Revenue Cycle Manager

About the Role
As a Partner in Wellbeing, the Revenue Cycle Manager manages the policies, objectives, and initiatives of Alluma’s revenue cycle to support achieving revenue targets and to optimize the client financial interaction along the continuum of care. Implements processes for billing, third party payer relationships, compliance, and collections to ensure that clinical revenue cycle is effective and aligns to appropriate funding sources. Tracks metrics related to receivable management, claim and denial processing, collection ratios and bad debt to develop sound revenue cycle analysis and reporting. Coordinates with internal teams, payers, and providers to generate high claim submission and a low level of denials. Manage the billing team in the day-to-day performance. Ensures that department goals are met and adheres to board approved budgets. Has full authority for personnel management. Leverages NetSuite to manage Alluma’s contracts from creation, negotiation, execution, compliance, storage, and renewals across all departments.

Essential Responsibilities
Revenue Management

• Oversee revenue analysis, management, calculations, and reporting functions monthly.
• Generate monthly metric reporting for management review.
• Manage and monitor data integrity of Alluma’s electronic health record billing matrix, create and manage services, and other EHR related administrator tasks.
• Maintain up-to-date expertise and knowledge of healthcare billing laws, rules, regulations, and developments through research and training.
• Build and maintain tools for revenue management and analysis.
• Manage the process for billing, collections management and bad debts.
• Ensure compliance with third-party billing requirements.
• Develop revenue recognition strategies to maximize Alluma’s revenue through reviewing fee schedule annually.
• Communicate billing changes in a timely manner.
• Develop, implement, and enforce billing policies and procedures.
• Recommend and implement the best business practices.
• Inform and collaborate with internal and external partners on issue resolution.

Team Management

• Set annual team and individual goals that align with Alluma’s organizational objectives and clearly communicate to direct reports.
• Provide constructive feedback and mentoring to direct reports.
• Establish base expectation with direct reports.
• Addresses any deficiencies or performance gaps in a timely and respectful manner.
• Ensure direct reports are compliant with agency policies, procedures, and standards.
• Manage and hold accountable direct reports to established and communicated KPI’s.

Contract Management

• Create, negotiate, and execute Alluma vendor contracts.
• Manage contract logistics, including but not limited to contract requests, renewal, termination, for all departments.
• Provide support for contract requestor and external stakeholders.
• Collaborate with Compliance Director to assure internal contract documents are accurate and meet regulatory guidelines.

Other

• Collaborate and participate in projects focused on process and/or technical improvements cross-functionally.
• Develop and manage to board approved department budget.
• Create and develop revenue share reports and bill out monthly PARS/DISTRICT statements.
• Assist with the annual external audit.
• Performs additional duties as assigned or requested.

Position Requirements
Required Education, Certification, and Experience
• Bachelor's degree in accounting, finance or related field required.
• 5 years of experience in healthcare billing preferred.
• 2 years of supervisory experience preferred.
• Must pass criminal background check through MN DHS NetStudy.
• Access to personal vehicle and the ability and willingness to use the vehicle in carrying out position responsibilities.
• Valid driver’s license and insurable under the agency’s automobile insurance policy.
• Free from substance use problems for a period of no less than 2 years.

Knowledge, Skills, Abilities and Other Attributes
• Strong communication Skills, Verbal and Written.
• Customer service skills.
• Relationship building and collaboration skills, including within and cross-functionally as a team player.
• Commitment to ethical behavior with a willingness to adhere to all company policies and current financial legislation.
• Leadership and employee management skills.
• Integrity and strong values.
• Adaptable and Flexible.
• Analytical aptitude.
• Organizational and time management skills with ability to multitask multiple priorities.
• Accounting and financial literacy skills
• Working knowledge of Generally Accepted Accounting Principles (GAPP).
• Technical Skills.
• Problem-Solving/Critical Thinking Skills.
• Proficient in Microsoft Office Suite, Excel, and other software.
• Able to work effectively independently with minimal supervision.
• Healthcare experience beneficial.
• Ability to understand/learn insurance guidelines, payer requirements and external systems.
• Ability to understand/learn CPT and ICD-10 coding.
• Ability to translate data into a reportable format for use by managers and leaders in making decisions.
• Ability to maintain client confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Salary : $72,900 - $97,720