Revenue Cycle Manger

Revenue Cycle Manager The individual is directly responsible for the integrity and stewardship of the revenue cycle for the health center. This individual will develop and implement all policies and procedures relating to the health center's patient billing and collections operations to ensure maximization of cash flow. This position supervises patient accounts staff within the Finance Department. Duties & Responsibilities Establishes and monitors standards to ensure the integrity and quality of data throughout the revenue cycle Ensures compliance with regulations in billing and collections policies through payer news bulletins and program updates, research of changing environments, and other policy changes to summarize and disseminate the information Compile and analyze information identified via reports in eClinicalWorks (ECW), ECW Business Objects, Excel analysis tools, or other platforms for current and/or potential billing issues specific to outstanding receivable and denial management Onboard, train, and support staff to promote retention and growth of team Works to ensure that daily team operations flow smoothly; to include, but not limited to daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations Participate in meetings with Payers, internal departments, and EClincialWorks, etc. to address trends in denials or unprocessed claims Review fee schedules and other payer requirements to ensure compliance Oversee insurance enrollment of facilities and providers with insurance plans to ensure maximum reimbursement Works in collaboration with external peers and internal leaders for guidance and reorganization of workflow to ensure business needs are met Handles client/patient issues that include but are not limited to unhappy patients/callers and client contacts that may require additional system or technical knowledge Assist in practice management system and documentation related training and problem solving Manages systems to improve collection rates and reduce claim touches Plans work schedules and assigns work to staff to ensure adequate service and coverage Promote the mission, vision and values of the organization in all interaction Report to work as scheduled Other duties as assigned Qualifications The ability to establish and maintain effective working relationships with other leaders, providers, patients, employees, and public is critical in this position. The individual must possess a strong knowledge of intake and registration process and insurance billing systems, knowledge of current insurance billing practices, problem solving skills and ability to work without constant supervision. Education and/or Experience Bachelor's degree in Management, Healthcare Administration, or related field preferred; Individuals with an Associate's Degree and extensive relevant worked experience may be considered. Supervisory experience is required along with exceptional communication skills. Minimum 3 years' experience in outpatient billing and coding; experience in primary care and dental billing preferred. Experience in accounts receivable management in a Health Center setting is preferred.

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