Revenue Cycle Manager

Trillion Health is looking for a talented, dynamic, and passionate leadership candidate to assist in the continued growth and development of our locally owned clinics. Trillion Health is a specialized clinic focusing on women’s health and gynecology, hormone disorders, and medical aesthetics.

At Trillion Health, we strive to be the women's health experts. Every day we open the doors to invite women of all ages to take an active role in their health and wellbeing not only by treating medical issues and conditions but educating along the way.

What you can expect:

A culture that is fast paced and evolving to be our best. An organization that values your opinion and ideas; and allows you to make an impact within the company, community, and the lives of our patients. Trillion Health strives to be the experts in what we do, and to be forward thinking in all areas of women’s health. The perfect candidate will be committed to the growth and success of the organization and has the experience, drive, and ability to play a pivotal role in developing Trillion Health as the leader in women’s health.

Job Description:

This position is in office Monday through Friday, 8am to 5pm. You will be responsible for managing the revenue cycle process, teams involved, and other areas of need within the organization. In this position, you will play a key role in reviewing and analyzing medical billing and coding for processing. This position will require daily coding, patient and insurance AR management in addition to leadership duties related to document management of patient records such as filing, copying, and faxing documents, as well as performing data entry. There will be some prior authorization work. The candidate must have strong leadership qualities, a good working knowledge of basic office equipment, and strong phone and computer technology skills. They are expected to multitask and adequately problem solve while providing quality service and maintaining a positive relationship with patients and staff.

Principal Duties and Responsibilities:

• Posting of office all charges.
• Performs coding and coding overview activities to assure accurate completion of coding for all patient records.
• Analyzes medical records for completeness of documentation with direct communication to providers for clarification on any incomplete or conflicting documentation.
• Analyzes electronic and paper claims and rejections for potential issues that delay claim production; look for and identify opportunities to optimize work flow and processes to improve the patient and employee experience.
• Analyzes claims daily to make sure payer specific billing requirements are met on a routine basis for all electronic and paper claims.
• Works directly with the providers to correct any documenting deficiencies.
• Keeps current on all coding related regulations, standards, guidelines, industry trends.
• Educates physicians, clinical staff, and other necessary parties on changes to coding standards and regulations and promote proper documentation practices.
• Interacts and follows up with healthcare providers and staff on all communications related to coding, i.e, changes to policies and changes to codes.
• Monitor rejections on all electronic and paper claims to determine where enhancements or fixes are needed in system edits to gain efficiencies and to prevent ongoing rejections.
• Miscellaneous other tasks may be assigned at any given time.
• Develops, analyzes, plans, implements, and follows up on quality improvement processes to increase productivity and efficiency of department operations and resource management.
• Prepare and print customer invoices by gathering details on insurance payment towards ancillary services.
• Keep detailed and organized documentation on all findings and recommendations.

Requirements:

• 2 years of leadership in a clinic setting
• Medical billing and charge posting experience required.
• 2 years of coding experience with GYN or family practice experience preferred
• Proficient in CPT and ICD-10 codes.
• Independent problem solving skills.
• Certified Procedural Coder, certified through AAPC preferred but not required.
• Has a contagious and positive work ethic, inspires others, and models the behaviors of Genuine, Caring, and Friendly.
• Through genuine and positive communication, makes each customer feel informed, understood, and important.
• Positive, motivated, efficient, team player.
• Excellent ability to communicate, follow up, and keep organized.
• Ability to multi-task and work well under pressure.
• Strong knowledge of email composition and communication.
• Knowledge of computer software, and the ability to learn billing software, and electronic medical records required.
• “Can-do” attitude, enthusiastic to lend a hand and support other team members.

Benefits:

We believe in valuing our team, creating a cohesive culture, and creating a work environment that makes our team more successful.

• No call
• Competitive salaries and benefits available including health, vision, and dental
• Flexibility and balance with PTO accrual
• Appreciation and recognition with opportunities for growth and development
• 401K Option for both Part-time and Full-time

Job Type: Full-time

Pay: $41,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• What is your expected salary?

Experience:

• Revenue Cycle: 2 years (Preferred)

Work Location: In person