Revenue Cycle Manager

4 days ago

Frederick, Maryland, United States LHC Group Full time

**About the Role**

LHC Group is seeking a highly skilled and experienced Revenue Cycle Supervisor to join our team. As a key member of our revenue cycle management team, you will be responsible for ensuring the timely and accurate preparation and submission of all claims to appropriate pay sources.

**Key Responsibilities**

  • Accountable for the timely and accurate preparation and submission of all claims to appropriate pay sources.
  • Ensures compliance with company, departmental, and regulatory policies and procedures.
  • Responsible for coordinating disciplinary actions for broken policies, on an ongoing basis.
  • Accountable for the timely and successful follow-up of all outstanding account balances.
  • 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 appropriate billing records to meet legal and regulatory requirements.
  • Supervises assigned billing and collections personnel; ensures appropriate staffing levels; completes 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/paperflow 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 appropriate 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; resolves any outstanding reconciling items.
  • Prepares any statistical reports as requested by supervisors or upper management.
  • Maintains a working knowledge of all billing policies, rules, and regulations, updates appropriate staff of changes in the insurance industry.
  • Acts as a liaison with assigned/select pay sources.
  • Maintains a working knowledge of all Revenue Cycle Management computer systems; acts as a liaison with the software vendor(s) and communicates updates/revisions to appropriate staff.
  • Trains appropriate staff on new software/hardware features; reviews 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 business-related field required.
  • Bachelor's degree in business or 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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