and notifying the Patient Financial Services Director of issues as appropriate. Responsible for development, delivery and training new and current employees. Coordinate the activities of the department in the Director's absence. Reads and interprets transactional data within patient accounts. Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the Practice Management System (PMS) and EDI systems. Understands and resolves payer edits and/or rejections. Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPM regulations. Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes, and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews. Processes daily and monthly reports, including aging. Assists patients in setting up payment plans. Completes payment plan contracts and follows up to ensure compliance. Bills secondary insurances. Process payments and prepares daily deposit. Job Qualifications

Requirements

• High School Diploma or GED required, with a minimum of five (5) years of experience in Patient Accounts. Secondary education preferred.
• Strong working knowledge of Electronic Medical Records (EMR) systems is required.
• Excellent communication and organizational skills are a must.

Nice To Haves

• Prior supervisory experience in billing is preferred but not required.

Responsibilities

• Responsible for the daily activities of Patient Financial Services including coverage, smooth operation of the workflow, assuring work expectations are met, and notifying the Patient Financial Services Director of issues as appropriate.
• Responsible for development, delivery and training new and current employees.
• Coordinate the activities of the department in the Director's absence.
• Reads and interprets transactional data within patient accounts.
• Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the Practice Management System (PMS) and EDI systems. Understands and resolves payer edits and/or rejections.
• Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPM regulations.
• Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes, and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews.
• Processes daily and monthly reports, including aging.
• Assists patients in setting up payment plans. Completes payment plan contracts and follows up to ensure compliance.
• Bills secondary insurances.
• Process payments and prepares daily deposit.

Benefits

• Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment!
• 401K Employer Contribution & Match
• Student Loan Assistance Program
• Physical & Financial Wellness Programs
• Generous Paid Time Off Plan
• Competitive Total Compensation Program
• On-site training available for qualified candidates

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees