Revenue Cycle Manager

Compassus • Brentwood, TN

5d

About The Position

The Revenue Cycle Manager is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Revenue Cycle Manager coordinates the daily functions of the Patient Accounts staff, preparing weekly reports and reconciliation of revenue cycle to the general ledger each month in a timely manner and performing aging reviews. S/he is responsible for applying the rules and regulations of state and federal regulatory agencies and other certified agencies.

Requirements

• Bachelor's degree required.
• Seven (7) to ten (10) years of progressive, relevant experience and/or training highly preferred; preferably in home health, hospice, palliative, or infusion. Equivalent combination of education and experience may be considered.
• Knowledge of Commercial, Third-Party Insurance Accounts, including but not limited to Medicaid, Managed Care, HMO, PPO, Auto and Work Comp. rules and guidelines governing collection activities.
• Proven commitment to exceling in collections, dedication to company standards, and growth.
• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English.
• Articulates and embraces integrated healthcare at home philosophy.
• Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds.
• Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus.

Responsibilities

• Regularly reviews charging practices, protocols, and system usage for compliance to all government and corporate regulatory standards.
• Provides education on process and procedures to assure uniform application and compliance to policies and procedures.
• Maintains findings/issues/action plans for the revenue producing departments.
• Provides training where needed to implement action plans.
• Monitors and trends gross revenue on a daily and monthly basis. Investigate variances and resolves any issues. Communicate issues and resolutions to the Director of Revenue Cycle.
• Provides focus and direction to process improvement with billing functions. Helps develop and implement training processes to improve cash collections and reduction of denials.
• Understands and communicates contract specific issues related to discount and allowance calculations for a variety of payers such as Medicare, Medicaid, HMO’s, PPO’s, IPA’s, employers, etc.
• Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements.
• Accomplishes billing departmental objectives by measuring billing results against plans; evaluating and improving methods.
• Oversees management of personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where needed. Establishes the concept of high performance work teams where applicable.
• Ensures professional verbal and written communication with facilities, clients and co-workers.
• Reports on the status of the accounts receivable aging.
• Assists in year-end financial statement audit.
• Assists with regulatory reporting.
• Performs other duties as assigned.

Benefits

• Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
• Career Development: Access leadership pathways, mentorship, and personalized professional development.
• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees