Revenue Cycle Manager

People Incorporated Mental Health Services • Eagan, MN

8d • Hybrid

About The Position

People Incorporated Mental Health Services is seeking a Revenue Cycle Manager to join our finance and billing team. This position is responsible for assuring billing, payment processing, and workflow development align with department performance expectations. This role will also ensure compliance with all regulatory agencies and operational policies and provide analytical analysis and create procedures and guidelines that support this analysis.

Requirements

• Bachelor’s Degree In lieu of a Bachelor’s degree, nine years of medical revenue cycle management experience.
• Minimum of seven years of medical revenue cycle management experience with a consistent record of achieving metrics and organizational financial goals.
• Minimum of five years of prior supervisory experience.
• Expertise in computerized billing and accounting systems including prior experience with implementation, training, report generation and system upgrades.
• Strong working knowledge of medical insurance billing and collections processes and codes, commercial insurance, Medical Assistance and Medicare plans and benefits at the county, state and federal levels.

Nice To Haves

• Bachelor’s degree in Finance, Business, or Health Care Management
• Experience working with Credible electronic health record
• Experience working with Waystar clearinghouse
• Experience in a large-scale EHR environment.

Responsibilities

• Oversee daily billing workflows to ensure accuracy and efficiency.
• Manage the administration of claims & account receivable management, provider master file management, charge review process, billing, collections, integrity of client data, and client fee schedule.
• Monitor aged accounts and verify appropriate collection procedures are being utilized and followed by staff and to provide resolution in a timely fashion of escalated reimbursement issues.
• Assist with key reporting metrics and data reporting development.
• Manage revenue cycle performance metrics.
• Assist in the development and implementation of performance metrics, including denial management for the billing team.
• Monitor and report productivity and quality measures for the team on a regular basis, including appropriate management of denied claims.
• Resolve and follow up on high-level customer service issues, including managing client escalation correspondences.
• Develop, implement and maintain processes and procedures for accurate and timely billing, ensuring best practices.
• Keep all department procedures current.
• Hire, train, and support the professional development and performance of team members.
• Attract and retain high quality staff providing training, assessing strengths and development needs and providing timely and specific feedback and helpful coaching.
• Create training materials and ensure employees are adequately trained to perform their roles.
• Maintain high performance standards for the team and encourage team to perform at a standard of excellence.
• Actively participate in formal and informal employee engagement efforts.
• Ensure compliance with relevant regulations and internal processes, month end tasks, and reporting.
• Complete system rate changes, upgrades, and workflow enhancements.
• Create, update, and conduct regular audits of standard operating processes and procedures.
• Develop reports to analyze billing data to identify trends.
• Review government and third-party payer publications and alert appropriate leaders, peers, or staff of matters which may affect their areas of responsibility.
• Attend all required and assigned meetings and trainings.
• Communicates effectively across all levels and areas of organization to include receptiveness to feedback.
• Support integration of care and cross functional collaboration.
• Foster work environments that are respectful, collaborative, inclusive and create impact.
• Hold self and others accountable to meet commitments and establish clear responsibilities and processes for monitoring work and measuring results.
• Ability to gain the support and commitment of others.
• Other duties as assigned.

Benefits

• Accrue up to 112 hours of Paid Time Off (PTO)
• Accrue up to 48 hours of Earned Sick and Safe Time (ESST) in accordance with state and local requirements
• up to 8 paid holidays per calendar year (4 company-designated holidays and 4 floating holidays that are prorated based on date of hire).
• 403(b) Retirement Savings Plan with a 3% employer-match
• Multiple health and dental insurance plan choices available
• Lifestyle Benefit – choice between company contribution to health savings account, student loan repayment assistance, or flex time
• Employer-paid Short & Long-Term Disability Insurance & Life Insurance
• Free access to People Incorporated's Training Institute, offering free CEUs and a wide array of learning and education opportunities
• Eligibility for state and federal loan forgiveness programs

What This Job Offers

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