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Revenue Cycle Manager
3 months ago
The Revenue Cycle Manager, under the direction of the Senior Revenue Cycle Director in conjunction with the Clinical Office Leadership, is responsible for managing the day-to-day operations of the Revenue Cycle to include: Pre-Arrival Financial Processes, Charge Capture, Billing, Payment Application, A/R Management, Vendor Management, and Medical Records and Health Information Management departments. This includes all internal multi-specialties and multi-sites.
JOB DUTIES & RESPONSIBILITIES:
- Manages assigned staff to ensure the performance of tasks are completed in an efficient and professional manner.
- Serves as a resource to staff by answering questions and assisting with problems related to the revenue cycle processes.
- Serves as the liaison between the practice and outsourced vendors.
- Continuously monitors and updates industry changes with regard to proper billing strategies.
- Oversite of Revenue Cycle Quality Assurance Reviews and Communicates discrepancies in accuracy and efficiency based on pre-determined performance standards.
- Facilitates and assists in the training and development of existing and new team members.
- Serves as liaison between Office Coordinators, Medical Front Desk teams, Vendors and other departments to resolve issues regarding accuracy in completeness of patient records.
- Is responsive to payer billing and claims appeal requirements, and maintains strong relationships with payer provider representatives.
- Assists Sr. Director with preparing and presenting reports as needed.
- Responsible for analyzing and interpreting RCM metrics.
- Execution of payer contract guidelines.
- Actively participates in A/R management, patient collections, and other business office functions.
- Supports and maintains a work environment that embodies professional excellence, teamwork, integrity, and confidentiality.
- Assists with analyzing department needs and suggesting ways to improve overall revenue and process efficiency.
- Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare, Medicaid and Commercial insurances.
- Responsible for management of staff including recruitment, training, coaching, discipline and performance appraisals.
- Responsible for Time and Attendance of the Revenue Cycle Team.
- Performs other duties and tasks as assigned.
PERFORMANCE REQUIREMENTS:
- Strong Change Agent skills.
- Excellent oral, written and telephone communication skills, along with tact, diplomacy, and strong customer service orientation.
- Reports to work regularly without undue tardiness.
- Works independently, without direct supervision.
- Prioritizes work activities for team and self to achieve department goals.
- Completes work accurately and in a timely manner.
- Maintains effective working relationships with physicians, administration, patients and other staff members.
- Strong analytical and problem solving skills.
- Proven ability to manage multiple projects concurrently.
- Maintains strict confidentiality regarding patient and practice information.
TYPICAL PHYSICAL DEMANDS:
Prolonged sitting, standing, some bending, stooping and stretching and/or walking.
- Eye-hand coordination and manual dexterity sufficient to operate a computer keyboard, photocopier, fax machine, telephone, calculator, and other office equipment.
- Normal range of hearing and vision to record, prepare, and communicate appropriate reports.
TYPICAL WORKING CONDITIONS:
Work is performed in an office environment, with contact with patients, office staff, physicians, etc.
EDUCATION & EXPERIENCE:
- High School Diploma or G.E.D. required. Bachelor’s Degree preferred.
- Five+ years of end to end revenue cycle and medical billing experience required.
- A minimum of 1 year vendor management experience.
- Previous surgical specialty experience required, preferably neurosurgery.
- Minimum of three years in a manager/supervisory role required.
- Medical Terminology and Coding (CPT, ICD-10, Modifiers) knowledge and experience preferred.
- Experience with EMR systems required.
- Experience with Payer clearinghouse systems required.
- Working knowledge of HIPAA required.
- Knowledge of medical records and transcription practices, standards and practices preferred.
