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Revenue Cycle Manager

4 months ago

Stillwater, United States Bluestone Physician Services Full time
Job DescriptionJob Description

Bluestone Physician Services’ unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities. Bluestone recognizes that patients need a customized approach to care that is preventative, proactive and includes all members of the care team. Medical providers, nurses and social workers collaborate with patients’ other healthcare providers and families.

Our Care Model delivers customized care that is preventive, proactive, and includes all members of the care team, patients and their families.  Our patients experience 21% less ER visits, 36% less hospitalization and 41% less hospital re-admissions compared to patients with similar conditions and complexities. Bluestone has locations in Minnesota, Wisconsin, Florida and uses a mobile clinic approach to provide care to patients within Assisted Living, Memory Care, and Group Home Facilities.

At Bluestone, our employees are our most valuable asset. We know our success is only possible through the hard work and dedication of each of our employees. 

Bluestone has been named to the Star Tribune's Top Workplace list every year since 2013 Bluestone also achieved Top Workplace USA 2021-2024 

Position Overview:

The Revenue Cycle Manager leads our billing, posting and coding teams at Bluestone.  This includes organizing workflow and ensuring that employees understand their duties or delegated tasks, monitoring employee productivity, and providing constructive feedback and coaching to Revenue Cycle staff.

The Manager ensures that the process and procedures are in place for posting and reconciling patient and insurance payments, managing denials, and management/collection of patient balances.

This hybrid role will be based out of our offices in downtown Stillwater, MN. We anticipate this role to be in office 1-2 days per week and remote 3-4 days per week. 

Responsibilities:
  • Manage, supervise, and monitor daily workflow of teams
  • Ensure the accuracy of payment and denial posting and reconciliation
  • Monitor and report payment interruptions
  • Manage coding team that works with service review documentation and claim correction/denials
  • Review and maintain best practices to balance EFT receipts, postings, and adjustments
  • Develop and manage team performance goals and metrics
  • Assist with analysis of posting KPIs
  • Works with managements to identify posting initiatives and areas for improvement
  • Monitor and report any coding, billing, payer, or compliance issues
  • Review and approve all adjustments to patient accounts for collections and payment plans
  • Provide coverage and support to other Departments/Supervisors as needed
  • Monitor and provide continual education to team of contractual changes and payer guidelines

Qualifications:

Education/Certification/Experience

  • Bachelor’s degree in Business, Finance or related field preferred
  • 7 – 10 years of experience in medical revenue cycle department with at least two years as a supervisor or manager preferred
  • Experience with posting and reconciling insurance payments and adjustments
  • Experience with process improvement or project management preferred
  • EMR experience required, Aprima preferred

Knowledge/Skills/Abilities

  • Excellent oral and written communications skills
  • Demonstrated ability to achieve results through managing others
  • Strong interpersonal and technical skills
  • Skill in identifying and resolving problems
  • Proficient at verbal and written communication
  • Ability to work independently to meet company goals and timelines
  • Ability to deal with change and ambiguity
  • Detail oriented and accurate
  • Strong computer skills, including Microsoft Excel and Google Sheets
  • Demonstrated ability to read, write, speak, and understand the English language

Bluestone Benefits:

  • Health Insurance
  • Dental Insurance
  • Vision Materials Insurance
  • Company paid Life Insurance
  • Company paid Short and Long-term Disability
  • Health Savings Account (with employer contribution)
  • Flexible Spending Account (FSA) 
  • Retirement plan with 4% matching contributions
  • Eight paid holidays for office closures plus two floating holidays
  • Three weeks (15 Days) Paid Time Off (PTO)


 

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