Manager, Revenue Cycle Management at Urgent Team

Urgent Team is looking for a Manager of Revenue Cycle Management to join our corporate office in Nashville, TN (Green Hills).  This is a hybrid role, requiring at least two days per week in the office after completing training onsite.

JOB SUMMARY:
The Manager, Revenue Cycle Management, reporting to the VP or Controller, is initially responsible for interfacing and managing the current outsourced revenue cycle company including, a small existing internal company staff, and monitoring, interfacing and managing the current outsourced company to optimize their effectiveness. Concurrently, the Manager, along with an outside consulting firm, will begin the planning process to internalize a revenue cycle company; leading to supervising revenue cycle staff, processes and technology that support multiple locations and all payers. The Manager, Revenue Cycle Management will develop and manage policies and procedures to optimize all facets of revenue cycle operations to ensure staff compliance as well as provide cross-functional leadership that facilitates an effective operation of the entire end-to-end revenue cycle process. Responsible for oversight of the revenue cycle to optimize reimbursement and ensure achievement of the company’s financial targets.

KEY RESPONSIBILITIES:
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned.
• Functions as a change agent; leads the enterprise-wide development and implementation of revenue cycle strategies that are optimal and consistent with best practice processes in healthcare.
• Provides support and information to the clinical staff with regards to health information with the goals of optimizing revenue and promoting billing compliance.
• Assesses and responds to current and future internal and external healthcare trends to establish and ensure the necessary direction for the revenue cycle activities.
• Ensures that revenue cycle goals including A/R days, cash and bad debt are delivered.
• Coordinates and enhances the development of data collection, analysis, and reporting processes for management of the revenue cycle, including information integrity validation and interpretation.
• Serves as the financial interface and expert between the billing, IT, and clinical teams.
• Aides and prepares year-end audits with public accounting firms and third-party auditors as it relates to revenue cycle operations.
• Maintains a collaborative, supporting relationship with management across the company and encourages direct reports to ensure integration of processes that will achieve optimal patient and financial outcomes.
• Participates directly in completion of various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables, cost center productivity and strategic plans for the department.
• Attends monthly Revenue Cycle Steering Committee Meetings, participates in revenue cycle, denial management, charge master, coding and access management meetings.
• Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.
• Ensures correct and timely claim submissions to primary and secondary payers.
Ensures effective accounts receivable and denials management, including reporting/ accountability and resolution.
• Ensures all collections are complete, timely and accurately posted into customer accounts using electronic clearinghouses.
• Monitors and manages department staff productivity with key metrics and makes timely adjustments when/where needed.
• Analyzes and reviews billing requirements to maintain and improve clean claim rate submission and acceptance, bad debt reduction on a percentage basis and reducing AR > 90 days.
• Monitors and manages accounts receivable aging reports keeping collection percentages and cost-to-collect within industry standards.
• Ensures complete, timely and accurate delivery of recurring tasks and month-end reporting functions.
• Practice and adhere to the Code of Conduct, Mission and Valued Behaviors.

SUPERVISORY RESPONSIBILITIES:
Oversee revenue cycle team

WHAT'S REQUIRED?
• Bachelor’s Degree in Finance, Accounting, Economics or related field preferred
• Minimum of 5 years of proven, progressive experience in healthcare receivables management including experience in a complex healthcare delivery system. Experience with urgent care billing is ideal and preferred, but not required.
• A proven ability to build a successful team by identifying, recruiting, developing, and retaining world-class talent at all levels of the organization while inspiring a team environment that cultivates success, develops talent, and fosters open communication.
• Expert understanding of billing governmental entities and commercial insurance.
• In-depth understanding of healthcare financing, strategy, community benefit and charity care.
• Ability to build effective relationships throughout all levels of the organization by demonstrating strong interpersonal skills.
• Experience in managing vendor partners, including understanding of contracts, ability to negotiate and manage quality operations through metrics and SLA’s.

BENEFITS INCLUDE:
• Competitive Salary
• Medical, Dental, and Vision Options
• Retirement savings plans
• Paid Time Off
• and MORE!

ABOUT URGENT TEAM:
The Urgent Team Family of Urgent Care & Walk-in Centers, an “on-demand” healthcare company, was created to provide quality, affordable and, convenient walk-in medical and telemedicine service in suburban neighborhoods, rural towns, and mid-size cities across the Southeast.

All of our 85 centers are have achieved the Urgent Care Association Accreditation, the highest level of distinction for an urgent care center. UCA Accreditation demonstrates an organization’s overriding commitment to safety, quality and scope of services. Additionally, 17 centers are designated Rural Health Clinics, which provide access to primary care services for patients in rural communities.

Based in Nashville, TN, the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands: Ascension Saint Thomas Urgent Care, Baptist Urgent Care, Washington Regional Urgent Care, Huntsville Hospital Urgent Care, Physicians Care, Urgent Team, Sherwood Urgent Care, and Baptist Health Urgent Care.