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Revenue Cycle Manager
2 months ago
About Us:
DeCoach Recovery is a leading addiction treatment center dedicated to providing comprehensive and compassionate care to individuals struggling with substance use disorders. We offer a range of evidence-based treatments and therapies tailored to each patient's unique needs, with a focus on long-term recovery and wellness.
Revenue Cycle Manager-
Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. May also be responsible for integrated with business office operations. Scope: Oversees multiple teams of accounts receivable management. Including but not limited to billing; collections; cash posting; refunds; and customer service.
Revenue Cycle:
A. Oversees and streamlines billing and collections processes and month-end closing of the billing group information.
B. Plans and implements quality assurance for all Medicaid, Commercial and Medicare billing processes.
Quality/Customer Service:
A. Collaborate to establish and work to improve efficiency of process.
B. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
C. Secures needed medical documentation required or requested by third party insurances.
D. Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility
E. Maintains third-party billing logs.
Job Duties:
A. Monitors the effectiveness of collection efforts and maintains billing within the established Department Policy timeframe.
B. Compiles and prepares various status reports for management to analyze trends and make recommendations.
C. Oversees the credentialing process to ensure that all employees and contractors have the appropriate licenses, certifications.
D. Maintains a database of all credentialed employees that allows for identification of recredentialing requirements in a timely and proactive fashion.
E. Tracks, monitors and takes action to improve timing of process completion and other operational metrics to meet established goals.
F. Proven ability to perform strategic planning and priority setting for the Billing Department.
G. Familiarity with CMS 1500 billing, clearing houses, denial management and appeals.
H. Proven track record for strong leadership skills, specifically in improving process efficiencies and utilizing analytics in problem solving in the healthcare billing field.
I. Knowledge of medical terminology and insurance claim adjudication.
Personal Growth & Competency:
A. Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility
B. Completes work within appropriate time to assure compliance with departmental standards.
C. Assure documentation is in compliance with regulatory agency requirements and best clinical practices.
D. Self-motivated and self-directed; able to work without supervision.
E. Ability to prioritize and manage multiple tasks and competing priorities.
F. Exceptional communication and interpersonal skills.
G. Analytical and problem-solving skills with attention to detail.
Education, Credentials, Licenses:
High School Diploma or equivalent Billing and Coding would be a plus.
Associate’s degree in accounting, health care administration, finance, business or related field preferred.
Specialized Knowledge:
Knowledge of the insurance industry and behavioral health billing.
Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook and Excel); working knowledge of billing software a plus.
Prefer two years of previous experience as a supervisor/manager and/or in a related healthcare position.
