Manager of Revenue Cycle

Job Summary

Under the direct supervision of the Director of Revenue Cycle, the Manager of Revenue Cycle is responsible for managing all billing, cash posting, and collections components for physician and facility claims. This position is responsible for leading and planning the billing, cash posting, and collections operations for the organization. Responsible for establishing, designing, implementing, and enforcing billing, cash posting, and collections policies and procedures, as well as streamlining and creating effective billing, cash posting, and collections processes across multiple provider types and facilities. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department.

Applications utilized include: Kipu, CollaborateMD, Bank Lockbox, Codify, Monday Board, Excel, Word, Power Point.

Education

• Bachelor's degree in business, finance, or healthcare related field or combination of education and 5 years revenue cycle management experience required.

Experience / Qualifications

• Understands CPT, HCPCS, ICD-10, and ICD-10 PCS coding guidelines and the use of all applicable modifiers.
• Possesses a thorough working knowledge of billing and collections requirements for various payors.
• Strong leadership skills with an ability to motivate direct reports.
• Excellent communication skills both written and verbal, and interpersonal skills.
• Previous work experience in managed care billing preferred.
• Previous experience in Medicare and Medicaid provider enrollment preferred.
• Knowledge of regulatory compliance issues, ICD-10 and CPT-4 medical record coding and UB04 and HCFA billing.
• Knowledge of RCM billing systems.
• Strong knowledge of payer reimbursement procedures and methodologies.

Position Summary

• Responsible for managing all billing and collections components per provider and facility billing, cash posting, and collections guidelines.
• Makes necessary recommendations for any changes to fees and/or billing, cash posting, and collections processes.
• Resolves issues and problems of billing, cash posting, and collections system and discusses with software analysts. Attends workshops, seminars and/or meetings on billing and collections, and accounts receivable issues as required.
• Stays current on A/R information (charges, coding, billing) and distributes new information to appropriate personnel via meetings, memos, literature, emails, and other.
• Collaborates with Billing and Collections Supervisor to perform appropriate billing and collections personnel evaluations annually, or as required, and assigns responsibility to billing and collections staff based on their skills.
• Collaborates with Billing and Collections Supervisor to hire, supervise, coach, and provide corrective and or disciplinary actions to billing and collections staff according to policies and procedures.
• Oversees billing, cash posting, and collections issues with clients, collection agency, third party payors, and others.
• Conducts weekly, bi-monthly (or monthly) meetings with billing, cash posting, and collections staff and appropriate personnel.
• Collaborates with Manager of Revenue Integrity for coding issues as they relate to billing.
• Collaborates with the Manager of Revenue Integrity for issues related to credentialing related to billing and collections.
• Works closely with IT for entry of providers in Kipu and CollaborateMD, modification of data, charge amounts, etc. as needed.
• Ensures submission of claim batch(s) daily. Conducts integrity audits to ensure compliance with billing and collections policies and procedures are followed in combination with CMS and other governing bodies’ guidelines.
• Presents month-end closing of the provider and facility billing statistics. Tracks AR statistics, provides daily reporting of AR days, balances, trends, analysis.
• Plans and implements quality assurance for all billing, cash posting, and collections processes. Staffing discussions and planning/interviews; team building as well as personnel development, staff meetings, educating team responsibilities.
• Assist with the implementation of changes and or updates of existing and new billing system; keeps relevant edits in place within the billing system.
• Maintains applications’ access and requests for staff as needed and or required. Have proven ability to perform strategic planning and priority setting for a billing department.
• Effectively uses and role models current leadership techniques and theories, encouraging the decision-making skills of staff members and providing insight and leadership in complex situations.
• Ensures that information disseminated to staff is monitored for effectiveness and changed as needed.
• Understands and enforces organizational and personnel policies and procedures. Serve on committees, teams, and work groups as requested.
• Performs other duties as assigned.

Other Responsibilities

• Performs other job-related duties as required.
• Supports the Revenue Cycle Director and other RCM Management by assisting with research of issues arising from charging, billing, documentation, and/or identified in reporting trends.
• Supports the Revenue Cycle Director and other RCM Management by presenting recommendations of QA activities geared to address specific areas of high risk in billing, cash posting, and collections adequacy and compliance.
• Assists the Director with reviewing, routing and monitoring appropriate resolution of billing, cash posting, and collections Compliance that pose risk to the company; while developing processes to prevent future discrepancies.

Additional Job Requirements

• Performs other job-related duties within the job scope as requested by Revenue Cycle Director.
• Protects confidential and protected patient health information and maintains strict confidentiality in accordance with HIPAA Laws, regulations and company policy.
• Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
• Embodies the values of the organization’s mission, vision, and goals always.
• Represents Phoenix Behavioral Health in a positive and professional fashion and makes all individuals feel as comfortable as possible.
• Conducts all business in a professional manner maintaining respect for all individuals.
• Complies with departmental and company-wide policies and procedures.
• Maintains constant awareness of potential safety hazards ensuring necessary safety precautions.
• Reads and complies with established Organization’s and Patient Accounts policies and procedures.
• Exemplifies the highest levels of quality and integrity aligned with the organization’s standards, policies and procedures.

Physical Requirements

• Minimal physical effort.
• May require some lifting - up to twenty pounds.
• Close vision, color vision, and ability to adjust focus are required.
• Moderate noise levels.
• Works in a clean, well-lighted and ventilated environment with no apparent exposure to physical hazards.

Threshold Requirements

• These threshold requirements are required and completed yearly basis
• Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation
• TB/PPD Surveillance Program
• Maintenance of required professional licensing and/or certification(s)

Licensure

• None

Job Type: Full-time

Pay: $80,000.00 - $90,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $80,000 - $90,000