Revenue Cycle Manager

1 week ago


Rockford, United States Rockford Gastroenterology Associates Ltd Full time
OVERALL SUMMARY:

Reporting to the Director of Finance, the Revenue Cycle Manager is responsible for all aspects of accounts receivable management including billing, insurance, coding, collections, pre-certification, referrals, A/R analysis, and the practice management computer system as it pertains to the department.

Additional responsibilities include direct supervision of 3 direct reports and 15-20 patient accounts clerks and team leads, working cooperatively with the scheduling, medical records, front desk, and switch board to educate on practice management, and liaising with various software vendors.

DUTIES AND RESPONSIBILITIES:

  • Supervise patient account clerks and aid in their daily tasks.
  • Interview and make recommendations to Director of Finance for hiring new personnel in patient accounts department.
  • Conduct yearly evaluations and help establish goals and individual performance standards within department.
  • Hold regular departmental staff meetings and serve as a a resource person within department to assist in cross-training and troubleshooting.
  • Establish a system for obtaining patient demographic information and assure that initial patient registration in computer is complete and accurate.
  • Maintain a current working knowledge of commercial, Medicare, and Medicaid insurance companies and the requirements for filing primary and secondary claims. Monitor all electronic billing functions and establish guidelines for rebilling and claim reviews.
  • Make adjustments, credits, issue patient refunds, and balance daily journals.
  • Set up batch control logs and maintain a close working relationship with the accounting department, i.e.: balancing daily computer transaction reports with daily deposits.
  • Establish safeguards and policies regarding opening mail, making deposits, posting payments. Familiar with requirements and capable of establishing an orderly system for filing EOB's, daily payment records, and all charges for both the office and surgery center.
  • Maintain familiarity/proficiency in accounts receivable computer system and responsible for updating master files such as physician and insurance lists, ATB categories, yearly fee schedules, etc.
  • Prepare and supervise a systematic collection system, working with the Director of Finance in monitoring accounts receivables. Send accounts to collection agency and establish and review collection procedures with leadership.
  • Monitor/maintain necessary financial information for collection agencies and keeps Administrator informed of their productivity.
  • Maintain current knowledge of all collection rules and regulations. Make effective collection calls to patients and provide instruction to insurance clerks as needed.
  • Able to explain clinic and surgery center charges to patients and establish payment plans and agreements with patients.
  • Review all correspondence and daily payments for the department as needed.
  • Prepare necessary insurance applications for new managed care contracts, working closely with Director of Finance during negotiating and/or renewing contracts.
  • Communicate with all departments within RGA, including doctors, APN, corporate officers, and management peers.
  • Attend manager meetings and occasionally attend board/executive meetings held between 5:30 pm and 7:00 pm for expert advice and input.
  • Other responsibilities as needed and agreed upon with leadership.


Requirements

QUALIFICATIONS:
  1. 10+ years experience in medical insurance field with minimum 5 years' experience in claims filing, knowledge of accounts receivable, and supervisory experience.
  2. Collection experience dealing with patients, insurance companies and collection agencies.
  3. High school graduate, associate degree or higher strongly preferred. Proven abilities to initiate new projects, meet deadlines, and evaluate programs or policies.
  4. Excellent communication skills, both verbal and written.
  5. Experience/familiarity with PM systems (NextGen / A Plus), Contract Management systems (Rivet), Clearing house systems (E-Tactics / A Plus), and Pre-Authorization and/or Pre-Registration systems.

  • Revenue Cycle Manager

    4 weeks ago


    Rockford, United States Stepping Stones of Rockford Full time

    Our work environment includes: - Growth opportunities - Modern office setting - Casual work attire - Relaxed atmosphere **Overview**: Stepping Stones of Rockford, Inc., a leading provider of trauma-informed mental health treatment services, is seeking a dedicated Revenue Cycle Specialist to join our team. As an organization dedicated to serving individuals...


  • Rockford, United States Rosecrance Health Network Full time

    Job DescriptionJob DescriptionLet’s change lives together. Join a purpose-driven community of champions.The Revenue Cycle Representative is responsible for the collection of outstanding balances from commercial insurance and self-pay payers, as well as continuously improving revenue cycle processes. Manage client business accounts, policy applications and...


  • Rockford, United States Rosecrance Health Network Full time

    Job DescriptionJob DescriptionLet’s change lives together. Join a purpose-driven community of champions.The Revenue Cycle Representative is responsible for the collection of outstanding balances from commercial insurance and self-pay payers, as well as continuously improving revenue cycle processes. Manage client business accounts, policy applications and...


  • Rockford, United States Rosecrance Full time

    Let's change lives together. Join a purpose-driven community of champions. The Revenue Cycle Representative is responsible for the collection of outstanding balances from commercial insurance and self-pay payers, as well as continuously improving revenue cycle processes. Manage client business accounts, policy applications and collection activities. Job...

  • Revenue Cycle Manager

    2 weeks ago


    Rockford, United States ROCKFORD GASTROENTEROLOGY ASSOCIATES LTD Full time

    Description: **OVERALL SUMMARY**: Reporting to the Director of Finance, the Revenue Cycle Manager is responsible for all aspects of accounts receivable management including billing, insurance, coding, collections, pre-certification, referrals, A/R analysis, and the practice management computer system as it pertains to the department. Additional...


  • Rockford, United States Rosecrance Full time

    Let's change lives together. Join a purpose-driven community of champions. Job Requirements:High School diploma or GED Computer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel. Adequate written skills to accurately complete required documentation within the time frames prescribed Excellent organizational...

  • Revenue Cycle Manager

    2 weeks ago


    Rockford, Illinois, United States Rockford Gastroenterology Associates Ltd Full time

    OVERALL SUMMARY: Reporting to the Director of Finance, the Revenue Cycle Manager is responsible for all aspects of accounts receivable management including billing, insurance, coding, collections, pre-certification, referrals, A/R analysis, and the practice management computer system as it pertains to the department. Additional responsibilities include...


  • Rockford, United States Rosecrance Health Network Full time

    Job DescriptionJob DescriptionLet’s change lives together. Join a purpose-driven community of champions.Job Requirements:High School diploma or GEDComputer proficiency in a Windows environment, knowledge of Microsoft Office products with an emphasis in Excel.Adequate written skills to accurately complete required documentation within the time frames...


  • Rockford, United States Rockford Gastroenterology, Assc., LTD Full time

    Job DescriptionJob DescriptionDescription:OVERALL SUMMARY:Reporting to the Director of Finance, the Revenue Cycle Manager is responsible for all aspects of accounts receivable management including billing, insurance, coding, collections, pre-certification, referrals, A/R analysis, and the practice management computer system as it pertains to the...

  • Revenue Cycle Manager

    4 weeks ago


    Rockford, United States Rockford Gastroenterology, Assc., LTD Full time

    Job DescriptionJob DescriptionDescription:OVERALL SUMMARY:Reporting to the Director of Finance, the Revenue Cycle Manager is responsible for all aspects of accounts receivable management including billing, insurance, coding, collections, pre-certification, referrals, A/R analysis, and the practice management computer system as it pertains to the...


  • Rockford, United States Gillis Sales Full time

    **About Gillis** At Gillis, we believe that sales is the lifeblood for all organizations. Our mission is to make sales accessible and achievable to all hotel owners. We also believe that our associates are our biggest asset and we put our people first over profit. If you are looking for a company that invests in its culture in a fast-paced, supportive, and...


  • Rockford, United States OSF HealthCare Full time

    **Overview**: Expected pay for this position is $26.46 /hour. Actual pay will be determined by experience, skills and internal equity. This job is located in Rockford,IL. ***: The Patient Access Supervisor works cooperatively with the Revenue Cycle leadership team to promote best practices and professional standards in direct correlation with the strategic...


  • Rockford, United States Thermo Fisher Scientific Full time

    Job Title**:Product Specialist III - Microplate Reagents, OEM, Custom Conjugation (MOC)** Location**:Eugene OR, Rockford IL, or Carlsbad CA** When you join us, you’ll be part of an inquisitive, driven team that shares your passion for exploration and discovery! With revenues of $42.9 billion and the largest investment in R&D in the industry, we give our...


  • Rockford, Illinois, United States Thermo Fisher Scientific Full time

    Job Title:Product Specialist III - Microplate Reagents, OEM, Custom Conjugation (MOC)Location:Eugene OR, Rockford IL, or Carlsbad CAWhen you join us, you'll be part of an inquisitive, driven team that shares your passion for exploration and discovery With revenues of $42.9 billion and the largest investment in R&D in the industry, we give our people the...

  • Account Director

    4 weeks ago


    Rockford, United States Segra Full time

    We are seeking an experienced Account Directors to join our Enterprise Sales team in the Rockford, IL market! This role is primarily responsible for prospecting and selling Unite Private Networks access transport and dark fiber to Enterprise customers in your market. The ideal candidate is comfortable with cold calling new acquisitions to obtain B2B sales,...


  • Rockford, United States Mercyhealth Full time

    Overview: - Patient Access Specialist, Days, Rockford, 80 Hrs / 2 wks - Location: Rockton Ave Campus; Rockford, IL - Hybrid and flexible work schedule opportunities available after probationary period. Responsible for correctly prioritizing and completing all steps of the scheduling, referral management, authorization, verification and registration process...


  • Rockford, United States Mercyhealth Full time

    Overview Insurance Billing Rep, Patient Accounts Follow Up, Days, 80 Hrs / wks Location: Rockton Ave; Rockford, IL Hybrid and flexible work schedule opportunities avaliable.  Responsible for ensuring claims are resolved with third party payers in a reasonable time frame as defined by Revenue Cycle metrics. This includes working claims that fail...

  • Account Director

    4 weeks ago


    Rockford, United States Segra Full time

    Account Director - Rockford, IL Rockford, IL, USA Req #1824Friday, April 26, 2024We are seeking an experienced Account Directors to join our Enterprise Sales team in the Rockford, IL market! This role is primarily responsible for prospecting and selling Unite Private Networks access transport and dark fiber to Enterprise customers in your market. The ideal...

  • General Manager

    1 week ago


    Rockford, United States Maverick Hotels and Restaurants Full time

    **Maverick Hotels and Restaurants** is a free-thinking organization that challenges the process, shakes up the industry and brings unparalleled results to our projects by offering a stage for our team members to express their individual genius and unique talents. Employee success starts with a genuine partnership. Maverick is committed to creating...

  • Staff accountant

    2 weeks ago


    Rockford, Illinois, United States Axios Professional Recruitment Full time

    Responsibilities Ensures integrity of the general ledger and summary reports to provide complete, accurate and timely financial information to management. Coordinates monthly closing activities with other departments to ensure complete and timely flow of financial data necessary for corporate and other reporting requirements. Prepares accurate and timely...