Revenue Cycle Manager - TRH Job at Taylor Health Care Group, Hawkinsville, GA

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  • Taylor Health Care Group
  • Hawkinsville, GA

Job Description

Responsible for overall functions of the Business office, supervising staff, monitoring productivity and reports to insure timely and accurate reimbursement.

Job Duties:

  • Provides oversight and accountability to the Business Office, Registration, Data Processing, Financial Counseling, Denials Management and Precertification department.
  • Assists the Revenue Cycle Director
  • Reviews electronic claims workflow for current and pending claims
  • Reviews denial management for discrepancies and inefficiencies
  • Monitors reports for accuracy and timeliness of billed claims and follow-up
  • Monitors and reviews patient outstanding balances, collections and bad-debts
  • Reviews remittance advices; determines problems causing rejections and denials
  • Ensures that the pre-cert department is obtaining prior authorizations or approvals in a timely manner
  • Communicates with third party payers in regards to claims processing difficulties or new processing procedures
  • Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
  • Maintains an effective and efficient workload for each hospital biller

Education:

  • High School Diploma or Equivalent
  • Bachelor’s Degree in related field is preferred – experience in lieu of education may be substituted

Training/Experience:

  • 2 years supervisory experiences required
  • 3 years Billing/AR – Denial Management with hospital and/or professional claims which demonstrates attainment of the required requisite job knowledge and abilities.

Skills/Qualifications:

  • Proficient in Microsoft Office products, specifically Excel
  • Proven leadership skills and ability to gain cooperation and support from a diverse body of individuals
  • Highly dependable in both production and attendance
  • Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.
  • Exceptional organization, problem solving, and time management skills with an attention to detail
  • Excellent verbal and written business communication skills sufficient to clearly document issues and effectively communicate.
  • Promote the mission, vision, and values of Taylor Regional Hospital.
  • Maintain confidentiality of all patient, medical, financial, and legal information.
  • Represent the organization in a positive amp; professional manner.
  • Ability to handle difficult situations involving patients, physicians, staff and others in a positive and professional manner.
  • Comply with all organization policies and standards
  • Consistently demonstrate the value of team concept.
  • Understands and abides by OSHA, HIPAA and CLIA standards
  • Understanding of HIPAA regulations and proven ability to ensure confidentiality with respect to sensitive information

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