Director Revenue Cycle Management
4 weeks ago
Director Revenue Cycle Management
Job Description
We are looking to hire a highly efficient healthcare revenue cycle manager to oversee all tasks assigned to the revenue cycle department staff. The revenue cycle manager’s responsibilities include identifying patient reimbursement issues, ensuring that claims, denials, and appeals are efficiently processed, and resolving billing-related issues. You should also be able to code diagnoses and procedures correctly.
To be successful as a revenue cycle manager in our cardiovascular practice, you should be able to manage both staff and patient complaints. Ultimately, a top-performing revenue cycle manager should seek ways to improve the functioning of the revenue cycle department.
Revenue Cycle Manager Responsibilities:
Implementing a system to ensure that accurate billing information is entered into the billing system.
Account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.
Reviewing financial hardship applications.
ability to work independently to achieve results. Often, there is no precedent for and little help in carrying out assigned tasks. Must originate, plan, adapt and invent to accomplish tasks.
Efficiently managing patient complaints in respect of billing and collections.
Establish and maintain departmental policies and procedures. Communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly.
Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors.
In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current workflow.
Monitors aged accounts and verifies appropriate collections procedures are being followed.
Work with Managed Care vendors in identifying any payer relation issues or contracts that need to be renegotiated or negotiated for the first time.
Other duties as assigned.
Revenue Cycle Manager Requirements:
Carlsbad, NM
Bachelor’s degree in finance, business administration, healthcare administration, or related field or 5+ years Revenue Cycle Management experience.
Certified Medical Biller/Coder
Proficient in all Microsoft Office applications as well as medical office software.
Proven experience in healthcare billing in Ambulatory Surgery Center or complex cardiovascular office billing.
Sound knowledge of health insurance providers.
Strong interpersonal and organizational skills.
Excellent customer service skills.
The ability to work in a fast-paced environment.
Compliance Knowledge
Prefer Athena and Ambulatory Surgical Center or Office Based Lab Billing/EMR experience
Prefer within 500 miles of Carlsbad, New Mexico, combined remote/onsite
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