Revenue Cycle Manager

Electromed Inc.•New Prague, MN

15h•Hybrid

About The Position

The Revenue Cycle Manager is responsible for leading and integrating Electromed's revenue cycle functions including our patient services, billing, and reimbursement teams with a patient centric focus that best maximizes the collection of national reimbursements and payments as well as identifying ongoing patient engagement and reimbursement improvement opportunities. This role involves strong collaboration with internal and external teams and participation in upstream and downstream patient and reimbursement activities. The Revenue Cycle Manager will establish a work environment of continuous improvement that supports our revenue stream, while exceeding our patients' expectations and ensuring employee engagement. This role that will be highly involved in both strategic planning as well as tactical operations, giving the manager the opportunity to bring their outstanding leadership skills to our team and take our patient services, billing, and reimbursement teams to a high level of excellence in both service and revenue recovery.

Requirements

Bachelor’s degree in business, healthcare administration, or health related field.
5+ years of healthcare reimbursement management experience leading cross-functional teams.
2+ years of clinic, DME, or hospital-related management of revenue cycle experience.
Experience in professional billing and reimbursement in Medicare, Medicaid, and commercial insurances.
Highly adaptable to stakeholder needs and eager to take on new challenges.
Strong interpersonal skills and ability to interact with a range of internal and external customers.
Excellent communication skills, including listening, writing, and presenting to groups of all sizes.
Ability to work collaboratively with strong team building skills.

Responsibilities

Follow Electromed mission and core values, while striving to achieve company goals.
Understands and adheres to local State and Federal healthcare regulatory and compliance rules.
Collaborate with Reimbursement leadership team to help achieve department goals and objectives.
Acts quickly and professionally toward resolving issues relative to patient service and employee engagement.
Ensure optimal and accurate product reimbursement as outlined in our payer contracts.
Analyzes payer reimbursement to identify deficiencies and mitigate revenue leakage.
Provides oversight of underpayment and denial management of claims.
Provides a high degree of expertise in revenue cycle operations, technical processes, report analysis, and payer policies and protocols.
Develops, monitors, and communicates KPIs relevant to revenue cycle.
Collaborate with payer relations to identify and resolve escalated payer issues.
Continuous analysis of write-off allowances to mitigate revenue losses due to errors and provide reporting of controllable and uncontrollable revenue impact to senior leadership.
Identifies opportunities for improvement based on organizational needs and industry standards and maintains a culture of continuous process improvement.
Analyzes accounts receivable to ensure maximum net revenue realization, stable cash collections, denial mitigation, and measured reduction in write offs.