Summary of PositionThe Revenue Cycle Manager is responsible for overseeing the submission of insurance claims for multiple healthcare organizations. This position works closely with the billing/collections team to ensure that all claims are accurate and submitted in a timely manner. The Revenue Cycle Manager will also manage and oversee the billing processes, including collections, appeals, and claim follow-ups, while ensuring that day-to-day billing and operational tasks run smoothly.
Essential Responsibilities:- Oversee the submission of claims for multiple providers using Electronic Health Record (EHR) software.
- Review and post Explanation of Benefits (EOBs).
- Evaluate EOBs, identify discrepancies, and submit appeals as necessary.
- Approve timecards for team members, ensuring accuracy in hours worked and compliance with company policies.
- Generate and analyze weekly billing reports to ensure billing accuracy and timely submission.
- Oversee and coordinate the medical records department, ensuring that patient files are accurate, complete, and properly managed. plans.
- Track and monitor claim denials, identify trends, and work to resolve issues to minimize rejections.
- Use Kipu and Collab platforms to manage billing, claims submission, and medical records.
- Attend and actively participate in staff meetings and training sessions.
- Perform data entry for insurance records and medical billing.
- Maintain accurate and organized files for each insurance company.
- Track and update client files regarding insurance claims and payments.
- Ensure all medical billing operations are conducted with accuracy and efficiency
- Take on additional duties as assigned.
- Investigate and address any discrepancies related to insurance claims and payments.
- Oversee the negotiation and execution of single case agreements, ensuring payments are processed at the agreed-upon rate.
- Open and maintain accounts specifically for negotiation purposes.
- Manage the Square account, identifying and resolving any payment errors or discrepancies.
- Prepare and reconcile end-of-month reports, ensuring accuracy between insurance and patient accounts.
Education & Experience- 5 years minimum. With 2+ years as a billing manager.
- High school diploma minimum. Billing Degree preferred.
- A minimum of three years of experience billing with commercial health insurance payers.
- Experience with Kipu and Collab platforms is highly preferred.
- Demonstrated time management skills and the ability to meet deadlines.
- Effective communication and teamwork skills, with a focus on building and maintaining positive working relationships with colleagues and clients.
Required Skills/Abilities: - Ability to work independently and collaboratively in a fast-paced environment.
- Strong organizational skills with the ability to prioritize tasks and make independent decisions.
- Attention to detail and accuracy in preparing and entering claims in a high-volume environment.
- Ability to read and understand medical documentation and insurance policies.
Benefits:- Medical, dental, and vision insurance
- Life and disability coverage
- Retirement plan
- Paid sick, time off, and holidays
- Employee Assistance Program
- Professional development opportunities
- Other company - sponsored wellness or support programs
Pay: $85,000 - $95,000 per year depending on experience
Schedule: Monday through Friday on-site in Torrance.
