Revenue Cycle Leadership Opportunity
2 days ago
Job Summary
We are seeking an experienced Revenue Cycle Manager to oversee reimbursement within pharmacy and infusion centers operations departments at RE Pharmacy. As a key member of our leadership team, you will provide strategic direction and manage processes, productivity, and financial performance.
Key Responsibilities:
- Leadership and Management: Directly manage the billing and collections team, overseeing day-to-day operations and ensuring compliance with company policies and regulations.
- Revenue Cycle Strategy: Develop and implement revenue cycle strategies and intake protocols to achieve goals related to new referrals, accounts receivable, bad debt, and cash flow.
- Claims Submission and Reimbursement: Maximize reimbursement by ensuring timely and accurate claims submission and payment per contracted rates.
- Trend Analysis and Reporting: Monitor reimbursement activity, providing trend reports and assessments to senior management.
- Performance Improvement: Track key performance indicators in reimbursement, working with supervisors to improve service levels, cash flow, reduce DSO, and minimize bad debt.
- Compliance and Audit: Ensure compliance with company, Medicare, Medicaid, and payor guidelines, performing audits as needed.
- Regulatory Awareness: Anticipate and communicate legislative and regulatory changes impacting billing policies.
- Project Completion and Reporting: Complete required projects and reports on a daily, weekly, or monthly basis as directed.
- Audit and Quality Control: Audit all billing and collections KPIs to ensure proper accuracy and within expected timelines.
- Team Development and Morale: Foster a positive work environment, building morale, motivation, and teamwork among staff members.
About You
We are looking for a seasoned professional with:
- At least 4 years of healthcare reimbursement/billing experience, preferably with a bachelor's degree in Business Administration or Health Care informatics.
- Proven experience in directly managing people, including hiring, developing, motivating, and directing people as they work.
- Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Working Conditions
This is a full-time position with standard business hours; flexibility to work additional hours during peak periods is expected. Occasional travel within Southern California may be required.
Compensation and Benefits
The estimated annual salary for this role is $95,000-$110,000, depending on experience and qualifications. Our comprehensive benefits package includes health insurance, dental insurance, vision insurance, life insurance, flexible spending account, health savings account, 401(k) matching, Employee Assistance Program, paid sick time, paid time off, wellness program, and education program.
We are an equal opportunity employer committed to diversity and inclusion. We celebrate diversity and are dedicated to fostering an inclusive environment for all employees.
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