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Revenue Cycle Manager

2 months ago

Saint Petersburg, United States Orthopaedic Solutions Management Full time
Job DescriptionJob Description

Define and monitor key statistical indicators within Department to ensure that defined objectives are met in accordance with the Departments strategic plan. To provide guidance and managerial leadership to departmental staff in their daily job functions. Ensures that daily functions are completed promptly to produce the maximum reimbursement amount on outstanding balances. This position assists in the direction of all activities of the department within the framework of the established philosophies, objectives and policies of The Florida Orthopaedic Institute.

Key Responsibilities:

  • Monitors daily performance and productivity of the staff.
  • Ensure proper procedures are in place to support OSM Policy.
  • Handles appropriate disciplinary actions when needed.
  • Oversee the audit associate at least quarterly.
  • Set annual, quarterly, and monthly goals for the department with approval form VP/Director
  • Oversees workload volume to ensure backlog is at a minimum
  • Provides expertise to staff as needed to problem solve.
  • Ensures compliance with OSM policies, customer service and patient satisfaction.
  • Participates in orientation and training of all employees in the department. Ensures annual training schedule is followed and kept up to date for all employees.
  • Annual reviews for employees
  • Running and/or monitoring of reports to maintain productivity, Accounts receivable levels, Days in AR, total collections by division and carrier.
  • Ensure proper set up of providers within the systems.
  • Ensures proper adjustments of claim in accordance with OSM Standards
  • All other duties assigned by management.

About You:

  • Minimum of 3 years medical billing and collections experience.
  • Minimum 2 years managerial experience. Orthopaedic experience a plus.
  • Knowledge of all areas of insurance to include Auto, Medicare, Medicaid, Commercial Carriers and Work Comp.
  • Demonstrated knowledge of EOB (Explanation of Benefits), ERA (Electronic Remittance Advice), and ANSI interpretation
  • Demonstrated knowledge of third-party payer systems and related rules & regulations along with clearinghouse experience
  • Understanding of general business concepts and regulatory environment, especially those affecting central billing areas
  • Possesses independent and sound judgment with effective decision-making skills
  • Ability to collaborate, including assisting with building, leading, motivating and coordinating activities of a cross-functional and/or multi-corporate team
  • Strong working knowledge of word processing, database, spreadsheet software, and personal computers is required
  • Exceptional organization skills with attention to detail yet able to prioritize workloads
  • Ability to maintain daily production and meet time sensitive deadlines
  • Demonstrated knowledge of EOB, ERA, and ANSI interpretation with payment automation
  • Possesses strong math skills with the ability to reconcile daily payment batches and resolving discrepancies
  • Demonstrated knowledge of third-party payer systems and related rules & regulations along with clearinghouse experience
  • Understanding of general business concepts and regulatory environment, especially those affecting central billing areas
  • Possesses independent and sound judgment with effective decision-making skills
  • Ability to collaborate, including assisting with building, leading, motivating and coordinating activities of a cross-functional and/or multi-corporate team
  • Strong working knowledge of word processing, database, spreadsheet software, and personal computers is required
  • Exceptional organization skills with attention to detail yet able to prioritize workloads
  • Ability to maintain daily production and meet time sensitive deadlines
  • Excellent written and oral communication skills