Revenue Cycle Manager

UHS • Attleboro, MA

1d • Onsite

About The Position

Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Inpatient units are designed to treat adults with general psychiatric or intellectual disabilities, as well as adolescents with general psychiatric issues. Patients with co-occurring psychiatric and substance abuse disorders can be treated on most units. Fuller Hospital also provides a less intensive Partial Hospitalization Program (PHP) to patients with psychiatric and co-occurring psychiatric and substance abuse disorders.
The Revenue Cycle Manager supervises and coordinates the overall management of patient billing and collection. This position efficiently and effectively manages the Business Office operations to provide maximum reimbursement for the hospital while maintaining the highest level of confidentiality department wide.

Requirements

• Bachelor's degree in finance, accounting or related field
• 5 years of healthcare billing, accounts receivable, and collections experience required
• 1 or more years of experience in revenue cycle management required
• Healthcare experience preferred
• Highly hands-on, working manager position
• Deep knowledge of all stages of revenue cycle, preferably in the Healthcare field
• Analytical and financial management skills; proficiency with common office software
• High attention to detail, disciplined and methodical approach to processes
• Strong ability to problem solve and adapt to change

Responsibilities

• Bill Medicare claims and perform standard daily billing tasks
• Monitor claim denials and ensure timely entry on the denial logs; ensure regular staff follow up on denied claims
• Analyze AR Aging and obtain staff updates on all past due accounts weekly
• Review and direct staff on working self-pay, credit balances, unbilled charges, and other account groups
• Assist staff with resolving complex claim rejections
• Analyze contractual adjustments for accuracy and approve prior to posting
• Lead monthly insurance calls on outstanding problem claims and maintain claim logs
• Oversee accurate and timely completion of daily insurance verification and cash posting processes
• Obtain single case agreements and assist staff with denial appeals
• Prepare for and oversee any third-party payor audits and complete any third-party reports
• Maintain reports and logs requested by the CFO for the month end close
• Prepare weekly AR reports and attend weekly AR meetings.
• Collaborate with Intake, UR and Medical records department as needed to accommodate financial policies
• Communicate new issues or trends to CFO promptly
• Respond to inquiries from management and staff promptly
• Update changes in contracted rates timely in the Contract Matrix system per communications from the corporate contracting department
• Maintain close familiarity with payer contracts, rates, billing codes and guidelines
• Review and approve write offs as appropriate; ensure all necessary documentation is provided
• Monitor and implement business office policies and procedures as requested by the CFO
• Monitor productivity, coordinate, and audit daily business office staff activities
• Manage and develop business office staff
• Use staff feedback and findings to implement process improvements
• Administer annual performance reviews, and performance improvement plans and disciplinary actions, as needed
• Complete one-time projects as assigned by CFO

Benefits

• Student Loan Repayment - $200 per month
• Tuition Reimbursement - $5,000 per year
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off (26 days per year + roll over)
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Supervision for Licensure

What This Job Offers

• Job Type: Full-time
• Career Level: Manager