Revenue Cycle Manager

Western Healthcare Alliance•Grand Junction, CO

3d•$76,000 - $90,000•Hybrid

About The Position

Manages and directs the daily activities of the department and staff to ensure compliance with all applicable policies and procedures. Has a broad understanding of FDCPA and HIPPA compliance requirements. Our company is owned by healthcare organizations, and handles claims from start to finish for all payer classes for hospital and physician clients.

Requirements

Bachelor’s degree preferred, or equal amount of relevant experience with reimbursement with emphases on follow-up, including ICD-10, HCPCS, and revenue codes.
Two (2) or more years of credit collections and third-party billing experience and /or equivalent combination of education and experience.
Ability to obtain ACA certification within 1 year.
Have knowledge of database software, internet software, spreadsheet software, word processing software.
Identifies and resolves problems in a timely manner.
Uses reason even when dealing with emotional topics.
Manages difficult or emotional customer situations.
Responds promptly to customer needs.
Speaks and writes clearly and persuasively in positive or negative situations.
Listens and gets clarification.
Balances team and individual responsibilities.
Exhibits objectivity and openness to others' views.
Sets and achieves challenging goals.
Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence.
Prioritize and plans work activities.
Uses time efficiently; Approaches others in a tactful manner.
Reacts well under pressure.
Treats others with respect and consideration regardless of their status or position.
Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality.
Adapts to changes in the work environment.
Manages competing demands; is consistently at work and on time.
Follows instructions, responds to management direction;
Takes responsibility for own actions
Ability to read, analyze and interpret the most complex documents.
Ability to respond effectively to the most sensitive inquires or complaints.
Ability to write speeches and articles using original or innovative techniques or style.
Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management.
Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to define problems collects data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
To perform this job successfully, an individual should have advanced proficiency in Microsoft Office applications including Word, Excel, PowerPoint, and Outlook and in standard office equipment.

Responsibilities

Develop and propose strategies, policies and procedures that ensure effective and efficient operation of the department.
Manage day-to-day operations of department and team to maximize patient account collection rates and ensure client satisfaction.
Develop and motivate staff within the department
Primary contact for client relations and communications
Receive client/consumer calls, complaints
Works to resolve patient account / client issues
Implement corrective measures where necessary
Provide one-on-one assistance and ongoing training for department staff
Oversee initial training of employees, along with ARS Coordinator
Mentor, coach, and develop team members
Monitor and adjust staff workload, as appropriate.
Monitor staff productivity, and report any issues, recommendations, and process improvements to the Director of Operations
Develop and implement plans to increase recoveries
Track account listings and recoveries, run monthly reports
Track individual client updates throughout the month
Assist Director of Operations on implementing and reaching operational benchmark targets.
Report on department and team performance monthly, and develop recommendations and action plans for deficiencies.
Stay current with changes in industry requirements and compliance; use this knowledge to initiate changes in policies and procedures as needed.
Assist with designing and conducting training programs to assist staff.
Conduct ongoing client calls, Zooms, and meetings at agreed upon frequency.
Hold regularly scheduled team meetings.
Meet regularly with Director of Operations to update on client status, productivity, employees, and any issues that may arise.
Analyze client reports to prepare correct monthly invoices for each client project.
Stay current with each client’s individual software, policies, and procedures.
Responsible for knowledge of payer updates and changes to billing and reimbursement.
Prepares monthly schedule to ensure adequate coverage
Work with leaders throughout the organization to ensure client satisfaction.
Promote superior customer service to all team members.
Manage department staff.
Responsible for ongoing performance management, ensuring regular performance assessments are completed and goals are reviewed.
Responsibilities include interviewing, hiring, and training employees.