FIN - Revenue Cycle and Billing Manager

CCI Health Services’ mission is to deliver high quality, accessible care to our community members, leading the way to a more equitable health care system for everyone.

KEY FUNCTIONS & RESPONSIBILITIES:

• With help of the CFO, transform Central Billing Office (revenue cycle department) into a Super Bowl-caliber team:
• Supervises hires, and orients billing staff; assigns work, develops work schedules, and instructs in proper billing procedures (including account management, communications with insurance providers, collections, cash posting, contract analysis, and billing).
• Revises departmental billing processes/procedures; monitors staff performance and provides feedback; ensures staff is obtaining adequate billing information; provides the opportunity for associated billing training for staff.
• Works with billing management and accounting personnel to ensure accurate/timely submission of claims and timely collections, reporting, and reconciliation between billing and accounting systems.
• Calculate and analyze trends in revenue, payments, adjustments, and denials.
• Reports on visit and payor mix trends
• Prepare and present monthly revenue cycle report to management, adjusting report with most pertinent data.
• Facilitates, coordinates, and effectuates contract relationships with payers, including contract negotiations.
• Reviewing financial hardship applications.
• Review the overall billing cycle and make recommendations to obtain more accurate and efficient billing information.
• Performs research and analysis of receivables to identify opportunities for improvement and initiate process improvements in collaboration with other stakeholders, working outside silos,
• Participates and coordinates receivable and revenue cycle aspects of the annual audit to ensure timely finalization of audit, with positive and constructive outcomes,
• Conduct regular meetings with staff. Assures that staff expectations are consistent with the goals/vision of Finance to be a Super Bowl caliber team.
• Provide consistent communication to the Chief Financial Officer, ensuring that informational reports and materials are provided.
• Will provide other duties as assigned by the Chief Financial Officer.

MANAGER RESPONSIBILITIES:

• Supervises hires, and orients billing staff; assigns work, develops work schedules, and instructs proper billing procedures.
• Development and revision of departmental billing processes/procedures; monitors staff performance and provides feedback; ensures staff is obtaining adequate billing information; provides an opportunity for associated billing training for staff.
• Responsible for supervision of staff scheduling: paid time off, time clock management, and timesheet submission to payroll.
• Conduct regular meetings with staff. Assures us that staff expectation is consistent with the goals of CCI- Finance.
• Ensure that each staff member understands their job description, the desired results associated with their work, and the resources available to achieve the results.
• Ensures that all annual performance evaluations are completed by due dates.

EDUCATION AND EXPERIENCE:

• Bachelor’s degree in accounting, finance, business administration, healthcare administration, or related field.
• Experience in Federally Qualified Health Centers a must.
• Experience with eClinicalWorks
• Proficient in all Microsoft Office applications as well as medical office software.
• Proven experience in healthcare billing.
• Sound knowledge of health insurance providers.
• Strong interpersonal, organizational, and negotiating skills.
• Excellent customer service skills.
• Ability to work in a fast-paced environment.
• Ability to work on-site is an essential duty for this position.

WORKING CONDITIONS:

• Prolonged periods of standing, bending or working at a desk on a computer.
• The ability to lift (up to 15lbs) is required.