JOB TITLE: Revenue Cycle Manager

REPORTS TO: Chief Financial Officer

EMPLOYEE CLASSIFICATION: Full Time,Exempt

QUALIFICATIONS:

• Bachelor Degree in Business Administration, Health Care Administration or related field required. Medical coding certification is preferred.
• Functions with minimal direct supervision.
• Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties.
• Must demonstrate an above average ability to communicate effectively both orally and in writing.
• Must be familiar and experienced within the Urgent Care and Free Staffing ER setting.

JOB SUMMARY:

The Revenue Cycle Manager manages all functions of the organization’s billing and revenue cycle to maximize cash flow while maintaining and improving internal and external customer relations. This position is responsible for ensuring that patient billing and processing of payment receipts are consistently completed timely and in accordance with policy. This position will coordinate effective management of revenue cycle activities across the organization to include, but not limited to front desk, providers, billing and collections team, patients advocate and corporate staff. Will act as a liaison between the entity and the billing vendors.

Duties Performed

• Supervise biller/coders, FSRs and PSRs.
• Ensure accuracy of deposits, demographic and other information entered into the patient billing system
• Participate in program/service evaluation activities; facilitate changes in provision of service based on Continuous Quality Improvement results.
• Compile and prepare various status reports for management in order to analyze trends and make recommendations.
• Monitor data integrity for the practice management system. Report problems to the CFO or other appropriate personnel in a timely manner.
• Provide monthly report on the status of credit balances and the status of outstanding charges
• Monitor gross charges to determine the potential need for an update to the fee schedule on at least an annual basis.
• Coordinate with the Practice Managers to stay current on credentialing issues, especially in the case of new providers, with an emphasis on scheduling mainly self-pay patients for the new providers until they are credentialed with third party organizations.
• Actively participates in and complies with all aspects of the NHFHS Corporate Compliance Program, follow the Program Code of Conduct and obey all relevant laws, statutes, regulations and requirements applicable to Medicaid, Medicare and other State and Federal health care programs.
• Monitor volume of charge and collection posting on a monthly basis to confirm that Billing Specialists are keeping up with patient encounter volume. Recommend and/or implement changes to work schedule, as needed, when work flow in the Billing Department is significantly behind.
• Responsible for ensuring the timeliness of processing and correction of rejected claims.
• Maintain rosters of Managed Care patients for all plans which have been active within the two most recent calendar years.
• Monitor coding practices among providers to determine potential patterns of under coding or other irregularities.
• Keep Billing Specialists up to date on third party coverage contracts, assuring that current contractual terms are understood and applied correctly.
• Establish and maintain a regular process for follow up on patient accounts which are pending approval for third party coverage.
• Maintain current information for billing and collections processes for each third-party carrier in a Billing Manual.

Job Type: Full-time

Pay: $75,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• Medical billing: 5 years (Required)

Ability to Relocate:

• Dallas, TX 75201: Relocate before starting work (Required)

Work Location: In person