Revenue Cycle Manager

HCF Management, Inc.•Lima, OH

60d

About The Position

The Revenue Cycle Manager is responsible for overseeing the overall policies and objectives of the HCF’s Family of Companies revenue cycle activities. This includes managing pricing, billing, third-party payer relationships, collections, denials, and reimbursement rates. The role involves monitoring adherence to HCF’s policies and procedures to optimize cash flow and financial performance.

Requirements

Must hold a Bachelor’s Degree in Business, Accounting, or a related discipline and/or have previous Revenue Cycle experience in long-term care.
A thorough understanding of and experience with Long-term Health Care billing processes.
Strong organizational, computer, and time management skills are required.

Nice To Haves

Experience in a position with similar goals and responsibilities.
Compassionate, team players, social, trustworthy and service-minded individuals.
Self-motivated, dependable, ethical, and ready to jump in and provide outstanding care and customer service to our residents.

Responsibilities

Oversee and manage the operations of the billing department.
Review, design, and maintain policies and procedures regarding pricing, billing, collections, and other financial analysis as needed.
Ensure all billing operations are conducted in compliance with federal, state, and payer regulations, guidelines, and requirements.
Plan and direct patient insurance documentation, coding, billing, and data processing to ensure accurate and efficient billing and account collection.
Analyze billing and claims for accuracy and completeness before submission to Medicare, Medicaid, and insurance entities.
Work in collaboration with Collections Manager, and Denials Team to follow up on outstanding accounts.
Track and report metrics related to coding error rates, billing turnaround times, and DSO (Days Sales Outstanding).
Maintain open communication lines with Collections Manager, Regional Directors of Operations, Business Office Managers, and Administrators on significant dollar amount accounts.
Work in collaboration with the Compliance Department to manage relations with payers and providers to generate high reimbursement rates and low levels of denials.
Auditing current processes and procedures to monitor and improve efficiency of billing operations.
Perform other duties as assigned.