3 Revenue Cycle Manager of Patient Accounts Jobs in Newnan, GA
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Revenue Cycle Manager of Patient Accounts
$90k-123k (estimate)
Full Time | Ambulatory Healthcare Services
2 Days Ago
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Four Winds Health is Hiring a Revenue Cycle Manager of Patient Accounts Near Newnan, GA
Manager of Revenue Cycle Operations, Georgia
Job Description
The Manager of Revenue Cycle Operations (MRCO) reports to the Director of RCM and is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost-effective manner that is in compliance with federal, state and payer-specific billing requirements. The MRCO will oversee the overall policies, objectives, and initiatives of our healthcare facilities’ revenue cycle activities to optimize the patient financial interaction along the care continuum for all WellStreet Urgent Cares within the regional footprint.
MRCO reviews, designs, and implements processes surrounding coding, billing, third party payer relationships, compliance, collections, posting and credit balance to promote optimal results. MRCO also conducts other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. MRCO utilizes key metrics related to the patient engagement cycle and revenue cycle efficiency to develop sound revenue cycle analysis and reporting and manages relations with payers / JV and providers to generate high and timely reimbursement rates, low level of denials and optimal patient experience and engaged workforce. MRCO creates functional strategies and specific objectives for the departments and develops budgets/policies/procedures to support the functional infrastructure and achieve organizational goals.
Qualifications Required
- Minimum Education: BA in Health Administration, Business, Accounting, Finance, or related field or/equivalent broad proven practical experience in hospital billing
- Required Minimum Experience: Three (3) years physician accounts receivables experience preferred
- Minimum 3 years of progressive leadership
- Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes
- Exceptional interpersonal skills for written, verbal, presentation, and computer communication required
- Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public
- Ability to read, analyze and interpret financial reports, contracts, and other legal documents
- Outstanding ability to work independently to achieve results. Often, there is no precedent for and little help in carrying out assigned tasks. Must originate, plan, adapt and invent to accomplish tasks
- Ability to set and maintain priorities when dealing with multiple demands and interruptions
- Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth
Duties and Responsibilities
- Oversee and support the daily operations of all RCM functions, including coding, billing, follow-up and collections, cash posting and credit balances to produce optimal results in KPIs including but not limited to cash collections, DSO, cost to collect and quality
- Work closely with other departments (Operations, Marketing, RMDs, IT) to streamline procedures that will help ensure correct billing to patients and payers in a timely manner, thereby expediting hospital receivables
- Oversee work schedule and changes in priorities and schedules as needed to assure work is completed in an efficient and timely manner and to improve the department’s performance and service
- Direct the selection, supervision and evaluation of staff. Ensure performance evaluations are conducted in a timely manner according to hospital policy and initiate disciplinary actions as warranted. Resolve grievances and other sensitive personnel matters
- Oversee orientation and continuing education for all staff. Ensure mandatory and relevant training is provided to staff in a timely manner
- Implement a Quality Assurance program for RCM functions and monitor staff and team performance, making changes, when required, to support accurate billing to payers and patients in a timely manner and compliance with laws and department procedures
- Establish and maintain departmental policies and procedures. Communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly. Recommend policy changes to leadership
- Assist with the development of budgets and monitoring of department operations to achieve goals within budget
- Respond personally to concerns and/or complaints expressed by patients, team members, and physicians in effort to support optimal operations and excellent customer service
- Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers
- Maintain appropriate internal controls for the safeguarding of cash
- Follow and monitor compliance with WellStreet policies and standards
- Develop, redesign, and monitor key performance indicators including payer mix, A/R, DSO, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters
- Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers
- Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers
- Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions
- Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks
- Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, and guarantors
- In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current work flow
- Reviews, monitors and recommends updates to the Clinic’s fee schedule to maintain fees at levels that maximize reimbursement
- Ensures compliance with relevant federal, state, and payor-specific billing requirements
- Regularly provides upper management with revenue cycle status including reports, metrics, and presentation
- Ensure staff is educated on new technology, goals, and contracts
- Establish a regularly scheduled revenue cycle meeting to discuss strategies and ensure everyone is educated on the direction of the department
- Any and all other projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed or indicated by Administration
Experience
Required- 3 - 5 years: Revenue Cycle
- 3 - 5 years: Supervisor/Management
- 3 - 5 years: Physician Accounts Receivables
Education
Required- Bachelors or better in Health Administration or related field
Behaviors
Preferred- Thought Provoking: Capable of making others think deeply on a subject
- Leader: Inspires teammates to follow them
- Functional Expert: Considered a thought leader on a subject
- Dedicated: Devoted to a task or purpose with loyalty or integrity
Motivations
Preferred- Self-Starter: Inspired to perform without outside help
- Goal Completion: Inspired to perform well by the completion of tasks
Job Summary
JOB TYPE
Full Time
INDUSTRY
Ambulatory Healthcare Services
SALARY
$90k-123k (estimate)
POST DATE
06/26/2024
EXPIRATION DATE
06/27/2024
HEADQUARTERS
ATLANTA, GA
SIZE
25 - 50
FOUNDED
2010
CEO
DOUG BROWN
REVENUE
<$5M
INDUSTRY
Ambulatory Healthcare Services
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