Revenue Cycle manager

About the Company:

Our client is a rapidly growing FQHC / non-for-profit organization who are looking to add a Revenue Cycle Manager to their team. They have enjoyed incredible growth in the last few years' and are seeking a candidate with a FQHC background in a similar role to join their team as they continue their expansion.

Reasons to Work Here:

• Strong medical / dental / vision – Blue Cross Blue Shield
• High growth organization
• Working closely with senior management
• Strong PTO
• Free dental and vision
• Early finishes on a Friday – 36 hour working week

The Revenue Cycle Manager manages the policies, objectives, and initiatives of the organizations revenue cycle activities to achieve revenue targets and optimize the patient financial interaction.

Job Description

• Implements processes for admissions pricing, billing, third party payer relationships compliance and collections ensuring clinical revenue cycle is effective and properly utilized.
• Track metrics related to patient engagement cycle including record coding errors rates and building turnaround times to develop sound revenue and reporting.
• Coordinates internal team payers and providers to generate high reimbursement rates and a low level of denials.
• Owns the provider credentialing and the provider enrollment and contracting process with third party vendors ensuring MRHC entity and providers are enrolled with commercials payers and MCO’s.
• Actively participate in problem-solving and troubleshooting issues, implementing, and documenting solutions for team to follow. Delivering high-quality support and service to end-users.
• Maintain and manage the revenue cycle/scheduling system workflows including documenting policies, procedures, and methodologies implemented in support of changes or enhancements.
• Serve as the liaison between organizational needs and ECW implementation staff.
• As needed facilitate meetings with team members and clinic leadership to review the status of deliverables, shared issues, end-user concerns, budget, and upcoming milestones.
• Maintain regular communication with ECW representatives or other EHR vendors.
• Collaborate with ECW representatives, EHR vendors, leadership, and end users to ensure the system meets clinics business needs.
• Drives all collections from inception to completion.
• Submits billings to appropriate insurance providers ensuring accurate and timely claim processing.
• Prepare, post and record patient payments and transactions to accounts receivable.
• Achieve maximum reimbursement for services rendered.
• Follow up with unpaid encounters for collections.
• Conduct Medicaid and Medicare reviews.
• Other duties as assigned.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance.

• Bachelor’s degree or the equivalent.
• Minimum of 4 years’ experience in revenue cycle management as an individual contributor.
• Effective leadership skills and ability to motivate and inspire a team to deliver exceptional service.
• Technical skills- strive to continuously build knowledge, skills, accuracy, and thoroughness.
• Teamwork- contributes to building a positive team spirit.
• Must possess excellent oral/written communication skills and the ability to prioritize and complete tasks.
• Must possess excellent project management and organizational skills.

Additional Qualifications:

• Adaptability/flexibility – Demonstrated ability to be flexible with respect to changing end-user business needs.
• Critical thinking – Ability and willingness to see things in an open-minded way and examine an idea or concept from as many angles as possible.
• Dependability – Ability and willingness to take ownership of work activities and ensure that they are completed in an accurate, efficient, and timely manner.
• Initiative – Ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others.
• Listening – Active listening skills, listening attentively to ensure that the intended message has been accurately received, holding responses until the person has finished making their point, and repeating information to ensure accuracy.
• Problem Solving – Ability to proactively seek out solutions by logically examining, and interpreting information from various sources to determine a problem’s cause and develop a course of action to resolve the problem and prevent future occurrences.

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Revenue Cycle Manager
Revenue Cycle Manager
Revenue Cycle Manager
Revenue Cycle Manager
Revenue Cycle Manager
Revenue Cycle Manager