Revenue Cycle Manager

Description

The Revenue Cycle Manager is responsible for managing and supervising day-to-day operations for all client billing and insurance claims for the organization across multiple billing systems. Your job duties include creating reports, analyzing data, identifying lost revenue, collecting payments, and implementing revenue cycle management (RCM) strategies to minimize losses. The Revenue Cycle Manager is also responsible for all other non-medical billing and receivables.

Position Title: Revenue Cycle Manager

Department: Accounting

Hours: Full-time 40 hours/week, Monday – Friday (Exempt)

Location: Lifeworks Services – Richfield / 20% in-person

Compensation: $85k-$95k yearly

Bonus Eligible: Yes

What We Offer Employees

Lifeworks offers a comprehensive benefits package which includes:

• 18 days of PTO accrued in the first year of employment
• 11 paid holidays (New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, and a Personal Holiday)
• Medical, dental, vision, life, AD&D insurance, short & long-term disability coverage
• Health Savings Account (HSA), Flexible Savings Account (FSA), and prescription drug coverage
• Up to $3,000 annually in tuition reimbursement
• 403(b) retirement plan – Lifeworks contributes 3% of your salary and matches up to 4% of employee contributions
• Employee Assistance Program (EAP)
  
  

Why Work at Lifeworks

Lifeworks is an industry leader on the forward edge of partnering with people with disabilities in innovative, person-centered ways. Disability inclusion is our true north, guiding every service we provide and ensuring that people with disabilities have opportunities, can thrive, and defy expectations. The Lifeworks Team is collaborative, passionate, and strategic, using a person-centered approach to increase access in our communities.

You’ll Succeed In This Role If You

• Have strong analytical and problem-solving skills to research claim denials and identify root causes of errors.
• Understand medical coding, medical claims processing systems and claims processing protocols.
• Have experience with medical claim management and medical billing software systems.
• Demonstrate leadership and staff development skills and ability to establish and cultivate strong relationships, including the ability to coach and mentor employees effectively in a remote/hybrid work model.
• Can perform the essential functions of the job, with or without reasonable accommodations.
• Understand and communicate written and verbal directions.
• Are reliable, punctual, and have regular attendance necessary to meet the needs of the business.
• Are well organized with excellent attention to detail.
• Work independently with excellent time management skills.
• Work effectively with others to reach common goals and objectives.
• Can establish and cultivate strong relationships.
• Take initiative and strengthen relationships with current and new community.
• Must pass a background study with the Department of Human Services, a drug test, clean driving record and have reliable transportation to use for work driving purposes (e.g., in-office, on-site training locations, etc.).
  
  

How You’ll Be Spending Your Time

• Supervising the organization’s medical claims / Medicaid billing, collections, and other customer accounts in compliance with generally accepted accounting principles (GAAP), government and private contracts, and Health Insurance Portability and Accountability Act (HIPAA).
• Validating claims data by conducting regular internal audits to ensure overall timely and accurate adjudication, processing, and payment of claims or claims adjustments.
• Conducting routine audits, validating system data transfers into billing systems, bill rates, revenue recognized, and outstanding balances.
• Point of contact for analyzing and researching why specific customer accounts remain unpaid, working across program teams to resolve problematic claims, and when necessary, recommend uncollectible expense.
• Developing and implementing reporting methods and procedures to meet and exceed productivity, efficiency, and financial integrity across all billing systems.
• Creating and implementing department strategy by leveraging weekly aged claims reports to prioritize collections and mitigate risk of uncollectible claims. Maintain the days of sales outstanding to 34 days or less.
• Selecting, supervising, developing, motivating, and retaining accounts receivable and billing staff. Responsibilities include coaching, goal setting, career counseling, providing daily work direction, recognizing and reinforcing desired performance.
• Insuring proper segregation of duties and overall compliance with insurance and/or government contracts.
• Maintaining current understanding of medical claims processing as it relates to medical billing including Medicaid service regulatory changes, insurance contracts, and overall medical billing practices.
• Performing general ledge monthly close reconciliations for accounts receivable balances and recorded revenue.
• Participating in system changes or upgrades as a subject matter expert regarding the medical claims processing functions and suggest necessary improvements for compliance to provider requirements, efficient processing, and accuracy in claims processing.
• Working collaboratively with program services, IT, Compliance, HR, and Payroll, providing excellent customer service, improving processes and the delivery of projects and initiatives.
• Contributing to the organization's mission by complying with Lifeworks policies and procedures, using resources wisely.
• Following safety procedures and assist in identifying safety needs for self and others. Perform other duties as assigned.
  
  

Requirements

• Bachelor’s degree in healthcare administration, accounting, business, or related field with 4 years of medical claims billing experience.
• 4 years of professional, supervisor, and/or management experience.
• Proven experience billing through medical billing software(s).
• Advanced aptitude of medical coding and billing.
• Advanced skills in Excel.
• Fluent in English, verbal and written.
• Proficiency in Microsoft Office Suite.
  
  

Equity Statement

Lifeworks strives to be radically accessible, diverse, equitable, and inclusive. We appreciate the vibrancy of differences, center the voices of silenced and marginalized people, and champion universal rights.

Lifeworks Services is committed to hiring people from a variety of diverse cultures with diverse life experiences. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, familial status; genetic information, or any other characteristic protected by law.

Lifeworks Services is an equal opportunity employer, and we encourage members of diverse groups to apply.