Job Description

Our client is seeking a Revenue Cycle Manager. Under direction of the Senior Director of Revenue Cycle Management, this position works to continually increase revenue in the most cost-effective and efficient manner.

Essential Duties and Responsibilities of this position include:

• Supervising the revenue cycle data process for payment posting, adjustments, write offs, denials, appeals and refunds in EMR’s.
• Monitoring claims in payor and clearinghouse portals to ensure timely receipt and acceptance, ensuring claims are processed accordingly.
• Supervising payment posting and reconciling remittance posting in EMR to balance bank deposits.
• Managing month end close for billing purposes.
• Preparing and monitoring revenue cycle dashboards
• Collaborating with Operations and Clinical teams to ensure receipt of accurate billing information.
• Implementing all new payors including rate/service types and contractual rules.
• Performing daily, monthly, and quarterly audits to confirm claim requirements are met for clean claim submission.
• Efficiently manages client complaints relating to billing and collections.
• Negotiate payment arrangements with private pay clients, sending statement letters on a weekly and monthly basis.
• Coordinates uncollectible accounts, sending them to the attorney or collection vendor as specified, for further collection options.
• Assists in training coordination and support between agencies for revenue cycle processes, providing insight and recommendations to optimize organizational efficiencies.
• Oversee the hiring and training of revenue department staff.
• Manages Team performance via ongoing feedback, one-on-one coaching, and on-going productivity metrics.
• Perform duties detailed in the Revenue Cyle Analyst and Revenue Cycle Team Lead job descriptions, as needed
• Performs additional duties and responsibilities as assigned, including special projects, as deemed necessary.

Education and Experience:

• Bachelor’s degree in finance, accounting, business, healthcare, or related field.
• Ability to travel and work on site at branch office(s) as needed.
• Minimum of 4-7 years of experience in Healthcare Management.
• Proficient in all Microsoft Office suite applications (Excel, Word, Outlook, PowerPoint, Access) as well as medical office software. Advanced Excel skills are highly preferred.
• Solid quantitative and analytical skills with initiative for problem-solving.
• Effective written and verbal communication skills.
• Experience working in a dynamic and fast-growing company environment a plus.
• Strong interpersonal and organizational skills.
• Proven experience in healthcare billing and sound knowledge of health insurance providers.

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