Revenue Cycle Manager

POSITION OVERVIEW Under the direction of the Patient Financial Services Director, the Revenue Cycle Manager will be responsible for providing daily operational oversight of the Accounts Receivable (AR) Department.
The Revenue Cycle Manager will apply critical thinking skills and problem solving methods in order to maximize organizational cash flow and reimbursement; reduce receivable balances; identify payer trends and resolutions; and manage productivity and quality measures in order to reach department and company goals JOB SUMMARY Provides oversight for all daily operations of the accounts receivable team (40+/- employees) to ensure operational goals and production and quality standards are met.
Identifies payer issues; analyzes trends and creates and implements resolutions/action plans.
Assists in managing payer relations.
Effectively communicates and interacts with staff, management, customers and payers.
Performs production and quality reviews and investigates areas experiencing errors/shortfalls; identifies training opportunities; develops strategies to remedy poor production and quality results.
Develops work flow processes to support and improve production efficiencies.
Reviews/develops system reports to assist in monitoring department productivity, accounts receivable trends and payer issues.
Responsible for monitoring productivity and quality to ensure training standards are met and policies and procedures are followed.
Demonstrates detailed knowledge of the full cycle billing process in order to act as a resource for team members.
Demonstrates expertise in software to include Microsoft Windows, Excel, and Word.
Ability to quickly learn multiple billing and patient account software tools.
Ability to research, acquire, evaluate, interpret and utilize payer specific billing policies, guidelines and statutory authorities as appropriate for insurance billing and collection follow-up.
Communicates results to team to include reasons for process bottlenecks, collection shortfalls and operational successes.
Support, assist or resolve difficult payer issues and/or patient cases referred by staff, customer, patient or Director.
Participate in developing staff training modules and delivery mechanisms.
Maintain software expertise in order to perform tasks as required utilizing all systems tools available.
Demonstrates ability to take and/or give direction, coordinate projects and prioritize assignments on an individual basis as well as on a departmental level.
Encourages, motivates and develops staff to the maximum of their ability; leads by example.
Resolves executive management operational requests and concerns in a timely and professional manner.
Supervisory and budget responsibility.
Other projects and assignments as assigned SCHEDULE/LOCATION 5&2 EXPERIENCE/QUALIFICATIONS Requires Bachelor's Degree in Business Administration or related field.
Eight years of progressively advanced experience in healthcare (or healthcare related) billing and collections.
Five years supervisory/management experience.
Understanding of compliance and applicable statutory regulations for all payers.
Proficient in Microsoft Windows Excel and Word at a high level; also medical billing software.
Excellent language communication skills required, both written and verbal.
Advanced analytical and research skills.
Highly organized and able to meet deadlines; understands the urgency of account collection Maintains presentable personal appearance.
Ability to verbally communicate with all levels of management/client/staff details and understand parameters of job responsibilities.
Ability to provide written communication using best business practices when composing letters, memorandums, and e-mails regardless if the communication is internal to the Company or external with customers, payers or other providers.
Ability to read, write, with emphasis to comprehend and interpret policies, procedures, regulations and follow specific instructions in both written and verbal form.
Advanced ability to multi-task and meet deadlines in a crisis or usual environment reporting to PFS Director and or PFS management.
Must adhere to all Company safety, compliance, business ethics and privacy regulations.
Initiative required to learn company organizational procedures and industry concepts.
Is a team player and interfaces well with other departments.
Represents the company with a positive, customer friendly attitude to other employees, customers, agencies, entities and patients.
Has supervisory responsibility.
May have budget responsibility.
SALARY Base and geographical pay CORE COMPETENCIES Safe.
We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.
Efficient.
We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.
Quality.
We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.
Service.
We are dedicated to the service of our customers, our communities and each other.
BEHAVIORAL COMPETENCIES Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances.
Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards.
Initiative – Takes a proactive approach and takes action without being prompted.
Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities.