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Revenue Cycle Manager
2 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:
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.
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