Revenue Cycle Support/Project Manager

Res-Care, Inc.•Nashville, TN

52d

About The Position

The Revenue Cycle Support/Project Manager is responsible for accurate payer and contractual allowance setup across multiple billing systems, ensuring correct rate and claim presentation, and coordinating EDI enrollments. Key duties include managing month-end close procedures, analyzing data for anomalies, problem-solving system issues, supervising direct reports, and maintaining partnerships across departments. This role assists and tracks EDI enrollments, is a Subject Matter Expert, and will provide training as needed.

Requirements

Degree, BBA or BS in Accounting, Finance or Business preferred or equivalent work experience.
3+ years of relevant experience preferred.
Excellent verbal, analytical and interpersonal skills.
Intermediate level of Excel knowledge required for optimal functionality in the role.
Proficiency in Microsoft office suite.
An ideal candidate for this position can approach problem-solving challenges independently, have strong attention to detail, enjoy working in a fast-paced, collaborative and team-based objectives.
Ability to understand payer contracts and translate information into payer setup for multiple systems.
Must have the ability to analyze information and share findings.
Ability to work with multiple teams to ensure collaboration and effective communication.
Ensure compliance with corporate policies.
Travel up to 25%

Nice To Haves

CompTIA Project Certification preferred.

Responsibilities

Accurate payer setup in multiple billing system(s): Confirm correct rate and claim presentation Confirm success of transmissions upon initial setup
Accurate contractual allowance setup in multiple billing system(s)
Accurate calculation of expected reimbursement
Setup of new sites within Revenue Cycle Platforms
Proactively work acquisitions to avoid as many disruptions as possible
Work with EDI staff to ensure all eligible electronic options are enabled/utilized
Perform Month-End Close Procedures/Processes: Report variances
Review systems for non-admits or duplicate admissions
Problem solving system issues, identifying root cause and next steps
Portal Admin/access
WayStar setups and payer matching
Partner with Operations, as needed, to identify work through issues
Analyze data for anomalies
Supervise work of direct reports
Maintain excellent partnerships with multiple lines of business and departments
Coordinate to identify changes for governmental payors
Monitor for variances and facilitate research