Revenue Cycle Manager - Hybrid - Must Reside in Colorado

Denver Health•Denver, CO

3d•Hybrid

About The Position

We are recruiting for a mission-driven Revenue Cycle Manager - Hybrid - Must Reside in Colorado to join our team! We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Billing and Collections Job Summary The Revenue Cycle Manager of Hospital and Physician Business Services (HPBS)manages the day to day operations that contributes to the capture, resolution, and collection of revenue. This position is responsible for managing the day to day activities of the organization as they relate to revenue cycle functions which include;but are not limited to billing, insurance follow up, denial management, collections, cash posting, customer service, charge entry/corrections, supervision of vendors, accounts receivables and overall management of Denver Health's receivables. This position will work with the Director of Hospital and Physician Business Services on revenue cycle performance to meet strategic goals, provide analytical analysis and keep he/she informed of pertinent issues as they arise. Analytical, verbal and written communication skills are required to create written guidelines, policies, and procedures to develop metrics based on industry standards and measure improvement against those metrics. Manages accounts receivable days to an industry best practice benchmark. Develops strategic plans and programs for the revenue cycle unit and ensures that goals and objectives of the unit are properly defined and clearly established. Monitors timeliness and effectiveness of department activities, ensuring that outstanding insurance accounts receivables, patient accounts and bad debt are on target to meet monthly/yearly Key Performance Indicators. Delineates, defines, and streamlines its variousfunctional activities, therebyensureits effectivenessinmaximizing theutilization of both asset and people resources. Oversees personnel by selecting talented, competent, conscientious supervisors and other employees. Development of supervisors and other department personnel. Adheres to, and implements the philosophy of ensuring that prospective employee standards are aligned with Denver Health's core values. Coordinates communication between patient access, medical records, UM, coding, EHS and other departments as necessary. Essential Functions: Maximizes collections by implementing revenue cycle strategies and reducing accounts receivable da ys as well as improving other metrics in a compliant manner. Reduces denials using the denial managementsystem and working with direct reports. (15%) Develops, defines, and tracks key performance indicators for measuring performance including AR days, cash collections, customer service, abandonment rate and other applicable metrics. (15%) Develops, implements and maintains compliance to policies and procedures aimed at ensuring compliance with all applicable rules and regulations. (10%) Sets clear expectations for direct/indirect reports by developing job specific customer service expectations and behaviors for each position supervised; clearly communicates expectations to each direct/indirect report and establishes the expectations as job requirements and performance evaluation components; delegates responsibility/authority whenever possible. (10%) Develops, implements and maintains robust quality assurance and training programs. (10%) Troubleshoots daily problems as they occur and provides information and reports in a timely manner. (10%) Selects, recruits and retains the most talented and skilled candidates. Recognizes personnel, coaches and develops direct/indirect reports. (10%) Sets forth the expectation for the department that customer service is a top priority. (10%) Participates and contributes in the LEAN and “Getting it Right” initiatives at Denver Health. Participates on RIEs and other LEAN events. (10%)

Requirements

Bachelor's Degree Required
1-3 years supervisory or lead experience Required
7-9 years Revenue Cycle experience Required
Strong knowledge of hospital and physician billing and compliance related to payer specific guidelines.
Strong background in financial management and knowledgeable of federal/state laws and requirements relating to healthcare management.
Strong analytical skills and adept in interpreting strategic vision into an operational model.
Flexible and adaptable to change and capable of guiding direct reports in initiating various management initiatives.
An effective communicator at all levels in the organization, with strong oral, written and persuasive skills.
Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills and with proven track record in building and developing high performing teams.
Superior judgment, negotiation and decision-making skills.
Strong ethics and a high level of personal and professional integrity.
Working knowledge of various billing/collections systems (Epic preferred).
Proficiency in Microsoft Office Suite.
Working knowledge of various imaging systems.
Working knowledge of Payer Websites.
Knowledge of insurance verification systems.

Responsibilities

Maximizes collections by implementing revenue cycle strategies and reducing accounts receivable da ys as well as improving other metrics in a compliant manner. Reduces denials using the denial managementsystem and working with direct reports.
Develops, defines, and tracks key performance indicators for measuring performance including AR days, cash collections, customer service, abandonment rate and other applicable metrics.
Develops, implements and maintains compliance to policies and procedures aimed at ensuring compliance with all applicable rules and regulations.
Sets clear expectations for direct/indirect reports by developing job specific customer service expectations and behaviors for each position supervised; clearly communicates expectations to each direct/indirect report and establishes the expectations as job requirements and performance evaluation components; delegates responsibility/authority whenever possible.
Develops, implements and maintains robust quality assurance and training programs.
Troubleshoots daily problems as they occur and provides information and reports in a timely manner.
Selects, recruits and retains the most talented and skilled candidates. Recognizes personnel, coaches and develops direct/indirect reports.
Sets forth the expectation for the department that customer service is a top priority.
Participates and contributes in the LEAN and “Getting it Right” initiatives at Denver Health. Participates on RIEs and other LEAN events.

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development — while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you. Here is a small list of our benefit programs:
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer