Revenue Cycle Manager

Tepeyac Community Health Center•Denver, CO

6h•$82,687 - $91,500•Onsite

About The Position

The Revenue Cycle Manager is responsible for full oversight of the company’s revenue cycle as it relates to third-party payers and patient billing as well as managing/leading the team, processes, and technology. This position is responsible for developing, planning, organizing and implementing current and future strategies to improve the overall revenue cycle and cash position of the organization. The role manages the entire revenue cycle from patient registration to final payment while ensuring compliance and optimizing revenue.

Requirements

Bachelor’s degree in finance, accounting, business administration, healthcare administration, or a related field preferred.
Extensive knowledge of medical billing, coding, and healthcare insurance policies
three years of direct billing experience.
Bilingual in Spanish is preferred.
Certified Revenue Cycle Professional (CRCP) from AAHAM, Certified Revenue Cycle Representative (CRCR) from HFMA, or Revenue Cycle Management Certificate (RCMC) from MGMA are preferred.
Familiarity with workflows and systems, medical terminology, medical billing software, and full revenue cycle knowledge required.
Proficiency in healthcare software (eCW, Waystar) and Microsoft office applications.
Respect: Value a culturally competent approach when working with low income and ethnic minority communities.
Teamwork: Contribute to building a positive and successful multidisciplinary team.
Customer Service: Strong customer service skills exhibited in a culturally appropriate manner; ability to handle difficult customers constructively.
Interpersonal Skills: Excellent written and verbal communication; focus on solving conflict in a cooperative manner; keep emotions under control.
Cost and Time Consciousness: Manage time and prioritize activities accordingly.
Diversity: Show respect and sensitivity for cultural diversity.
Ethics and Professionalism: Treat people with respect regardless of their position; accountable for own actions.
Organizational Support: Follow policies and procedures established by Tepeyac Community Health Center; offer support and model service behaviors.
Safety, Confidentiality and Security: Observe safety and security procedures; report potentially unsafe conditions; use equipment and materials properly; maintain a secure and trusting environment as required by the Health Insurance Portability and Accountability Act (HIPAA).
Attendance/Punctuality: Consistently at work and on time.
Engagement: Required to attend annual all staff retreat and encouraged to participate in Tepeyac’s fundraisers throughout the year.
All employees of Tepeyac Community Health Center are required to be Colorado residents at time of hire and through their duration of employment.

Nice To Haves

Bilingual in Spanish
Certified Revenue Cycle Professional (CRCP) from AAHAM, Certified Revenue Cycle Representative (CRCR) from HFMA, or Revenue Cycle Management Certificate (RCMC) from MGMA
Bilingual (Spanish/English) and bicultural background

Responsibilities

Lead the medical, behavioral health, and dental revenue cycle team and collection for all patient encounters from claim submission through to collection to manage accounts receivable to maximize revenue collected.
Direct staff to ensure that accurate submission of all claims and timely collections occur in accordance with all third-party contract terms including, Medicaid, Medicare, managed care, commercial insurance, and direct patient pay.
Assist system administrators with procedure coding/mapping between internal systems to ensure accurate reporting and invoicing.
Monitor coding of visits, identify opportunities for quality improvement and implement/secure training as needed.
Ensure that unprocessed claims and denials are reviewed, reworked, and resubmitted to ensure revenue maximization.
Assure maximization of cash collections through diligent and timely monitoring of all open accounts’ receivable balances.
Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes, bad debt expense and AR days outstanding.
Provide documentation to CHPA to facilitate the completion of healthcare Private Payer contracts.
Enroll Providers into Medicaid, Medicare and Private Payer accounts.
Set up and maintain Providers’ accounts with the Council for Affordable Healthcare (CAQH) database.
Work with third party payers, patients and other entities to effectively resolve outstanding A/R balances.
Analyzing financial reports to identify trends, revenue leakage, and opportunities for process improvement.
Ensure the accurate and timely entry of charges and time of service payments.
Reconcile both charges and payments, identify and correct variances.
Post patient payments, balance and run appropriate eCW weekly and monthly reports.
Collaborate with other departments to ensure patient satisfaction regarding billing.
Follow procedures for the electronic health records systems (eCW).
Participate in related projects and attend required training and meetings.
Ability to understand and respond effectively and with sensitivity to Tepeyac Community Health patient populations; Bilingual (Spanish/English) and bicultural background preferred.
Attend required internal meetings, trainings, leadership development sessions, and community events.
Perform other duties as assigned.