Summary: This position, under the direction of the Director of Revenue Cycle, will maintain revenue by establishing, implementing, and controlling all billing systems and functions. The manager will oversee revenue cycle billing audits to ensure accurate billing, collections, and posting processes are followed. This position is also responsible for supervising and leading the billing staff.
Essential Duties and Responsibilities: - Regularly reviews charging practices, protocols, and systems used for compliance to all government and corporate regulatory standards.
- Provide education on processes and procedures to assure staff comply with policies and procedures.
- Maintains issues log of findings/issues/action plans for the revenue-producing departments.
- Provides training where needed to implement action plans.
- Monitors and trends KPI data on a daily and monthly basis
- Investigate variances and resolves any issues.
- Communicate issues and resolutions to the Director of Revenue Cycle.
- Provides focus and direction to process improvement with billing functions.
- Help develops and implements training processes to improve cash collections and reduction of denials.
- Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements.
- Accomplishes billing departmental objectives by measuring billing results against plans, evaluating, and improving methods.
- Oversee management of personnel, providing recommendations for hiring, promotion, salary adjustment, and personnel action where needed.
- Establishes the concept of high-performance work teams where applicable.
- Ensures professional verbal and written communication with facilities, clients, and co-workers.
- Adhere to all company policies and procedures.
Critical Skills:- 5+ years of experience with revenue cycle audits/payment variance to include denials and/or underpayments.
- 3-5 years of people management experience-hiring, training, performance management, etc.
- Proficiency with the Microsoft Office suite of products to include Word, Excel, and PowerPoint.
- Experience improving revenue cycle processes.
- Proven leadership skills.
- Experience resolving issues and contributing to departmental development.
Educational and Experience Requirements: - Requires 5+ years of experience in billing, collections, payment posting experience combined.
- Knowledge of Commercial, Third-Party Insurance Accounts including but not limited to Medicare, Medicaid, Managed Care, HMO, PPO, Auto, and Work Comp.
- Knowledge of Rules and Guidelines governing the collection and cash posting activities.
- BA/BS in Business Administration, Healthcare, or 5+ years of revenue cycle experience in lieu of degree.
- Uses independent and critical thinking skills to achieve assigned objectives.
- Ability to organize and prioritize.
- Attention to detail.
- Ability to be accurate and timely.
- Good decision-making skills.
- Ability to maintain confidential information.
