Job DescriptionWhat you will be doing in this role:The Revenue Cycle Client Services Manager oversees and manages client relationships with Physician Billing Services (PBS) in all areas of the Revenue Cycle. Coordinates responses to client concerns/issues effectively with the PBS Management team. Duties include:
- Coordinates all on-boarding activities related to the revenue cycle for new providers including but not limited to: understanding of services to be provided, charge documents, EMR and Practice Management system set up, workflows for charge capture identified and documented, time of service collection process, and client expectations.
- Has a good understanding of services provided by the client and how these services are accurately billed to payers.
- Functions as the primary point of contact for the client to front-end revenue cycle issues and helps streamline business operations as they relate to the revenue cycle. Works collaboratively with coding/compliance departments to ensure providers are receiving appropriate training and feedback.
- Works in close partnership with the operational management team and all PBS departments in order to be proactive in assuring successful charge entry, resolution of accounts receivable and patient satisfaction.
- Guides and participates with appropriate PBS management team members in conducting "special projects" as requested by the client.
- Participates in monthly management meetings to organize, coordinate and enhance service functions and provides monthly Client Activity Summaries and Progress Reports to Executive Management.
- Maintains regular communications with Coding Department to monitor APCs and resolves subsequent coding issues.
- Supports Operations as appropriate in calls or face-to-face meetings on behalf of clients to resolve reimbursement issues with difficult payers.
- Handles in a professional and confidential manner all correspondence, documentation, and files Personnel Management. Responsible for managing personnel, including the preparation of employee performance reviews; job interviewing and hiring; determination of raises, promotions, transfers, and terminations.
- Manages daily activities, including determining specific employee work assignments. Reviews employee activities for completeness, accuracy, and effectiveness, adjusting staff workload and/or monitoring staff productivity.
- Counsel's employees regarding work, attendance, etc. as appropriate, and within departmental guidelines analyses reports on, and provides recommendations for billing, collection, and accounts receivable results, such as A/R aging, volumes and trends.
- Recommends Epic system changes as appropriate, documents monthly trends for the key performance indicators of aging days, charges, revenue, denials trend and quality reviews. Includes analysis of these trends and action plans for resolution, as appropriate.
- Understands trends and issues affecting collections for overall divisions as well as specific physicians; compiles research and reports for director and physicians accurately and timely.
- Prepares and delivers oral and written presentations to PBS Director and client, keeps employees advised of client issues and concerns. Communicates in a clear, effective, and timely manner.
- Attends monthly or quarterly meetings with Departmental Managers and Supervisors to discuss client progress. Works closely with other Supervisors and Managers to resolve issues identified during report analyses, and to decide upon future plans of action.
*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*
QualificationsRequirements:A minimum of 5 years of hands on medical (physician) billing experience, with full understanding of all aspects for pro-fee revenue cycle including reimbursement and A/R management or the equivalent required.
A minimum of 5 years of experience and a working knowledge of CPT and ICD-10 coding, as well as State and Federal regulations and guidelines required.
High School Diploma or GED required. Bachelor's degree in healthcare, business management, finance, economics, hospital administration or a related major preferred.
