Revenue Cycle Manager

Overview

Under general supervision, is responsible for oversight of LifeLinc’s professional billing processes, ensuring the efficient and accurate billing services across multiple anesthesia facilities.  This role will involve data review, reporting and leading teams to drive continuous improvement of end-to-end revenue cycle management. The Revenue Cycle Manager will develop and manage processes that enhance operational efficiency, streamline workflows, and ensure the accuracy of all billing activities to optimize revenue to ensure follow-up and reduce claim denials.  

Responsibilities

• Implementing and/or maintaining processes to ensure that accurate and timely demographic information is entered into the billing system
• Works with coding supervisor to understand and comply with payor guidelines related to claims submission to ensure proper payment
• Review, monitor and update processes for receiving data from the facilities
• Review, monitor and update processes for claims follow-up, appeals, denials and adjustments through structuring workflow and staffing
• Serve as direct supervisor to demographics and patient account representative team leads; managing day to day duties, tasks, employee concerns and appropriate staffing levels
• Interview, evaluate and train new hires and provide ongoing training to team as necessary
• Conduct routine audits of demographics, account follow up tasks and adjustments
• Serve as a point of escalation related to account issues such as appeals, patient complaints, etc.
• Review and analyze billing data for multiple anesthesia practices
• Prepare monthly reports and dashboards for multiple anesthesia practices
• Monitor and report team productivity summaries and identify trends in practice data as necessary
• Compile revenue cycle KPIs and Ad Hoc reporting weekly RCM Meetings
• Address concerning payor trends identified through monthly reporting
• Oversee new site implementation – establishing data transfer systems, staffing, serving as a billing point of contact for the facility
• Streamline and Automate RCM processes for optimal performance
• Other duties as assigned

Qualifications

Education and experience equivalent to:

• Bachelor’s Degree required; supplemented with two (4) years’ experience in a related position (specifically in healthcare)
• 2 years of experience in managing a team
• Medical Coding or billing certification required (CPC, CBCS, etc.)
• Proficient in all Microsoft Office applications
• Detailed understanding of third-party payor policies and guidelines

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.