Revenue Cycle Manager

The Revenue Cycle Manager position is responsible to manage and track the productivity of the account team and to ensure that billing and collection activities are timely and accurate. The position supports the company’s objective of efficiently and effectively providing management, adjustments and accounts receivable balances are accurate and meet client benchmarks and expectations. In addition, the Revenue Cycle manager will review monthly reports, analyze outcomes, identify trends, and ensure timely and proactive communication to clients.

Essential Duties & Responsibilities:

• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally
• Initiate and maintains direct contact with clients, engaged in proactive resolution of issues and timely response to questions and concerns.
• Delivers timely required reports to Director; initiates and communicates the resolution of issues, such as payor denial trends, collections accounts, inaccurate or incorrect charges, vendor input and implementation.
• Meet regularly with staff; in-person and as a group to confirm the status of client accounts
• Maintain a schedule of client meetings either monthly or quarterly depending on the size and scope of client.
• Track AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure the client and company expectations are met
• Professionally interact with clients and patients to resolve questions and concerns;
• Provide training and mentoring to staff; ensure standard operating procedures (SOP) are followed and improvements occur
• Stay current with company’s policies and procedures regarding AR activity such as, reviewing month end reports to guarantee the AR is below agreed levels over 90 days, identifying trends
• Analyze reports to determine when, how and why decrease in clients’ AR; includes denials, unbilled, credit issues; holds; communicate with client and staff to resolve
• Review work performed by outside vendors for accuracy and production
• Analyze and address staff performance, conduct and other problems in a timely and professional manner, offering counseling, correction and discipline as appropriate
• Maintain standardized operational workflows to ensure efficiencies, quality outcomes and maximized revenue
• Effectively use developed dashboard reporting to maintain and use to demonstrate performance
• Perform period reviews to mentor and give constructive feedback to improve performance
• Handle and manage internal staffing issues as regards time clock, time-off, covering workloads, training and answering questions on subordinates’ duties and responsibilities
• Effectively use standard issue tracking tool to be used in agendas, minutes and as a historical reference of issues resolved and decision agreed upon with client
• Other duties as assigned

Requirements:

• Extensive knowledge on use of CRM; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts, Epic.

• Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment. Strong leadership and ability to delegate and provide direction
• Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations.
• Multi State Operation experience
• Telemedicine experience preferred
• Working knowledge of NCQA and other regulatory requirements
• Able to utilize, pivot, and reconcile data between multiple software platforms
• Experience in direct administrative or customer service support to healthcare providers

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Job Type: Full-time

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• HEDIS: 1 year (Preferred)
• MSO: 1 year (Preferred)
• Healthcare RCM: 5 years (Preferred)

Work Location:

• Fully Remote

COVID-19 Precaution(s):

• Remote interview process