Revenue Cycle Manager

Company Description: City Creek Post Acute is a 5-Star Medicare Facility located in Sacramento, CA. We have a team full of great, hardworking individuals who have contributed greatly to the culture and care provided at our facility. As part of the Kalesta Healthcare Group family, we are supported by a progressive organization committed to clinical excellence, employee development, and delivering outstanding patient outcomes. We're looking to add a motivated and hardworking Revenue Cycle Manager to join our team! Apply if interested!

Pay Rate: $80,000-$100,000 Per Year

Job Description:

Revenue Cycle Manager (RCM)

DEPARTMENT: Administration

POSITION:

Under the direction of the Administrator, the Revenue Cycle Manager (RCM) is delegated the administrative authority, responsibility and accountability necessary to carry out assigned duties. The primary result of this position is accurately billing and timely collecting of all funds while meeting facility goals, while maintaining highest ethical standards.

REPORTING:

This position is responsible to the Administrator.

FLSA STATUS: Non-Exempt

Qualifications and Requirements:

Education: High School graduate or equivalent

Work Experience: Background in billing in a Skilled Nursing Facility (SNF), knowledge of Medicare/Medicaid, HMO billing processes. Accurate keyboarding, calculating and computer ability is necessary.

Language Skills:

• Must be able to read, analyze, and interpret common scientific and technical information, and to be easily understood through verbal communication in the English language.

Mathematical Skills:

• Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to perform these operations using units of weight measurement, and volume.

Communication Skills:

• Must have exceptional communication and customer service skills, and be empathetic.
• Ability to effectively communicate with patients, families, responsible parties, staff and outside resources and agencies.

ESSENTIAL JOB FUNCTIONS:

• Submit claims accurately and timely, according to each payor type for which responsible
• Confirm that each billing has been received. Confirmation method varies with payor type, but may include confirming on-line or calling.
• Grow and develop the Revenue Cycle Assistant (RCA).
• Maintain daily census, make bank deposits, determine and verify patient status period, patient file maintenance and statements
• Ensure verification of patient payment status, Medicaid certs, CWF
• Ensure computer TAR file, monthly reauthorization TARs to facility; maintain unbilled list; record receipt of
• Medicaid certs. Monitor for receipt of timely approvals
• Process Notice of Action DHS 6114 and bill
• Ensure submission Medicaid claims to appropriate office, handle claims inquiries
• Part A and B co-insurance listing and billing.
• Process all ancillary invoices including verification of timely payments
• Run and review monthly analysis reports, as required
• Audit therapy logs and invoice
• Attend management meetings
• Billing of other charges – central supply, personal items and hair care
• Process refunds promptly
• Monitor and/or complete Medicaid application process for initial and manual redeterminations
• Process all pay types of billing
• Oversee collections on all accounts receivable
• Handle completion of required procedures for end of month closing
• Handle accounting functions of the resident trust account

Job Type: Full-time

Benefits:

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

Experience:

• Medical billing: 1 year (Preferred)
• Skilled Nursing: 1 year (Preferred)

Work Location: In person