RCM Billing Manager

RCM Billing Manager- Florida Cardiovascular Partners

Full Time- Monday- Friday, 8am-5pm

**This position is fully in office in Stuart and Tradition, FL**

The RCM Billing Manager is responsible for directing and coordinating the overall functions of the medical billing and coding department to ensure maximization cash flow while improving patient, physician, and other customer relations. Requires strong managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports.

Duties and Responsibilities

• Manage and optimize revenue cycle for the entity ensuring accuracy and efficiency.
• Supervise, train, and provide ongoing support to team leads, medical billers and billing department staff.
• Provide performance oversight for all billing specialists to ensure productivity is monitored for volume and quality and ensure timely feedback and documentation completed.
• Analyze and implement process improvement ideas to drive KPIs forward.
• Track, trend and monitor core KPIs to support a high performant Florida Market RCM performance
• Compile and analyze billing data to generate monthly and year-end reports and support financial projections.
• Oversee the setup, maintenance, troubleshooting, and user access of billing software.
• Act as a point of contact for billing inquiries, resolve discrepancies, and communicate with patients and providers.
• Ensure timely claim submission and accurate payment posting from both patients and third-party payers.
• Analyzes trends impacting charges, coding, collection and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
• Manage relations and performance of RCM vendor to ensure timely AR collections.
• Acts as a liaison between Operations Leaders and Credentialing vendor to secure payer enrollments timely for all new onboarding providers.
• Keep up to date with carrier rule changes and distribute the information within the practice by attending seminars/webinars.
• Provide excellent customer service at all times in a friendly and courteous manner

Requirements and Qualifications

• High school diploma or equivalent.
• Medical Billing/Coding - minimum recent 5 years’ experience required.
• Management – minimum recent 3 years’ experience required.
• Working knowledge of CPT, ICD-10 codes, HCFA 1500, HIPPA, billing and insurance. regulations, medical terminology, insurance benefits and appeal processes.

Knowledge, Skills, and Abilities

• Knowledge of medical billing and coding
• Knowledge of Utilization Management sites (i.e. eviCore, AIM, RadMD, Navinet)
• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.
• Proficient with Allscripts and NextGen Practice Management and EHR.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.
• Finger dexterity to perform duties such as typing or writing.
• Ability to speak and hear.
• Must be able to lift up to 15 pounds at times.

Expectations

• Provides exceptional customer service to our patients.
• Exhibits professionalism and ethical behavior at all times.
• Maintains strict confidentiality of patient and business information.
• Maintains OSHA and HIPAA regulations.
• Works as part of the CPPA team and treats everyone with respect, courtesy and friendliness.
• Adheres to all policies and procedures for our organization.
• Recommends improvements to policies and procedures to management.
• Participates in committees, discussions and other team functions.