Revenue Cycle Manager III, RCM

2 weeks ago

Phoenix Arizona, United States Team Select Home Care Full time

Position Overview:
Join a leading home health care organization that values your contributions and fosters professional growth. At Team Select, we are dedicated to doing right by everyone we serve.

Our culture and commitment to excellence set us apart, making us a recognized leader in the healthcare industry.

We pride ourselves on creating a collaborative atmosphere that has earned us accolades as a Best Place to Work and a Home Care Elite Top Agency.

Become a vital part of our Team Select Family and experience a workplace where your efforts can lead to meaningful change.

Key Responsibilities:
We are seeking a Revenue Cycle Manager to enhance our Team Select family.

The Revenue Cycle Manager is responsible for managing the calculation and posting of receipts to the appropriate accounts, ensuring accuracy in transaction verification, and overseeing the billing, posting, and collection of claims for designated payers.

This role reports directly to the Manager of Revenue Cycle Management (MRCM).

Daily tasks include:
  • Sorting and distributing incoming correspondence.
  • Scanning and archiving checks, remittances, and billing documents in designated locations.
  • Monitoring billing holds and coordinating the resolution of outstanding issues.
  • Addressing claims that have not passed payer edits on a daily basis.
  • Updating payer information and rebilling in the electronic medical record (EMR) system.
  • Following up on claim denials and managing appeals.
  • Submitting waiver requests as necessary.
  • Enrolling with payers for electronic funds transfer (EFT) and electronic remittance advice (ERA) submissions.
  • Coordinating claim activities with designated agencies and managing receivables reimbursement.
  • Reviewing and billing all secondary and tertiary insurances with correct charges and supporting documentation.
  • Achieving and maintaining net collections and outstanding receivables goals as defined by company standards.
  • Identifying trends related to denials, coding, and delinquent claims, and communicating feedback to client managers.
  • Recognizing system or payer issues and coordinating resolutions.
  • Reporting account statuses and issues to relevant supervisors and departments, ensuring full transparency.
  • Managing the entire cycle of accounts until resolution, including patient collections and appeals.
  • Documenting processes and coordinating all write-offs and adjustments.
  • Collaborating with the contracting team and management to resolve payer-related issues.
  • Completing provider enrollments for EFTs and ERAs.
  • Facilitating coverage and cross-training within the team.
  • Providing ongoing training and mentorship to team members.
  • Setting up payers in the EMR and testing to ensure accuracy.
  • Handling significant accounts and projects, working closely with management, operations, and payers to resolve issues.
  • Leading accounts receivable meetings with management, branches, and staff.
  • Performing additional tasks as assigned.


Qualifications:
High school diploma or GED is required.

Minimum of three years of experience in health-related accounts receivable and collections, with at least one year in a leadership capacity.

Experience in collections is essential.

Engagement with management on process improvements is expected.

Ability to train and support team members as needed.

Benefits:
Comprehensive medical, dental, and vision insurance

401K retirement plan

A work environment that promotes career advancement and personal growth.

DailyPay option available.

Team Select Home Care reserves the right to modify this job description and qualifications at any time.

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