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Revenue Cycle Billing/Collections Manager
3 months ago
Job Description – Revenue Cycle Billing/Collections Manager
Classification – FSLA Exempt - Salary
Salary Grade/Level/Range
Level of experience, longevity, within current company pay structure.
Reports to
Sr. Director, Revenue Cycle
Summary/Objective
The Revenue Cycle Billing/Collections Manager is responsible for overseeing the post-adjudication areas of the billing process for services rendered by the company. The manager ensures that billing operations are accurate and efficient and that they conform to generally accepted principles in the field.
Essential Functions
- Oversees the operations of the billing department, encompassing denials management, payment posting, accounts receivable follow-up, reimbursement management and patient collections.
- Monitors monthly aging reports and conducts follow-up on unpaid claims and takes appropriate action to correct and re-bill for reimbursement.
- Monitors A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment.
- Performs regular audits of daily denial reports to identify errors. Work with coding/billing staff to address; notify on-site management of problems and troubleshoot as needed.
- Supervises the posting of insurance payments and adjustments from electronic remittance files and paper remittance files according to contractual obligations. Reconcile payments posted to checks or electronic deposits to ensure that ERA’s or paper remittances are obtained for all payer payments and payments are received and posted properly for all ERA’s or paper remittances.
- Monitors submission of patient statement files and troubleshoots errors as needed.
- Monitors and analyzes patient balances and submits uncollected accounts to the outside collections company in compliance with State law.
- Monitors insurance and patient credit balances.
- Interfaces with RCM Director relative to incidents where patient charges need to or should be written off.
- Performs daily bank reconciliation and daily balance.
- Respond and research patient inquiries.
- Develops, implements, and maintains revenue cycle standard operating procedures (SOPs).
- Prepares and analyzes billing reports, and weekly and monthly financial reports in concert with the Revenue Cycle Director.
- Supervises billing office personnel, which includes work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance.
- Coordinates team member time off in a manner that does not negatively impact necessary daily functions.
- Perform annual employee evaluations.
- Other duties as assigned by Director of Revenue Cycle.
Qualities and Characteristics
- Maintains a professional relationship and positive attitude with co-workers, patients, and all M.I.N.D staff.
- Excellent communication and organizational skills.
- Strives to learn more and be receptive to new challenges and opportunities.
- Displays enthusiasm toward the work and the mission of M.I.N.D.
Qualifications
- Associate degree, preferably in healthcare administration or related field; Bachelor’s degree preferred.
- Medical Billing certification/licensure required.
- Minimum of 5 years medical billing/collections experience in a medical practice or health system, with a deep understanding of medical billing compliance rules and regulations.
- Proficiency in the use of medical billing software applications and general MS Office applications.
- Minimum two years supervisory or management experience.
- A combination of education and experience will be considered.
Work Environment
This job operates in a medical office facility.
Physical Demands
This position requires the ability to sit for long periods of time, view computer screens for long period of time, answering calls on a multi-line phone system, writing, reading and note taking.
Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are Monday through Friday, varying hours between 7:00 a.m. to 7:00 p.m. Additional hours may be necessary when needed for urgent tasks. This position may not be suitable for remote work.
- Travel – minimal between satellite offices
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Employees should adhere to all approved policies, procedures, and philosophies.
