Within Surgical Notes RCM, our teammates play a critical role. The Manager, Revenue Cycle - Billing will oversee, enhance, and maintain a properly functioning revenue cycle process through staff development, work integrity and team performance. The Manager, Revenue Cycle 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.

Internal Title: US RCM Manager

External Title: Manager, Revenue Cycle

Reports to: Senior Manager, Revenue Cycle

Duties/Responsibilities:

• Provide optimal customer service to both our clients and internal team
• Track and communicate key metric measuring billing key performance indicators
• Meet tight deadlines
• 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
• Review billing for clients by reviewing and resolving billing queries, confirming the billing team resolved the answers to previous days’ queries, QA for problematic/high priority cases for charges entered, HST hard post transactions, submission of posted charges via Waystar, paper/Waystar, paper/non Waystar, and Fax
• Manage Waystar rejections and fix COB errors
• Ensure billing rules are kept current and followed
• Reconcile unbilled cases against PAS on a minimum of a weekly basis
• Complete end of month duties
• Review the unbilled report by sharing the client unbilled report weekly and review the unbilled report daily for discrepancies or issues
• Responsible for the forward to billing queue weekly.
• Maintaining regular open communication with coding department
• Maintain communication and escalate issues as needed to Senior Manager
• 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.

Job Requirements:

Required Knowledge, Skills, Abilities & Education:

• Minimum of Associate's Degree in Healthcare Management, Business Management or related field
• 3 years of experience in ASC, Hospital management, or with other healthcare provider revenue cycle operations
• 3 years of management experience in revenue cycle managing either people or projects
• 3 years of experience in billing
• 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
• Working knowledge of all major payers including workers’ compensation and automobile
• 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
• Ability to work independently and as part of a team
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism
• Excellent organizational skills
• Outstanding communications skills; both verbal and written

Preferred Knowledge, Skills, Abilities & Education

• Minimum of Associate's Degree in Healthcare Management, Business Management or related field
• 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 ambulatory surgery center
• Bachelor's Degree in Healthcare Management, Business Management or related field
• Strong Microsoft Office skills in Excel, Outlook, and Teams

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
• Speaking and listening on a telephone
• 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