Manager, Revenue Cycle

Full Time
Remote
Posted
Job description
Description:

Within Surgical Notes RCM, our teammates play a critical role. The Revenue Cycle Manager will oversee, enhance, and maintain a properly functioning revenue cycle process through staff development, work integrity and team performance. The Revenue Cycle Manager is responsible for managing a team of Medical Collectors / Accounts Receivable Representatives to effectively oversee revenue cycle operations for one or more clients. This role is responsible to meet or exceed revenue, metrics and objective goals established for the department. This position requires the ability to work in a fast-paced environment. The perfect candidate will have an understanding of various insurance carriers, including; Medicare, Medicaid, Workers’ Compensation, Personal Injury, HMOs, contracted and non-contracted plans. The candidate should be able to recognize issues and effectively resolve them as well as communicate all issues to the Account Manager. This position will require the reporting of all ASC KPI metrics to the Account Manager and Vice President and will be accountable for the adherence of strict metrics. You will be required to work independently, resolve issues with a plan of resolution, and report any delays or issues.

Reports to: VP, Operations / VP, Revenue Cycle

Duties/Responsibilities:

  • Provide optimal customer service to both our clients and internal team.
  • Track and communicate key metric measures
  • Meet tight deadlines
  • Manage the operations and revenue cycle functions for assigned client(s) to successfully achieve financial and productivity goals
  • Oversee the daily operations of the billing and follow-up team and has overall responsibility for successful transmission of claims to all payors in compliance with payor guidelines
  • Perform regular communication with external clients including ownership of outcomes and deliverables
  • Provide daily management and support to team to ensure they are working effectively and correctly completing assigned tasks
  • Regularly conduct audits of team members and provide individual feedback monthly (minimum); identify needs for and provide training to address any competency and quality gaps in performance
  • Provide oversight and ownership for client accounts receivable and develop plan for maintaining proper coverage on all accounts
  • Troubleshoot problematic accounts, identify trends and root causes, and lead internal and interdepartmental initiatives to resolve issues
  • Demonstrate a high level of commitment to customer service in responding to the needs of internal and external parties or departments
  • Other responsibilities as assigned

Role Information:

  • Full Time
  • Salaried
  • Exempt
  • Eligible for Benefits
  • Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds.
Requirements:

Required Knowledge, Skills, Abilities & Education:

  • Minimum of Associate's Degree in Healthcare Management, Business Management or related field
  • 5+ years of experience in ASC, Hospital management, or with other healthcare provider revenue cycle operations
  • 3+ years of management experience in revenue cycle
  • Knowledge of ICD-10, CPT code, EOBs, financial reports, state and payer specific rules
  • Understanding of HIPAA regulations
  • A working knowledge of IPAs and health plans
  • Ability to work under pressure while successfully meeting deadlines
  • Strong verbal and written skills
  • Great attention to detail
  • Excellent communication skills
  • A positive, open and friendly attitude to colleagues and clients
  • Excellent organization, time management, and prioritization skills required
  • Superior customer service and professionalism
  • Research capabilities when confronted with an issue
  • Advanced Microsoft Excel skills
  • Proficient Microsoft Outlook skills
  • Proficient Microsoft Word skills

Preferred Knowledge, Skills, Abilities & Education

  • Experience working in the majority of the following Practice Management Systems: Amkai, HST, SIS, Advantx, Vision, EPIC Resolute, etc.
  • Experience with Accounts Receivable in an ASC
  • Bachelor's Degree in Healthcare Management, Business Management or related field

Physical Demands:

  • Sitting and typing for an extended period of time
  • Reading from a computer screen for an extended period of time
  • Work environment of a traditional fast-paced and deadline-oriented office
  • Working closely with others
  • Frequent verbal communication, primarily over the phone, and face-to-face interaction
  • Working independently
  • Frequent use of a computer and other office equipment

Key Competencies:

  • Leadership
  • Customer Service
  • Initiative
  • Attention to Detail
  • Communication


#LI-Remote #LI-HIRING

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