What are the responsibilities and job description for the Medical Billing and Revenue Cycle Manager position at I Am Boundless, Inc.?
Summary/Objective
The Manager of Revenue and Reimbursement oversees the revenue cycle, ensuring efficient billing, collections, and financial reporting. This role involves managing a team, optimizing processes, reconciling accounts, and collaborating with internal and external stakeholders to support the organization’s financial health.
Essential Functions
Revenue Cycle Management:
•Manage and oversee all aspects of the revenue cycle to ensure efficiency and compliance.
•Monitor collections to ensure timely and appropriate reimbursement of services delivered.
•Maintain and update reports on unpaid reimbursements, ensuring proper follow-up and regular updates to the Director.
•Oversee month-end close processes, ensuring all services are billed, payments are posted, and accurate revenue entries are submitted to the Finance Team.
•Ensure understanding and efficient setup of processes for new funding sources or revenue streams.
Financial Oversight and Reporting:
•Collaborate with the Director of Revenue and/or Accountant to oversee the revenue portion of financial statements.
•Reconcile all accounts receivable general ledgers monthly in coordination with the Director of Revenue and/or Accountant.
•Provide accurate and meaningful financial information to internal and external customers and auditors.
•Assist with financial audits as needed.
Team Leadership and Performance:
•Monitor and evaluate the work and performance of direct reports, addressing issues as needed.
•Conduct annual performance reviews for direct reports.
•Provide training to various levels of management on monitoring services to meet budgetary guidelines.
Billing and Collections Optimization:
•Streamline accounts receivable processes to improve efficiency and accuracy.
•Conduct quality assurance audits within the billing department to ensure timely and accurate billing.
Cross-Functional Collaboration:
•Act as a liaison between Program Management, Finance, and Payers.
•Meet regularly with department Directors to discuss collection issues and opportunities for improvement.
Technology and Process Improvement:
•Maintain strong knowledge of the organization's billing software and ensure its effective use.
•Identify innovative ways to improve the accounts receivable processes for greater efficiency.
- This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Other Responsibilities
- Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc.
- Other duties as assigned.
Supervisory Duties
This position supervises the Accounts Receivable Supervisors and other assigned department employees.
Education, Skills, Experience and Requirements
-Bachelor’s degree or minimum 5 years of experience in revenue cycle with a focus on medical billing
-Preferred: At least 2 years of supervisory experience.
-Proficient in computer skills, including spreadsheets and word processing tools, with the ability to quickly learn new software programs.
-Knowledge in NextGen Software a plus
- Driver’s license and insurable driving record, if applicable.
Competencies and Attributes
Financial management
Problem solving/analysis
Results driven
Ethical conduct
Technical capacity
Customer/client focus
Detail oriented
Flexibility
Physical Demands/% of time
Lifting and carrying up to 20lbs <25%
Standing and/or walking <25%
Near visual acuity >75%
Use of electronics (i.e. computer, tablet) >75%
Manual dexterity >75%
Use of office equipment (i.e. copier/scanner) >75%
Sitting >75%
Verbal communication >75%
Work Hours: Typically Monday through Friday from 8 am to 4:30 pm. Flexibility is expected depending upon work demands, which may require other work hours or more time per day.
Travel Requirements: Travel is rare, but primarily local during the business day, although some out-of-the-area and overnight travel may be expected on occasion.
