What are the responsibilities and job description for the Manager, Revenue cycle position at Aurora Health Care?
Major Responsibilities
Manages and coordinates accounts receivable functions to ensure efficiency and maximum reimbursement. Analyzes processes to identify payer issues, results and progress, and implements plans for improvements.
Assists in ensuring compliance with contracting agreements and governmental regulations.
Provides systems guidance along with operation level understanding and direction. Assists both users and systems development staff with design, evaluation of controls, development of procedures, user training, and conversion.
Acts as a liaison with insurance companies, government agencies, hospital departments, physicians, patients and/or their responsible parties.
Assists in development and implementation of new services and programs.
Develops and administers policies and procedures to accomplish department-specific and organizational initiatives.
Utilizes key performance indicators to analyze processes to streamline workflow design operations, improve quality, service and revenue cycle performance.
Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business
Stays current with all regulations and standards to ensure compliance with governmental regulatory agencies and third- party payers.
Licensure, Registration, And/or Certification Required
None Required.
Education Required
Bachelor's Degree (or equivalent knowledge) or related field
Experience Required
Typically requires 5 - 7 years of experience in Revenue Cycle Billing Operations with a minimum 3 years in a supervisory role managing staff, budgets, reimbursement and receivables management.
Knowledge, Skills & Abilities Required
Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service, relationship building, diplomacy, and conflict resolution.
Strong interpersonal, communication and organizational skills.
Ability to interact and positively influence at all levels of the organization to impact change
Demonstrated knowledge of managed care contracts and/or government billing/payment regulations
Demonstrated proficiency in the Microsoft Office Suite or similar products and in patient and billing systems. Epic experience highly desired.
Demonstrated skills in financial and statistical analysis necessary to examine patient accounting activities and detect/resolve any related issues.
Demonstrated ability to effectively manage claims processing, accounts receivable, billing audits, medial audits, and coding functions.
Ability to deal and work effectively across departments and in matrix organizational structures.
Strong negotiating skills.
Strong oral and written communications skills as well as proven presentation skills .
Physical Requirements And Working Conditions
This position is remote, but may require travel, therefore, will be exposed to weather and road conditions.
Operates all equipment necessary to perform the job.
Exposed to a normal office environment.
DISCLAIMER
All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.
Manages and coordinates accounts receivable functions to ensure efficiency and maximum reimbursement. Analyzes processes to identify payer issues, results and progress, and implements plans for improvements.
Assists in ensuring compliance with contracting agreements and governmental regulations.
Provides systems guidance along with operation level understanding and direction. Assists both users and systems development staff with design, evaluation of controls, development of procedures, user training, and conversion.
Acts as a liaison with insurance companies, government agencies, hospital departments, physicians, patients and/or their responsible parties.
Assists in development and implementation of new services and programs.
Develops and administers policies and procedures to accomplish department-specific and organizational initiatives.
Utilizes key performance indicators to analyze processes to streamline workflow design operations, improve quality, service and revenue cycle performance.
Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business
Stays current with all regulations and standards to ensure compliance with governmental regulatory agencies and third- party payers.
Licensure, Registration, And/or Certification Required
None Required.
Education Required
Bachelor's Degree (or equivalent knowledge) or related field
Experience Required
Typically requires 5 - 7 years of experience in Revenue Cycle Billing Operations with a minimum 3 years in a supervisory role managing staff, budgets, reimbursement and receivables management.
Knowledge, Skills & Abilities Required
Demonstrated leadership skills including project management, process improvement, problem-solving, decision making, prioritization, delegation, team building, customer service, relationship building, diplomacy, and conflict resolution.
Strong interpersonal, communication and organizational skills.
Ability to interact and positively influence at all levels of the organization to impact change
Demonstrated knowledge of managed care contracts and/or government billing/payment regulations
Demonstrated proficiency in the Microsoft Office Suite or similar products and in patient and billing systems. Epic experience highly desired.
Demonstrated skills in financial and statistical analysis necessary to examine patient accounting activities and detect/resolve any related issues.
Demonstrated ability to effectively manage claims processing, accounts receivable, billing audits, medial audits, and coding functions.
Ability to deal and work effectively across departments and in matrix organizational structures.
Strong negotiating skills.
Strong oral and written communications skills as well as proven presentation skills .
Physical Requirements And Working Conditions
This position is remote, but may require travel, therefore, will be exposed to weather and road conditions.
Operates all equipment necessary to perform the job.
Exposed to a normal office environment.
DISCLAIMER
All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.
Salary : $44 - $66