Revenue Cycle Manager

Douglas County Visiting Nurses•Lawrence, KS

About The Position

The Revenue Cycle Manager oversees the billing and payment functions of the Finance Department and supervises assigned associates. The role supports and trains the Revenue Cycle Supervisor to ensure medical claims are accurate before billing, follows up on unpaid claims, corrects denied claims, and posts 835s to patient accounts. It also ensures OASIS assessments are reviewed and diagnosis coded before final clinical review. The manager coordinates with the OASIS/Coding Contractor and clinicians, oversees timely OASIS review and submission, maintains knowledge of regulatory coding and payer billing requirements, and keeps the Chief Financial and Compliance Officer informed of outstanding issues. The role supports accounts receivable, patient accounts, and collections; manages billing and financial components of agency software; and manages the agency supply process. The position also includes staff recruitment, hiring, orientation, supervision, training, participation in quality improvement and team activities, and compliance with agency policies for confidentiality, infection control, workplace safety, professional appearance, and recordkeeping.

Requirements

High school graduation or GED required.
Certification in Professional Coding (CPC) or equivalent required within six months of employment.
Association of Home Care Coders certification (HCS-D) required within one year of employment.
Basic knowledge of electronic medical records, Microsoft operating system, Microsoft Word, Excel, and Outlook.
Training and experience with billing, accounts receivable, and related functions.
Knowledge of medical terminology.
Strong communication and interpersonal skills to foster relationships, build rapport, and support positive patient outcomes and a positive work environment.
Ability to make independent decisions within the scope of practice, licensure, and agency policies and procedures.
Ability to function as a member of an interdisciplinary health care team.
Ability to communicate effectively with patients, families, physicians, health care providers, and community agencies.
Ability to respond appropriately in stressful situations.

Nice To Haves

Associate degree or equivalent from a two-year college, or two years of related experience preferred.

Responsibilities

Act as a liaison between the OASIS/Coding Contractor and clinicians.
Ensure all OASIS assessments are reviewed and submitted on time.
Maintain knowledge of current regulatory coding requirements.
Keep the Chief Financial and Compliance Officer informed of outstanding issues.
Maintain current knowledge to support accurate and timely billing and rebilling of claims for all payers.
Assist with accounts receivable processes, including patient accounts and collections.
Support and train the Revenue Cycle Specialist in billing and accounts receivable processes, including denials and unpaid claims.
Manage billing and financial components of agency software, including payers, payer-specific formatting, clinical service codes, pricing, and contractual rates.
Recruit, interview, hire, orient, and supervise the Revenue Cycle Supervisor or other assigned associates.
Oversee billing and payment functions of the Finance Department.
Manage the agency supply process.
Maintain skills through the Annual Skills Fair or other continuing education opportunities.
Participate in special projects and perform other duties as requested.
Keep a daily record of time worked in accordance with agency policies.
Participate in quality improvement activities to positively impact agency outcomes.
Maintain confidentiality of staff and patient information and dispose of written information appropriately.
Attend staff and team meetings and applicable in-services, and complete required in-service hours on time.
Follow team decisions and foster teamwork and pride in agency services.
Maintain a clean, orderly, sanitary, and safe work environment, including storage areas.
Maintain a professional appearance in accordance with the agency dress code and wear a name badge.
Follow agency and regulatory infection-control guidelines and procedures.
Communicate effectively with patients, families, physicians, health care providers, and community agencies.
Make independent decisions within the scope of practice, licensure, and agency policies and procedures.
Function as a member of an interdisciplinary health care team and represent the agency with honesty, integrity, loyalty, strong work habits, and professionalism.
Respond appropriately in stressful situations.