Revenue Cycle Manager

2 months ago

Omaha, United States Limitless Male Full time
Job DescriptionJob Description

JOB TITLE: Revenue Cycle Manager
EMPLOYER: Limitless Male Medical  
DEPARTMENT: Finance
REPORTS TO: Financial Controller

SUMMARY: The revenue cycle manager is responsible for providing leadership to the revenue cycle team, including AR follow-up, payment posting, provider/facility payer enrollment, refunds/credits, coding, HIM, as well as provider audit and education. The revenue cycle manager is responsible for ensuring best-in-class performance in all areas of the revenue cycle by developing and implementing policies, workflows, and expectations to support the financial strength of LMMC and its affiliates.

DUTIES AND RESPONSIBILITIES:  

  • Develop and implement policies and procedures to ensure compliance and best-in-class performance for each area of the revenue cycle
  • Provide direct leadership and support over the revenue cycle staff
  • Plan and direct the daily revenue cycle operation through establishing best-in-class KPIs, auditing, and monitoring of revenue cycle performance to ensure compliance with all federal, state, and payer regulations
  • In collaboration with the Director of Business Intelligence and the Financial Controller, the Revenue Cycle manager prepares and analyzes overall revenue cycle performance on daily, weekly, and monthly; calling out any areas of opportunity and creating action plans to address such areas
  • Complete monthly quality and production audits on all staff based on their specific job duties
  • Establish and implement training for each specific job function to include new hire and continuing education for existing staff
  • Remain updated on HIPAA and all other health information management issues and regulations to ensure compliance
  • Develop and implement strategies to support the growth of LMMC and its affiliates
  • Collaborate with all departments of LMMC and its affiliates to ensure success for the organization as a whole; developing and supporting strong relationships across the organization.
  • Lead all projects related to the revenue cycle to ensure proper training, implementation, and support
  • Other tasks as assigned; we are one team

QUALIFICATIONS:  
  • Expert knowledge of medical insurance, healthcare compliance, and collections work in a health system or medical practice  
  • Possess profound knowledge and understanding of rules and regulations affecting medical billing and insurance verification
  • Deep knowledge and understanding of the revenue cycle to including coding & documentation, collections, and payment posting, medical billing and denials, provider and facility payer enrollment, and front-end revenue cycle (registration, scheduling, and financial clearance)
  • Thorough knowledge and working experience of CPT coding and ICD10 codes, professional fee billing, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, payer policies, and insurance benefits
  • Computer skills required: Human Resource Systems; Microsoft Office Suite; EMR
  • Exceptional verbal and written communication skills
  • Outstanding ability to motivate team members for success
  • Solid knowledge of basic accounting principles and business management to be      able to effectively give direction to the billing office
  • Detail oriented
  • Thrives in a fast-paced always changing environment
  • Self-starter willing to dive in to take a talented team to the next level
  • Ability to multi-task between all clinics, systems, workflows, and projects
  • Goal-oriented mentality to accomplish and establish goals
  • CPC, CRCR preferred
  • Bachelor’s degree or above in Business, healthcare administration required

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