Revenue Cycle Manager

Surgery Partners, Inc•Wichita, KS

4d•Onsite

About The Position

An exempt, management position responsible for all aspects of the revenue cycle. The position defines and provides necessary support and leadership to achieve department goals and objectives. Provides oversight and functions as it relates to managing all aspects of Revenue Cycle including, but not limited to billing and claims follow up, collections, revenue integrity and all other matters related to accounts receivable. Serves as a subject matter expert on contemporary best practices for revenue cycle workflows, team integration and excellence in achieving executive goals.

Requirements

Knowledge of ICD-10 and CPT coding, medical terminology preferred
Previous 2-5 years management experience preferred
Knowledge of hospital billing (UB) and professional billing (1500) required
Specifically Medicare, Medicaid, Blue Cross, managed care, and commercial insurance billing experience required
Must be able to read, write and speak English fluently
Have cognitive skills for math, reading and filing skills
Communication skills to deal well with employees, patients, families and physicians

Nice To Haves

Bachelor’s degree in business preferred
Medical terminology preferred
Previous 2-5 years management experience

Responsibilities

Plans, develops, and coordinates Revenue Cycle functions to attain goals and meet standards of accrediting agencies.
Manages, supervises and monitors functions of Revenue Cycle in a professional manner.
Develops and implements new departmental policies and procedures and ensure compliance with established standards; serves as primary liaison with facility personnel to interpret such directives.
Manages and coordinates the establishment of schedules, task assignments, and allocation of person-hours to fulfill departmental commitments.
Plans and conducts meetings with subordinates to communicate new policies and to keep employees abreast of hospital and compliance standards.
Provides education and in-service training to increase efficiency of operations and effectiveness of personnel.
Assists in resolving patient billing questions and complaints.
Assists with accounts receivable activities as necessary, such as, approving cash quotes and reviewing, approving or denying write-off requests.
Maintains and oversees payment poster and the daily deposit log.
Responsible for evaluation and counseling activities of Revenue Cycle personnel, which includes front desk receptionist, registration, billers and customer service representatives.
Maintains confidentiality of patient and hospital related business.
Develops and maintains an effective working relationship with patients, families, visitors and other hospital employees.
Documents concisely, precisely and accurately on all records.
Participates in Performance Improvement activities as directed for the continuous improvement of patient care and facility business.
Directs various personnel actions including, but not limited to, hiring, merit recommendations, promotions and vacation schedules, performance appraisals, transfers and dismissals.
Coordinates correspondence with outside agencies, insurance companies, attorneys, and authorized requesting parties.
Supervises the preparation of a variety of reports and analyses.
Ensures compliance with HIPAA Privacy Regulations for the hospital.
Monitors, Medicare, Medicaid and other billing requirements, notifies facility management of any changes affecting the facility.
Ensures compliance with billing regulation, maintaining accurate and timely billing.
Conducts staff meetings and provides guidance and feedback to strength the Revenue Cycle team.
Performs other duties as assigned.
Actively supports and upholds the mission and core values of the Hospital.
Remains knowledgeable of and follows the policies of the Hospital.
Maintains patient and hospital confidentiality at all times.
Keeps CEO, CFO and Management Committee apprised situations as appropriate.