Revenue Cycle Manager

2 days ago

Boston, Massachusetts, United States Boston Medical Center Full time
Job Title: Revenue Cycle Manager

We are seeking a highly skilled Revenue Cycle Manager to join our team at Boston Medical Center. As a key member of our revenue cycle team, you will be responsible for managing the revenue cycle operations, ensuring timely and accurate billing and reimbursement, and driving process improvements to optimize revenue cycle performance.

Key Responsibilities:
  • Represent the Professional Billing Office as a subject matter expert for revenue cycle items related to designated departments.
  • Serve as a liaison to department and practice contacts to ensure that the Professional Billing Office is meeting service levels and addressing issues that may cause challenges to meet service levels and KPIs.
  • Work collaboratively with departments, practices, and third-party billing vendors to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of patient accounts.
  • Identify areas of opportunity to apply process changes and/or technology implementation/updates to optimize PBO performance.
  • Manage implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise.
  • Provide consistent monitoring, reporting, and communication of department-specific trends and overall revenue cycle performance for assigned departments.
  • Establish and maintain a close working relationship with assigned departments as well as other stakeholders within the organization.
  • Collaborate with the necessary team(s) to prepare standard revenue cycle reports for the assigned departments.
  • Review and analyze reports for identification of trends and issues.
  • Facilitate regular meetings with the assigned department's Administrative Directors and Physician Leaders to discuss revenue cycle metrics, key trends, and opportunities for improvement.
  • Compile and distribute meeting minutes and action items. Continue timely follow-up of action items until resolved.
  • Provide general oversight of third-party billing vendors. Develop a strong working relationship with assigned vendor Client Managers.
  • Identify opportunities to improve revenue cycle and suggest improvements to Professional Billing Office leadership and assigned departments. Work to institute improvements in a timely manner.
  • Monitor workqueue performance by all parties, including department and third-party vendor.
Requirements:
  • Bachelor's Degree in Business/Healthcare related field (or work experience equivalent).
  • Minimum of 5-7 years related experience required. Specifically, experience in an academic medical center managing professional billing functions, Epic system experience preferred.
  • Advanced knowledge of healthcare revenue cycle functions, including coding and billing guidelines, government payer regulations. Must have CPT coding knowledge.
  • Working knowledge of payer reimbursement and rules.
  • Experienced in auditing, training, and communicating revenue cycle regulations and concepts.
  • Excellent interpersonal and communication skills to positively interact with a variety of hospital personnel, including administrative and management staff in a fast-paced environment.
  • Strong analytical skills.
  • Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Windows, Outlook, Excel, and Access.
  • Proficient skills to collect, organize, and analyze data, produce actionable reports, and recommend improvements and solutions.
  • Possess effective oral and written skills.
  • Ability to interpret and implement regulatory standards.
  • Working knowledge of multiple healthcare applications, including but not limited to Epic.
  • Possess effective time management skills to permit handling of large workload.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and experienced Revenue Cycle Manager looking for a new challenge, please submit your application today.

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