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Revenue Cycle Manager
4 months ago
Reports to: VP of Insurance and Compliance
FLSA Status: Exempt/Full Time
Compensation: $60,000 to $70,000 annually
Location/Travel: In person - Based out of the Corporate Office in San Antonio
Job Summary:
The Revenue Cycle Manager at Empower Behavioral Health (EBH) is a key member of the Billing and Compliance department. This individual is responsible for day-to-day medical billing tasks as well as providing all billing and claims support throughout the business. Operating hours for this position will be Monday through Friday from 8 am to 5 pm.
This role will be working in a fast-paced, growing organization. This position is focused on the ever-growing needs of the EBH billing team in line with the EBH standard of patient care. This position will rely heavily on communication and multi-tasking abilities.
Come join our mission
Duties and Responsibilities:
- Prepare, review, and transmit weekly claims
- Complete weekly payment posting and reconciling of Explanation and Benefits
- Pull remittance from payer portals
- Communicate directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement
- Monitor daily billing functions
- Respond to all medical records requests in a timely manner
- Prepare month-end reports accurately in preparation for the monthly meeting
- Facilitate monthly billing meetings to provide updates
- Research and compile, necessary documentation and complete the appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary.
- Analyze and manage root causes of denials and develop action plans to improve results
- Escalate any negative trends to the VP of Insurance and Compliance for review
- Resolve billing-related issues
- Ensure all billing standards set forth by EBH are met
- Provide onsite support to local staff while setting an example of the company’s policies and procedures
Competencies:
- Management Skills
- Planning and Evaluating (Workload Management)
- Problem-Solving
- Attention to Detail
- Results-Oriented
- Customer Service
- Oral and Written Communication
Education and Experience:
Required:
- High school diploma or equivalent
- Must have a minimum of one year of healthcare professional billing management experience
- Must have a minimum of one year of management/leadership experience in medical billing
- Previous experience with Claim Submission Requirements
- Experience with revenue cycle and how various components work together
- Experience or exposure to any Practice Management Software
- Experience with a large number of taking inbound and outbound calls while maintaining a professional manner
Preferred:
- 3 years of experience in professional healthcare billing management
- Experience with Central Reach practice management system
- Experience working in an administrative setting
- Experience working in a growing organization
- Bachelor’s Degree
- Certified Biller
Empower Behavioral Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
