Demo

Medical Billing and Revenue Cycle Manager

I Am Boundless, Inc.
Columbus, OH Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 4/25/2025

Job Description

Job Description

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

    Standing and / or walking

    Near visual acuity >

    Use of electronics (i.e. computer, tablet) >

    Manual dexterity >

    Use of office equipment (i.e. copier / scanner) >

    Sitting >

    Verbal communication >

    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.

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