Revenue Cycle Manager

1 week ago

Frederick, Maryland, United States LHC Group Full time

**About the Role**

We are seeking a highly skilled and experienced Revenue Cycle Supervisor to join our team at LHC Group. As a key member of our operations team, you will be responsible for overseeing the timely and accurate preparation and submission of claims to payers, ensuring compliance with regulatory policies and procedures, and managing the day-to-day workflow of the department.

**Key Responsibilities**

  • Accountable for the timely and accurate preparation and submission of all claims to payers on a regular basis.
  • Ensures compliance with company, departmental, and regulatory policies and procedures, including coordinating disciplinary actions for policy breaches.
  • Responsible for the timely and successful follow-up of all outstanding account balances on a regular basis.
  • Develops and manages an established closing schedule and other guidelines/policies and procedures to facilitate billing timeliness.
  • Manages the utilization of accounts receivable reports to monitor account balances and establish priorities for collection activities.
  • Maintains accurate billing records to meet legal and regulatory requirements.
  • Supervises assigned billing and collections personnel, ensuring appropriate staffing levels and completing scheduled performance evaluations.
  • Assists in the development and/or revision of departmental job descriptions, duties, and operating procedures.
  • Oversees the day-to-day workflow of the department and sets priorities for staff.
  • Assists in the development and implementation of procedures to facilitate efficient workflow and paper flow in the department.
  • Acts as a resource to assigned staff for problem-solving, difficult accounts, information system issues, and specific training needs.
  • Ensures timely tracking of payer changes and keeps assigned staff notified of changes and/or updates.
  • Manages the posting and reconciliation of third-party payments received.
  • Ensures daily and monthly reconciliation of cash posted to cash deposited, resolving any outstanding reconciling items.
  • Prepares statistical reports as requested by supervisors or upper management, submitting timely.
  • Maintains a working knowledge of all billing policies, rules, and regulations, updating assigned staff of changes in the insurance industry.
  • Acts as a liaison with assigned/select payers.
  • Maintains a working knowledge of all Revenue Cycle Management computer systems, acting as a liaison with the software vendor(s) and communicating updates/revisions to assigned staff.
  • Trains assigned staff on new software/hardware features, reviewing staff understanding/working knowledge of changes.
  • Represents Revenue Cycle Management and actively participates on various external and internal forums, teams, and audits as needed.

**Requirements**

  • Formal Education: Associate Degree or certification equivalent.
  • Experience: 3 years.
  • License, Registration, and/or Certification Requirement: No.
  • Associate degree or certification in a business-related field required.
  • Bachelor's degree in business or a related field.
  • Two years of supervisory experience.
  • Three years of medical revenue cycle management experience.
  • Experience with the management of computerized billing systems.
  • Working with PC-based software programs.
  • Ability to work effectively as a member of interactive teams.
  • Excellent oral and written communication skills.
  • Knowledge of rules and regulations governing third-party payors.
  • Knowledge of Generally Accepted Accounting Principles (GAAP).

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