Revenue Cycle Manager

Location: Little Rock, AR
Date Posted: 11-30-2018
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The Revenue Cycle Manager is responsible for the overall operations and functions of the Business Office. The Manager defines and provides the necessary support and leadership to achieve departmental goals and objectives. The Manager oversees the Business Office functions including the billing and collections of patient accounts, compliance with third party payer regulations, cash posting, employee productivity and ongoing improvement to key revenue cycle indicators.
 
Essential Duties and Responsibilities:
  • Develop operational strategies within your department to meet overall objectives
  • Track, interpret and explain key metrics to leadership team with the goal of improving team performance month over month
  • Identify areas of process improvement to both reduce cost and improve production
  • Ensure compliance with policies and procedures of the client, department and industry
  • Ability to effectively manage and motivate collectors and support staff
  • Embrace technology to assist in analyzing your team’s performance, including, widely adopted tools such as excel and access
  • Self-motivated, self-directed with strong organizational and communication skills
  • Ensure that patient claims (medical and dental) are billed to 3rd party payors.
  • Ensure that period patient statements are mailed to patients.
  • Answer patient calls regarding outstanding bills.
  • Follow-up with 3rd party payors to determine claims payment status.
  • Review claim denials for trends/issues
  • Work with clinical staff and providers to resolve identified issues with billing and claims denials
  • Post in-office patient receipts and 3rd party payor receipts to patient’s account.
  • Manage patient accounts receivable to ensure timely payment on accounts.
  • Ensure final account resolution.
  • Ensure that all providers are properly credentialed with all 3rd party payors including Medicaid, Medicare and all insurance companies.
Knowledge, Skills, and Ability Requirements:
  • Bachelors Degree in Health Information Management or Business Finance related field.
  • 5+ years of experience working in Revenue Cycle Management
  • 2+ years Supervisory or Team Lead experience 
  • Knowledge of all regulatory reimbursement and insurance related requirements
  • A systematic approach to problem solving for all types of issues
  • Strong skills in fostering working relationships
  • Strong working knowledge of medical terminology, CPT, HCPCS, ICD9 and ICD10
  • Detail oriented; organized; sets priorities; meets deadlines
  • Advanced skills in computer programs, particularly Microsoft Excel, and medical billing software
  • Must have high level of interpersonal skills to handle sensitive and confidential situations.
  • Effective, clear, and persuasive oral and written communication skills with individuals and groups
  • Knowledge of pertinent Federal, State, and local laws, codes, and regulations related to patient billing and collection
  • Work involves mobility, speaking, listening, observing, and use of electronic devices (computers, phones, audio‚Äźvisual equipment)
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