Revenue Cycle Manager

Southwestern And Affiliates • Evansville, IN

4d • Onsite

About The Position

Southwestern Healthcare is seeking an experienced, full-time Revenue Cycle Manager to join our dedicated leadership team. In this pivotal role, you will oversee the day-to-day operations of our billing and collections functions, ensuring efficient workflows, accurate processes, and a supportive, high-performing team environment. Working closely with the Patient Financial Services Director, you'll play a key role in optimizing revenue cycle performance while advancing our mission to provide compassionate, efficient care to every patient - every time. This position is fully on-site and does not offer a remote work option. WHY WORK FOR SOUTHWESTERN? Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment! 401K Employer Contribution & Match Student Loan Assistance Program Physical & Financial Wellness Programs Generous Paid Time Off Plan Competitive Total Compensation Program On-site training available for qualified candidates We are GROWING!!! WHAT IS THIS POSITION RESPONSIBLE FOR? Responsible for the daily activities of Patient Financial Services including coverage, smooth operation of the workflow, assuring work expectations are met, and notifying the Patient Financial Services Director of issues as appropriate. Responsible for development, delivery and training new and current employees. Coordinate the activities of the department in the Director's absence. Reads and interprets transactional data within patient accounts. Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the Practice Management System (PMS) and EDI systems. Understands and resolves payer edits and/or rejections. Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPM regulations. Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes, and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews. Processes daily and monthly reports, including aging. Assists patients in setting up payment plans. Completes payment plan contracts and follows up to ensure compliance. Bills secondary insurances. Process payments and prepares daily deposit. Qualifications MINIMUM QUALIFICATIONS High School Diploma or GED required, with a minimum of five (5) years of experience in Patient Accounts. Secondary education preferred. Prior supervisory experience in billing is preferred but not required. Strong working knowledge of Electronic Medical Records (EMR) systems is required. Excellent communication and organizational skills are a must. If you are interested in joining a fun, friendly, innovative team, apply today! EOE/AA including Veterans and Disabled. Visit https://www.southwestern.org/diversity-inclusion to find out more about our DE&I initiatives. If you are a person with a disability needing assistance with the application process, please call [phone].

Requirements

• High School Diploma or GED required, with a minimum of five (5) years of experience in Patient Accounts.
• Strong working knowledge of Electronic Medical Records (EMR) systems is required.
• Excellent communication and organizational skills are a must.

Nice To Haves

• Secondary education preferred.
• Prior supervisory experience in billing is preferred but not required.

Responsibilities

• Responsible for the daily activities of Patient Financial Services including coverage, smooth operation of the workflow, assuring work expectations are met, and notifying the Patient Financial Services Director of issues as appropriate.
• Responsible for development, delivery and training new and current employees.
• Coordinate the activities of the department in the Director's absence.
• Reads and interprets transactional data within patient accounts.
• Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the Practice Management System (PMS) and EDI systems.
• Understands and resolves payer edits and/or rejections.
• Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPM regulations.
• Performs extensive account follow up activities utilizing the PMS.
• Investigates, analyzes, and resolves problematic and delinquent accounts.
• Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews.
• Processes daily and monthly reports, including aging.
• Assists patients in setting up payment plans.
• Completes payment plan contracts and follows up to ensure compliance.
• Bills secondary insurances.
• Process payments and prepares daily deposit.

Benefits

• Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment!
• 401K Employer Contribution & Match
• Student Loan Assistance Program
• Physical & Financial Wellness Programs
• Generous Paid Time Off Plan
• Competitive Total Compensation Program
• On-site training available for qualified candidates

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED
• Number of Employees: 251-500 employees