Revenue Cycle Manager

2 weeks ago

Lincoln, United States Zelle HR Solutions Full time

Position Summary: The Revenue Cycle Manager will oversee all the functions of the billing office, including policies and procedures. Essential Job Functions Select, train, orient, and supervise billing department personnel. Assume supervisory duties including but not limited to, coaching, counseling, and progressive discipline of staff. Conduct performance evaluations of staff. Ensure Coders accurately process claim charges in a timely manner. Ensure all paper and electronic claims are submitted in a timely manner. Monitor tasks in NextGen and E-solutions Clearinghouse and ensure they are resolved in a timely manner. Review department performance and ensure compliance with laws and regulations. Interpret and enforce third party payer rules and regulations. Review billing and collection patterns and make corrective recommendations. Identify problems and accept responsibility for problem-solving and advise administrative staff to make informed decisions. Maintain knowledge of payer coverage determinations and guidelines, including FQHC requirements for Medicaid payers and Medicare. Ensure timely follow up on unpaid charges, denials, or rejections. Ensure daily posting of patient payments and all other non-ERA/EOB third party payments. Ensure adjustments are made appropriately in the NextGen system for all sliding fee patients. Manage will appeal and work to resolve unpaid claims where applicable. Ensure patient statement file is uploaded on a weekly basis. Ensure inbound and outbound patient phone calls regarding all billing issues are handled daily. Ensure timely identification of patient accounts with credit balances and processing of refunds. Ensure small balance adjustments are done before patient statements are issued. Run bi-weekly billing meetings as well as other scheduled meetings with staff for discussing, processing, training, and managing billing functions. Ensure claims via the NextGen Red Edit are resolved in a timely manner. Ensure that Electronic Clearing House claim errors and rejections are worked in a timely manner. Draft all Billing Policies and Procedures for acceptance by the Board of Directors. Work with the Clinic Managers to ensure front desk staff are trained and knowledgeable on insurance verification and patient demographics. Maintain user access on insurance verification websites. Ensure all previous month’s transactions are posted and reports for the CFO are completed no later than the end of the business day on the 15th of each month, which may be adjusted dependent upon the date of the Finance Committee meeting or other unusual circumstances discussed with the CFO. Update/add fee schedules and payer contracts in the billing software. Perform all other duties as assigned. Qualifications Bachelor’s degree in accounting, finance, business administration, or related field, preferred. Minimum 2 years of supervisory and healthcare related billing experience, preferred. Medical coding certification, required. Strong computer skills, including data-entry and working knowledge of Microsoft Excel and Word. Excellent written and verbal communication skills. Excellent problem-solving skills. Highly organized with the ability to meet deadlines. Strong attention to detail, quality, and accuracy. Self-starter and the ability to work with minimal supervision. Ability to interrelate with a wide variety of people. Ability to maintain a high level of confidentiality. Zelle is an Equal Opportunity Employer Minorities/Women/Veterans/Disabled

#J-18808-Ljbffr

  • VP Revenue Cycle Management

    2 weeks ago

    Lincoln, United States Paradigm Oral Health Full time

    Job DescriptionJob DescriptionRole and Responsibilities The VP of Revenue Cycle Management directs and oversees the overall polices, objectives, and initiatives of the organization’s revenue cycle activities to optimize the patient financial interaction along the care continuum. Develop, plan, organize, and implement current and future strategies to bill...

  • Revenue Cycle Manager

    2 weeks ago

    Lincoln, United States Zelle HR Solutions Full time

    Job DescriptionJob DescriptionPosition Summary: The Revenue Cycle Manager will oversee all the functions of the billing office, including policies and procedures. Essential Job FunctionsSelect, train, orient, and supervise billing department personnel. Assume supervisory duties including but not limited to, coaching, counseling, and progressive discipline of...

  • Hotel Revenue Manager

    1 week ago

    Lincoln City, United States Chinook Winds Casino Resort Full time

    Job Type Full-time Description Position Summary Responsible for managing and monitoring occupancy and rates while providing statistical analysis on various promotions and marketing strategies, balancing the pricing strategy to better position the hotel for success. Works closely with the Director of Hotel Operations ensuring services and offerings are...

  • Hotel Revenue Manager

    3 weeks ago

    Lincoln City, United States Chinook Winds Casino Resort Hotel Full time

    Job DescriptionJob DescriptionDescription:Position SummaryResponsible for managing and monitoring occupancy and rates while providing statistical analysis on various promotions and marketing strategies, balancing the pricing strategy to better position the hotel for success. Works closely with the Director of Hotel Operations ensuring services and offerings...

  • Senior Analyst-Contract Compliance

    1 week ago

    Lincoln, United States BryanLGH Medical Center Full time

    GENERAL SUMMARY: Provides analysis and compliant payment expertise to assess payer contract performance for facilities and providers in order to monitor and enforce all aspects of contract compliance. Supports the development and implementation of contract compliance analysis initiatives to achieve revenue realization. Provides recommendations to the Managed...

  • Senior Analyst-Contract Compliance

    4 days ago

    Lincoln, United States BryanLGH Medical Center Full time

    GENERAL SUMMARY: Provides analysis and compliant payment expertise to assess payer contract performance for facilities and providers in order to monitor and enforce all aspects of contract compliance. Supports the development and implementation of contract compliance analysis initiatives to achieve revenue realization. Provides recommendations to the Managed...

  • BH Credentialing Specialist

    2 weeks ago

    Lincoln, United States BryanLGH Medical Center Full time

    GENERAL SUMMARY: Ensures all requirements, based upon federal and state regulations, for physicians and advanced practicing providers are obtained/met to compliantly practice medicine within the scope of their licensure and specialty. In addition, ensures medical staff appointments are secured and remain current at Bryan Medical Centers, additional Bryan...

  • BH Credentialing Specialist

    2 weeks ago

    Lincoln, United States Bryan Health Full time

    GENERAL SUMMARY:Ensures all requirements, based upon federal and state regulations, for physicians and advanced practicing providers are obtained/met to compliantly practice medicine within the scope of their licensure and specialty. In addition, ensures medical staff appointments are secured and remain current at Bryan Medical Centers, additional Bryan...

  • Roofing Sales Manager

    4 weeks ago

    Lincoln, United States Apple Roofing Full time

    We are looking for a high-performing Sales Manager to join the Apple Roofing family to lead our roofing sales team. In this role, you will be responsible for driving customer acquisition, meeting revenue targets, and ensuring the success of our sales team.If you are a motivated individual with a strong sales background and leadership experience, we encourage...

  • Roofing Sales Manager

    1 week ago

    Lincoln, United States Apple Roofing Full time

    We are looking for a high-performing Sales Manager to join the Apple Roofing family to lead our roofing sales team. In this role, you will be responsible for driving customer acquisition, meeting revenue targets, and ensuring the success of our sales team.If you are a motivated individual with a strong sales background and leadership experience, we encourage...

  • Sales Manager

    2 weeks ago

    Lincoln, United States Doppelmayr USA, Inc. Full time

    With a rich 130-year history, Doppelmayr is the leading manufacturer of Ropeway Transportation systems (ski lifts) across the globe. Doppelmayr products are known for top safety and quality, with innovative new designs and technology to keep up with the changing world. We continue to set standards in ropeway mobility both in summer and winter tourism areas...

  • Traveling District Manager in Training

    4 weeks ago

    Lincoln, United States Buff City Soap Franchise Full time

    Job DescriptionJob DescriptionBenefits:401(k)Dental insuranceEmployee discountsHealth insurancePaid time offTraining & developmentVision insurance The District Manager in Training is responsible for overseeing several Makeries in NE, MO, KS, SD, and ND. Responsibilities include managing sales, production, and operations, driving revenue, controlling expenses...

  • Hotel Front Desk Manager

    2 days ago

    Lincoln, United States Holiday Inn Express and Suites Lincoln Downtown Full time

    Job DescriptionJob DescriptionJob Summary:The Front Desk Manager at Holiday Inn Express and Suites Lincoln Downtown is responsible for overseeing the front desk operations of our hotel. This includes managing the front desk staff, implementing policies and procedures, ensuring exceptional guest service, and handling any guest complaints or issues. As a...

  • Client Relations Manager

    2 weeks ago

    Lincoln, United States Memorial Blood Centers Full time

    Overview Nebraska Community Blood Bank (NCBB.ORG), a division of Innovative Blood Resources (www.innovativebloodresources.org), has been saving and sustaining lives since 1968. We are dedicated to connecting people who need life-saving blood with generous volunteers who give. Operating 4 donor centers and conducting dozens of blood drives each month, we are...

  • Roofing Sales Manager

    4 weeks ago

    Lincoln, Nebraska, United States Apple Roofing Full time

    We are looking for a high-performing Sales Manager to join the Apple Roofing family to lead our roofing sales team. In this role, you will be responsible for driving customer acquisition, meeting revenue targets, and ensuring the success of our sales team. If you are a motivated individual with a strong sales background and leadership experience, we...

  • Assistant Project Manager

    3 weeks ago

    Lincoln, United States PayneCrest Electric Full time

    Headquartered in St. Louis, Missouri, PayneCrest Electric, Inc. has been an established leader in providing solution-oriented industrial, commercial, and telecom electrical contracting services for large, complex, engineering-intensive projects for almost 70 years. Servicing an impressive array of Fortune 500 end-users and multinational corporations,...

  • Assistant Project Manager

    4 weeks ago

    Lincoln, United States PayneCrest Electric Full time

    Job DescriptionJob DescriptionHeadquartered in St. Louis, Missouri, PayneCrest Electric, Inc. has been an established leader in providing solution-oriented industrial, commercial, and telecom electrical contracting services for large, complex, engineering-intensive projects for almost 70 years. Servicing an impressive array of Fortune 500 end-users and...

  • Configuration Manager

    3 weeks ago

    Lincoln, United States Abacus Technology Corporation Full time

    Overview Abacus Technology is seeking a Configuration Manager to support data and change management for the Command, Control, Communication, Intelligence and Networks (C3I&N) Directorate at Hanscom AFB. This is a full-time position. Responsibilities Provide configuration management (CM) of all relevant program artifacts.  Review and...

  • BH Credentialing Specialist

    2 days ago

    Lincoln, NE, United States BryanLGH Medical Center Full time

    GENERAL SUMMARY: Ensures all requirements, based upon federal and state regulations, for physicians and advanced practicing providers are obtained/met to compliantly practice medicine within the scope of their licensure and specialty. In addition, ensures medical staff appointments are secured and remain current at Bryan Medical Centers, additional Bryan...

  • Director of Ticket Sales

    7 days ago

    Lincoln, United States teamworkonline Full time

    The Director of Ticket Sales will serve as the strategic, revenue-driving, and retention lead for all ticketing initiatives. In this role, you will maximize ticket revenue and sell-thru, provide outstanding service, develop best practices, and provide our fans with first class service. You’ll work side by side with the Vice President of Operations and Vice...