Revenue Cycle Manager

ODYSSEY BEHAVIORAL GROUP•Orlando, FL

4d•Onsite

About The Position

The Revenue Cycle Manager reports directly to the Director of Financial Operations and is responsible for oversight of patient accounting functions for both Insurance and Privately funded clients. The Revenue Cycle Manager helps improve cash flow and participates in managing the overall health of the company’s receivables. Relationships and Contacts: Within the organization: Initiates and maintains frequent and close working relationships with staff and peers throughout the organization. Outside the organization: Maintains working relationships with community partners, health insurance companies, prospective and current clients as well as company vendors.

Requirements

3- years’ experience supervising teams
3-5 years’ experience with insurance billing and collections.
3-5 years’ experience acting as a liaison between insurance companies and family members/guarantors.

Nice To Haves

Prior experience in Mental Health, Substance Abuse Disorder Treatment, or behavioral healthcare field preferred

Responsibilities

Manages the business office team.
Prepares/oversees daily Census functions.
Lead month end process for assigned facilities.
Excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances.
Understands all aspects of revenue cycle management to answer team questions.
Monitors UR/Billing census daily to ensure completeness and accuracy.
Manages manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes.
Ensure accurate charge entry and billing including coverage for those on PTO.
Ensure accurate, timely and complete account follow-up including coverage for those on PTO.
Confirm accounts are worked to completion including all payments and adjustments are entered correctly.
Monitors business office staff productivity.
Monitors timely entry and application of all payment received.
Utilizes system reports to reconcile payments posted in management systems.
Document all activity taken on an account in the patient account notes.
Effectively identifies trends that inhibit timely payment.
Confirms claims are worked within the established productivity standards, for timely follow-up maintaining and updating all patient accounts to reflect current information.
Reviews accounts for accuracy including account balance, payer plan and financial class, level of care, denials, and insurance requests.
Review credit reports and process applicable refunds to patient or insurance carrier.
Understand and interpret insurance Explanation of Benefits, knowing when and how to ensure that payment has been received.
Respond in a professional and timely manner to all billing-related inquiries from patients, guarantors, staff, and payers.
Understands authorizations and limits to coverage such as the number of authorizations/units.
Documents, analyzes, and trends billing and collection activities and communicates to supervisor as appropriate.
Coordinates with the facility and medical records for resolution of disputed / denied claims.
Provides ongoing feedback and coaching to the team.
Trains team on updated processes/new processes.
Leads training for new revenue cycle staff.
Provide support on special or large analysis projects.
Responsible for coordinating all new revenue cycle/business office staff onboarding and training.