Revenue Cycle Manager, Denials
2 months ago
This is where you save and sustain lives
At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients.
Baxter’s products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.
Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work.
Join us at the intersection of saving and sustaining lives— where your purpose accelerates our mission.
Your Role at Baxter
THIS IS WHERE you build trust to achieve results
Reporting to the Associate Director, Revenue Cycle Management – Cardiology. The Revenue Cycle Manager, Denials & Collections, is responsible for leading and overseeing the strategic direction, operations, and performance of the Reimbursement Services team which includes all third-party and patient collections, denial resolution, accounts receivable resolution for all of Bardy Cardiology. This position also includes leading and overseeing the development, delivery, and evaluation of policies and procedures to ensure compliance with third-party billing regulations and efficiency and effectiveness for collections and denials.
Your Team:
Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.
The right candidate for this role will lead and develop their team creating a positive and productive work environment committed to compliant and efficient collection and denial resolution. They will collaborate with leadership to help define and communicate the objectives for RCM collections and denials along with developing the strategies and plans to achieve them. Additionally, the right candidate will promote a culture of process improvement and adaptability while encouraging their team to generate and test new ideas, solutions, and approaches. They will support driving change and adapting to the needs and demands of current and future revenue generating operations.
What You’ll Be Doing:
Lead the RCM Collection & Denials team across all of Bardy Cardiology to align with the Revenue Cycle Management strategic vision. Own development and execution of Revenue Cycle Management initiatives.
Lead a team of Supervisors and other direct reports including leading new hire recruitment and selection, employee performance management, coaching and development to ensure compliance with established business service level agreements, best practice procedures, and government/third-party billing requirements.
Identify, develop, and monitor key performance indicators and dashboards to identify ongoing continuous improvement opportunities within collections and denials and escalate issues and recommendations to RCM leadership.
Ensure that documentation required for authorization is received timely and within set goals to pursue reimbursement.
Establish team performance standards to optimize team effectiveness and individual productivity. Including development of achievement goals and corrective measures as appropriate.
Own escalated issues within the RCM collections and denials team and act as decision maker for high-level write-off adjustments to align with policy guidelines.
Conduct needs analysis on actionable claims data to identify gaps and implement workflow enhancements.
Collaborate cross-functionally with various departments within RCM and across Bardy leadership.
Maintain professional and technical knowledge by attending educational workshops, conferences, and other activities.
Perform special projects and other duties as assigned.
What You’ll Bring:
Minimum of an AA degree with personal intent to complete BS/BA degree within 1 year required, BS/BA degree preferred.
5+ years’ experience in a Revenue Cycle Management role required, Cardiology device experience a plus
Knowledge of federal, state, and local regulations, guidelines, and standards, including a working knowledge of Compliance and HIPAA rules and regulations
Knowledge of Third-Party Payer rules and regulations
Knowledge of all revenue cycle functions from end to end, and Third-Party billing systems
Proficiency in Microsoft Office Software
Exceptional written, verbal, and interpersonal communication and presentation skills
Proven change management and strong management skills
Detail oriented with strong organizational skills
Collaboration skills working with a cross-functional teams
#LI-DF1
Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.
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