Revenue Cycle Manager

SUMMARY/OBJECTIVE:

The Revenue Cycle Manager will help our communities thrive through the organization and management of activities and staff related to professional service billing, collections, payment posting and account resolution.

RESPONSIBILITIES/DUTIES:

• Manages the effectiveness and efficiency of the billing and collection activities including denial management and account resolution; payment posting and bank account reconciliation coordination.
• Establishes and monitors productivity standards; ensures staff is equipped with training materials and ongoing education related to process and technology.
• Develops and analyzes Key Performance Indicator (KPI) reports to identify trends; manages work plan associated with process improvement activities.
• Oversees quality assurance activities to monitor the accuracy and timeliness of billing, collections and posting activities.
• Work closely with other departments related to the revenue cycle process to streamline procedures to achieve the effectiveness and efficiency of the revenue cycle management function
• Conducts weekly meetings with direct reports and monthly departmental meetings with the staff and clients
• Maximize cash flow by streamlining functions related to claim submission, account resolution and payment posting.
• Ensure Client and Patient satisfaction by preserving and proactively improving relationships with both internal and external customers.
• Continually seek opportunities to increase customer satisfaction and deepen client relationships.
• Continuously improve performance through optimizing the revenue cycle management system
• Hold regular status meetings with team.
• Effectively communicate relevant Information to supervisor.
• Resolve and/or escalates issues in a timely fashion.
• Set and manages business expectations.
• Develop lasting relationships with personnel that foster ties and maintain cohesive work environment.
• Compile with and help to enforce standard policies and procedures.
• Understand limitations and propose alternatives / workarounds.
• Conducts weekly meetings with direct reports and monthly departmental meetings with the staff and clients
• Support in other areas as assigned

KNOWLEDGE, SKILLS & ATTRIBUTES

• Management experience in practice medical centers is a must.
• Understanding of the healthcare industry relative to the organization, financing, and delivery of health care services and how they impact physician group practices.
• Strong interpersonal and communication skills with the ability to interact with people at all levels.
• A management style that emphasizes teamwork, participation, communication, and a service orientation.
• Skilled in management processes, production, and people.
• Knowledgeable in developing and launching new production improvements, product testing, and quality assurance methods.
• Knowledgeable in methods to assure compliance with all procedures and policies concerning all areas of quality, regulatory management.
• Knowledgeable and Proficient in Microsoft office: Outlook, Excel, PowerPoint, Word, Visio sufficient to maintain documents, prepare spreadsheets, perform analytics including charts and graphs and craft presentation material.
• Ability to multitask, problem-solve and respond with a sense of urgency in a fast-paced environment.
• Ability to communicate effectively, both oral and written, and build and maintain collaborative working relationships with internal and external stakeholders.
• Ability to demonstrate self-directed and self-motivated work style.
• Ability to navigate through tough decisions and deadlines with a sense of urgency and confidence.
• Ability to resolve disputes.
• Ability to develop and articulate strategic plans, objectives and forward-thinking approach to new ideas and changes.

REQUIRED EDUCATION/EXPERIENCE:

• Preferred Bachelor’s degree in Finance, business, or healthcare administration.
• 5+ years of professional experience in revenue cycle management; with at least 3 years of direct management responsibility, proven track record managing staff productivity and quality.
• Understand and demonstrates knowledge of revenue cycle processes, AR aging and follow up.
• Experience with; medical, health, clinical, Behavioral Health oriented products.
• Experience with eClinicalWorks, NexGen, Athena, Allscripts products is a big plus.

ESSENTIAL FUNCTIONS:

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

ENVIRONMENT:

The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work)

PHYSICAL DEMANDS:

Sedentary- Exerting up to 10 lbs. of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Frequently: 46-100%

• Stooping, Kneeling, Crouching, Fingering, Grasping, Talking, Hearing, Repetitive Motion, Sitting.

Occasionally: 16-45%

• Reaching, Standing, Walking, Pushing, Lifting, Driving

VISION:

The worker is required to have close visual acuity to perform an activity such as: viewing a computer terminal and extensive reading.

 

EEOC DISCLOSURE:

Salience Health / Salience TMS Neuro Solutions is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.