What are the responsibilities and job description for the Revenue Cycle Billing Manager position at Mountain Park Health Center?
Brief Description
This role will be accountable for managing the billing day-to-day tasks assigned to the Revenue Cycle team. This includes managing and setting priorities for all Mountain Park Health Center’s Revenue Cycle third party partners, if applicable. This includes front end registration processes, insurance eligibility verifications and authorizations, billing, denials, and collections. This position requires a thorough understanding of the accounts receivables process, and specifically, knowledge of the billing and collection process. The position requires an in-depth knowledge of revenue cycle duties, detailed analysis, technical working knowledge of EHR system, customer service skills and a keen awareness of Mountain Park Health Center’s mission to provide affordable healthcare. This position reports directly to the Revenue Cycle Systems Director.
Essential Functions
Minimum Qualifications:
This role will be accountable for managing the billing day-to-day tasks assigned to the Revenue Cycle team. This includes managing and setting priorities for all Mountain Park Health Center’s Revenue Cycle third party partners, if applicable. This includes front end registration processes, insurance eligibility verifications and authorizations, billing, denials, and collections. This position requires a thorough understanding of the accounts receivables process, and specifically, knowledge of the billing and collection process. The position requires an in-depth knowledge of revenue cycle duties, detailed analysis, technical working knowledge of EHR system, customer service skills and a keen awareness of Mountain Park Health Center’s mission to provide affordable healthcare. This position reports directly to the Revenue Cycle Systems Director.
Essential Functions
- Organizes, plans, audits, and oversees all business/financial related activity.
- Manages workflow, performance, and overall department operations achieving expert care, superb service, and maximum physician/staff productivity.
- Manages and oversees the day-to-day functions of the department and delegates responsibilities and manages business operations.
- Coaches, counsels, and develops employees.
- Manage Revenue Cycle Management processes to maximize reimbursement from 3rd party insurers.
- Develop and maintain processes to research, analyze, and report on ways to maximize revenue.,
- Analyze billing reports to identify gaps, losses, and address trends.
- Maintain payor fee schedules within EMR and clearinghouse software.
- Partner with eCW and CAT teams to lead continuous systems improvement to drive maximization of revenue streams; including special projects, cyberattacks and system upgrades.
- Manage bill coding and documentation.
- Manage appeals and denial of claims and payments.
- Manage annual and compliance audits.
- Performs other duties as required.
Minimum Qualifications:
- Bachelor’s degree in finance, accounting, or a similar field 3 years managing the revenue cycle of a healthcare organization similar in size 5 years of healthcare industry experience.
- Knowledge of receivables software, billing platforms, and EHR systems.
- FQHC experience with eClinicalWorks – EHR system