Revenue Cycle Manager

Legacy Healthcare Services, Inc. • Raleigh, NC

1d • $70,000 - $75,000 • Remote

About The Position

Manage Revenue Cycle personnel and processes across Patient Access and Customer Service to maximize productivity, accuracy, revenue collections, and customer satisfaction. Leverage AI and automation to streamline workflows, develop SOPs supporting best practices, build and employ daily analytics for proactive management, harness healthcare technology to achieve business goals, and foster a team culture built on positivity, accountability, collaboration, and mutual respect, with a commitment to celebrating wins.

Requirements

• Bachelor's degree preferred, with 7+ years of experience in Revenue Cycle Management required.
• 3+ years management of customer service and patient access management required, preferably with remote supervision experience.
• 3+ years of experience implementing, developing and supporting practice management and EHR systems, healthcare applications, and clearinghouses (preferably Waystar) required.
• Deep knowledge and understanding of Medicare, Medicaid, Medicare Advantage, and commercial insurance plans, with capability to stay current on payer guidelines.
• Solid understanding of HIPAA, Fair Debt Collection Practices Act, and No Surprises Act, with ability to stay current on all pertinent governmental legislation.
• Must be organized, flexible, and detail oriented with capacity to successfully manage competing priorities.
• Professional demeanor and appearance with expertise in deescalating rising concerns and motivating self and others to accomplish desired results.
• Exceptional oral and written communication skills are required.

Nice To Haves

• remote supervision experience

Responsibilities

• Work closely with leadership on all Revenue Cycle initiatives and apprise of any major issue which may affect service, productivity, or revenue.
• Hire, train, support, monitor, coach, and evaluate Revenue Cycle personnel, focusing on maximized output/accuracy, prompt issue resolution, goal achievement, collaboration, and positive team culture.
• Maintain and develop SOP’s and reference/training manuals as needed to support best practices and peak performance.
• Utilize KPI’s and analytics daily to proactively manage individual and team performance and identify areas for improvement.
• Serve as Subject Matter Expert and assist Revenue Cycle, corporate, clinical staff and leadership with questions and concerns that may arise.
• Act as escalation point for internal and customer complaints, resolving problems quickly and completely, with an eye towards process improvement.
• Develop strong relationships with technology partners and outsourced vendors, employing their offerings in optimal and cost-effective ways.
• Leverage AI and automation to maximize efficiency and productivity.
• Acts as administrator for RCM software, payer portals, and applications.
• Manage staff and processes to maximize efficiency and accuracy of patient profile setup, insurance eligibility, benefit verification, submission of prior authorizations, and provider referral requests, also minimizing related write offs due to errors.
• Maintain knowledge of pertinent payer guidelines and legislative changes to proactively oversee and implement necessary processes updates, to avoid unnecessary patient access delays and service issues.
• Analyze and address root cause of all write offs related to patient access and customer service issues, providing education and feedback as necessary to minimize those amounts.
• Responsible for ensuring all patient payments are identified and posted accurately and timely into the patient accounting system.
• Maintain the accuracy and consistency of patient statements, concentrating on a broadly electronic delivery system for all bills.
• Manage the patient copay, payment plan, automated credit card, and patient overpayments processes.
• Oversee the successful collections and bad debt write off of outstanding patient balances, maximizing receipts and minimizing days in AR.
• Monitor Call Tower metrics to ensure all customer service deliverables are being met and patient satisfaction is maximized.
• Other duties as assigned.

Benefits

• Medical/dental/vision/prescription/pet insurance for part time/full time employees
• Paid time off (PTO) with rollover and buyout options at year’s end for part time/full time employees
• Company-paid group life
• Flex spending account
• Voluntary life, short-term disability, and long-term disability insurance
• Licensure reimbursement for part time/full time employees
• Company-provided CEUs and unlimited online CEUs for full-time employees
• Career advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Manager