Revenue Cycle Manager

Description

GENERAL STATEMENT OF DUTIES 

Under general supervision from the Controller, the Revenue Cycle Manager is to develop, coordinate and manage the Business Office functions, including credentialing with third party payers, sliding fee scale eligibility and revenue cycle management duties. 

GENERAL DUTIES

(This list may not include all of the duties assigned.)

1. Act as a liaison between the outsourced billing / coding company and management to ensure revenue collection is maximized.
2. In collaboration with the front office supervisor, train and monitor the patient registration function to ensure front office staff are entering all required patient financial information accurately and timely. 
3. Oversee provider and facility credentialing with third party payers and maintenance of organized files and a credentialing progress grid. Report current credentialing to the outsourced billing company and management.
4. Provide oversight of all billing compliance (Family PACT, Enhanced Care Managements, etc.)
5. In collaboration with the CFO, review and initiate third-party payer contracts
6. Research, launch and implementation of new billing opportunities
7. Foster a positive, customer service-oriented work environment.
8. Complete various special projects, which require reviewing and analyzing information, identifying problems, recommending solutions and providing status reports.
9. Review internal policies and procedures and recommend updates and changes as needed.
10. Lead activities in quality improvement.
11. Participate as assigned in interdepartmental quality improvement team efforts; and contributes to overall Community Health Center efforts in quality improvement towards higher-quality, more cost-effective health care for patients.
12. Supervise the billing staff
13. Ensures sliding fee scale applications and renewals procedures are compliant with HRSA grant requirements and company policies.
14. Provide oversight of the fee schedule.
15. Perform management functions, including review and approve employee timesheets and submit on a timely basis. 
16. Enforce prior approval of employee overtime. 
17. Conduct performance evaluations, progressive discipline and approve vacations and time off ensuring adequate coverage in the department. 
18. Maintain a positive tone and provide structure and guidance to the staff supervised to ensure training, development and concerns are adequately addressed.

The salary range for this position is $75,000-105,000 annually. 

Qualifications

MINIMUM QUALIFICATIONS

1. Minimum 3 years in a revenue cycle management role
2. 3 years of FQHC billing oversight
3. High School Degree
4. Proficiency in the use of a computer, knowledge of Microsoft Office, Excel and ability to master in-house computer systems.
5. Ability to perform job with reasonable accommodations.

DESIRED EXPERIENCE

1. BA in business
2. Certified Professional Coder
3. California specific experience

Salary : $75,000 - $105,000