Revenue Cycle Manager

Company Overview

Family Practice of Grand Island is dedicated to providing patient-focused healthcare that combines modern medical practices with the core values of empathy, respect, and compassion. Our mission is to foster healthy families and communities through strong partnerships with our patients.

Summary

JOB SUMMARY:

The Revenue Cycle Manager will work closely with the Clinic Administrator, and other members of the leadership team to ensure Family Practice of Grand Island provides appropriate patient care and revenue cycle operations while maintaining compliance with state, federal, and local regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

· Supervise and evaluate job performance of all business office personnel including front desk receptionists, switchboard operators, medical records personnel, patient accounts, coders, and billers.

· Develop and manage work schedule for business office personnel, and provide necessary cross-training, to ensure regular business operations are adequately covered.

· Hold regular department meetings with business office personnel.

· Work with the Human Resources Director to hire and retain business office employees.

· Develop orientation and training protocol for newly hired business office personnel, and promote continuing education for business office personnel.

· Assist and educate providers on insurance and coding updates as needed.

· Assist and educate nursing and lab personnel as needed.

· Develop and maintain department policies and procedures and establish key objectives.

· Manage and audit financial reports, evaluating accounts receivable, collection rates, guarantor balances, coding and insurance trends, etc.

· Provide guidance to necessary personnel, based on data analyzed, to maximize clinic revenue.

· Assist Clinic Administrator in reviewing payor contracts.

· Manage provider credentialing and enrollment.

· Update and manage the clinic fee schedule.

· Ensure the clinic is receiving appropriate reimbursement per payor contracts.

· Stay abreast of the most up-to-date regulations including but not limited to those with CMS, HIPAA, and the Cures Act. Also, ensure office personnel are complying with such regulations, and implement processes to ensure compliance as needed.

· Work with IT technician to troubleshoot general IT issues, and provide support as needed.

· Other duties or specialty jobs as assigned.

EDUCATION AND TRAINING REQUIREMENTS:

· Associate’s degree in business administration, health administration, or related field required.

· Bachelor’s Degree preferred.

· 3-5 years of supervisory experience preferred.

• Experience working with CPT, ICD-10, and HCPCS codes.
• Affluent with Microsoft office products, specifically Excel.
• Experience working in an EMR.

OTHER SKILLS AND ABILITIES:

• Familiarity with quality incentive programs, and coding requirements to close care gaps.
• Desire to provide mentorship to staff, and educate others.
• Ability to perform with frequent interruptions and/or distractions.
• Respond appropriately to changing situations.
• Ability to establish and maintain working relationships with co-workers.
• Possess an understanding of accounting principles.

WORK ENVIRONMENT: Possibility of exposure to biohazard materials and bodily fluids.

Job Type: Full-time

Pay: $65,000.00 - $90,000.00 per year

Benefits:

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

Schedule:

• Monday to Friday

Work Location: In person

Salary : $65,000 - $90,000