Manager of Revenue Cycle

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

Deliverables

Scope of Position & Technical Competency -:

• Oversee Central Business Office (CBO) for all aspects of Revenue Cycle. Functional areas include billing, collections, denial management, payment integrity, cash posting and insurance verification.
• Manage and control the billing process, including timelines of billing, collections, and systems management.
• Research and resolve inquiries involving billing discrepancies, client account status, adjustments, etc.
• Acquisitions: implementation of joining company policies and procedures into a steady flow of parent company protocol.
• Collaborate with the VP Revenue Cycle to report profitability of claims by insurance payers.
• Communicate with Senior Management concerning insurance, therapists, clients and or vendor concerns and difficulties.
• Reports on receivables status as required.
• Implement internal controls, create and mandate policies and procedures to ensure consistency and standardization for automated billing process in all offices.
• Review and document processes to maximize efficiencies of team tasks.
• Responsible for interviewing, hiring, evaluations and discipline up to and including promoting or discharging.
• Prepared daily, weekly, monthly and year end reports.
• Communicate with Site and Program Directors concerning any program changes or new programs at facility level.
• Direct contact with the insurance provider representative whenever there are claim disputes such as contract issues, non-par, large rejections, etc.
• Oversight of vendor relationships.
• Participated in payer’s meetings whenever required.
• Other Duties as deemed necessary
  
  

Technical Competencies

• Accuracy of mathematics
• Ability to work with multiple internal and external clients.
• Ability to set priorities and meet deadlines
• Knowledge of local, state and federal regulations related to billing of insurance claims
• Knowledge of contracts and agreements and payer sources
• Knowledge of rate setting process
  
  

Education, Experience

Qualification: Bachelor’s degree required

6-10 years of experience and expertise in healthcare revenue cycle including staff management.

Must possess extensive knowledge of revenue cycle systems, functions, policies and procedures

Must Knowledgeable About Medicare/Medicaid And Other Governmental Regulations.

Must have a proven record of identifying process improvement opportunities.

Experience with, insurance claims, denial and appeal processing, including ICD-10, CPT, HCPC codes, and UB and 1500 claim forms.

Proficiency with all Microsoft Office applications.

Job-related Behavioral Characteristics

Demonstrates professionalism, leadership, confidentiality, strong social communication skills, time-management, organized. Must possess skills to communicate effectively and interact well with people of diverse backgrounds.

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards For Full-Time Positions

• Medical, Dental, and Vision Insurance
• Flexible Spending Accounts
• Life Insurance
• Paid Time Off
• 401(k) with Company Match
• Tuition Reimbursement
• Employee Recognition Programs
• Referral Bonus opportunities
• And More!
  
  

Want to know more?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.