Revenue Cycle Manager, OPA Lake Otis - Anchorage, Full-Time

The Revenue Cycle Manager is an exempt position reporting directly to the Director of Revenue Cycle Management.

The position requires the individual to have a positive, personal rapport with RCM leadership and its staff. This individual is responsible for reporting progress and benchmark indicators to the Director of Revenue Cycle Management on a monthly basis and is responsible for the day-to-day operations of all Revenue Cycle Department processes.

Ideal Attributes

• Strong interpersonal communication skills (phone, written, verbal)

• Strong servant leadership skills

• Ongoing technical education in RCM processes and systems

• Strong leadership skills to help motivate employees and help grow a team environment

Essential Job Responsibilities

• Support OrthoAlaska's mission and values by exhibiting the core organizational behaviors

• Work closely with RCM Director to assure expectations for the department are met

• Develop and update new employee training guides

• Maintain reasonable volume of unapplied credits and timely refunds from DOS

• Responsible for the success of the department by weekly or bi-weekly one-on-one meetings with staff members

• Manage staff overtime

• Demonstrate competency in working in teams and the ability to effectively communicate at all levels

• Participate in the hiring process for the billing department and ensure new employees are trained, developed and are contributing members of the team

• Meet with RCM Director monthly to collaborate as well as review month-end reports, and all other items, concerns as needed

• Enforce company's credit and collection policies, making recommendations for improvement as needed

• Responsible for the development and leadership of assigned team members, including quarterly reviews (QCC), ensuring staff are given regular feedback

• Plan and direct departments within RCM to ensure accurate patient billing and efficient account collection by overseeing:

• Timely claims submission

• Payment posting by ensuring the postings are accurate and closed within 48 hours of payment receipt

• Pre-authorizations and provider notifications and ensuring they are timely, and documentation is accurate

• Coding and auditing to ensure processes are in line for accurate coding

• AR follow-up department, ensuring outstanding AR is followed up on a timely basis with proper appeals to expedite payment of claims

• Financial counselors, responsible for face-to-face communication with patients when questions arise regarding balances owed

Knowledge and Skill Requirements

• Strong knowledge of NextGen billing system (both EHR and EPM).

• Strong knowledge of revenue and employee management

• Strong knowledge of billing and coding rules for health care

• Strong knowledge of healthcare payer contract compliance concepts and standards

• Proven experience in billing, coding, fee schedule evaluation, and regulatory compliance

• Knowledge of CMS guidelines for DME billing

• Intermediate-level skills with Microsoft Excel

• Ability to navigate payer websites and interpret payer fee schedules

• Ability to manage hybrid staff working in multiple states as well as on-site

Required Qualifications

• Minimum of five (5) years medical office management and leadership experience that includes Revenue Cycle Management processes

• Experience with medical coding

• Familiarity with Drug Code Units and ASP calculations

• Bachelor's degree in health care management or business; experience may substitute for degree when combined with Associate Degree relevant to management or equivalent

Candidates meeting the above skills and qualifications and desiring to be part of a patient-centered, professional environment are invited to apply.

Core Competencies

- Synergy: Through collaboration & continuation improvement

- Empathy: Through compassion & patient-centered care

- Integrity: Through trust & ethical accountability

- Optimization: Through operational efficiency

The mission of OrthoAlaska, Orthopedic Physicians Alaska division is to provide the finest orthopedic surgery and musculoskeletal care in North America through quality, patient-centered care. Each of our physicians and surgeons works in concert with a certified orthopedic surgical physician assistant and other staff to provide patients an individualized care-team experience. Currently, we have offices in Anchorage, Wasilla, and Eagle River.

Employees enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk-in, and rheumatology clinics, an imaging center, athletic training and physical, occupational and massage therapy.

OPA values quality, patient-centered care, personal fulfillment through continuous improvement, team development, and community service. We welcome applicants who embrace our same core values and possess a daily renewed attitude of excellence.

OPA benefits include health and dental insurance, life and disability insurance, 401(k) and profit sharing, as well as paid time off.