Manager Revenue Cycle

Overview: Responsibilities:

• Responsible to support the daily operations of all assigned revenue cycle functions, including but not limited to billing, follow-up and collections, denial management, and coding
• Targets revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions to achieve AO performance goals
• Analyzes and identifies reimbursement opportunities in coding trends and denials. Makes recommends and implements methods for revenue optimization
• Review provider charge patterns to identify utilization trends and variances. Provide specialty specific coding education when outliers are identified. Monitor effectiveness of education
• Performs clinical and coding reimbursement assessments to ensure revenue capture. Make recommendations to provider, leadership partners, and staff
• Demonstrates skills and proficiency in analyzing and troubleshooting complex reimbursement problems
• 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
• Ensures compliance with relevant federal, state, and payor-specific billing requirements
• Regularly provides upper management with revenue cycle status including reports, metrics, and presentation
• At all times, will comply with authorizations and limits established and approved by the President & CEO and Chief Financial Officer, and in certain areas, ratified and approved by the relevant Board such as signatory authority. Through delegated authority from President & CEO and Chief Financial Officer, shall enforce administrative, financial regulatory compliance, and human resources policies
• Monitors compliance with policies, procedures, and plans, and institutes corrective action as needed, to ensure job methods are within acceptable standards for the Network.

Qualifications:

• 2 Year/Associate Degree in Finance, Accounting, Business or related field, required
  • 10 years healthcare leadership experience may be considered in lieu of education

• Minimum 5 years management experience in healthcare with evidence of progressive leadership responsibility, required
• Minimum 5 years direct experience in finance, revenue cycle, and healthcare administration, required
• Minimum 10 years extensive experience and knowledge of physician documentation guidelines, coding education trainig and auditing procedures, required

• NYS Driver's License, required
• Certified Professional Coder, required

• Adaptability
• Analysis & Evaluation
• Communication
• Computer Skills
• Critical Thinking
• Facilitate
• Negotiation
• Organizing/Categorizing Records
• Problem Solving
• Reading/Writing/Comprehension
• Self-Motivated
• Time Management

• Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met
• Occasional crouching, lifting, pulling, pushing, reaching, repetitive motion, standing, stooping, visual acuity (color, depth, perception), walking
• Frequent grasping
• Constant typing/clerical/dexterity, hearing, talking

• Occasional extreme temperatures

• Occasional Travel - The job may require travel from time- to-time, but not on a regular basis

Total Rewards:

Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:

• Paid time off, including company holidays, vacation, and sick time
• Medical, dental and vision insurance
• Life insurance and disability protection
• Retirement benefits including an employer match
• And more!

Specific benefit offerings may vary by location and/or position.

Pay Transparency Statement (Text Only): Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Min: USD $89,576.05/Yr. Max: USD $111,970.06/Yr. EEO Statement (Text Only): We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.