Job: Revenue Cycle Manager

Job Description

Job Type: Full time, Hourly

Wage: $40.60 - $48.90/hr.

Location: Salida, CO.

Job Description

HRRMC's Patient Financial Services Department has an opening for a full-time (40 hrs/week) Billing Manager. This position is eligible for our full benefits package including: medical, dental and vision insurance, employer matching retirement plans, paid time off accruals, employee gym, and flex spending account.

Apply on line: www.hrrmc.com 

This position Manages the Billing for the SHC’s, the CAH, Patient Financial Counseling and accounts receivable. Provides management, supervision and direction to staff to ensure maximum cash flow, and maintain low receivables for the department. Provides supervision and direction to ensure that services provided meet the needs of the clinic and hospital customers through timely and accurate billing and collection of accounts. 

This position is eligible for $3000.00 Sign on bonus with a two year commitment. taxable relocation assistance is available.

ESSENTIAL DUTIES PER AREA OF RESPONSIBILITY

1. Manages, Supervises, and performs, the collection and adjudication process of physician billing revenues for the company by performing billing and collection and accounting activities necessary to ensure positive cash flow and to maintain the days of revenue accounts in receivables at or below the target level. Manages the operations such that a positive and professional image is maintained with third party payers, clinic and hospital providers while maximizing cash flow. Manages the electronic process that include, but are not limited to: claims submission, payment posting, eligibility and insurance verification, electronic funds transfers and management of self-pay accounts including balances following insurance payment. Ensures all transactions are HIPPA compliant.

2. Manages, Supervises, and performs, the Physician coding process handled internally and externally keeping current with rules, guidelines, and regulations with CMS.

3. Manages personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Develops work goals and objectives for the department in accordance and alignment with company goals; provides leadership, measures and feedback and motivation for staff achievement of departmental goals. Improves departmental operations by developing personnel skills, analytical skills and technical knowledge among direct reports and staff.

4. Keeps leadership well informed by communicating status and potential problems of each area of responsibility. Analyzes data, prepares reports and makes recommendations. Assures customer satisfaction. Decreases patient complaints and increases patient satisfaction by developing a well-trained staff that maintains a high level of quality, executes good business practices, and creates effective problem solving.

5. Provides Director of Patient Financial Services with detailed analysis of all account over 60 days where payor denies claim at 90 days and all other accounts over 90 days. Detailed report includes: status of claim and actions taken to resolve with timely filing.

6. Authorizes check requests for patient and 3rd party payor refunds for the Physician Billing system credit balances.

7. Ensures company compliance with current regulatory requirements. Reviews, assesses and updates policies and procedures to ensure regulatory standards are maintained.

OTHER DUTIES

• Able to evaluate payor remits for accuracy in accordance with payor guidelines
• Able to audit Medicare and Medicaid laws and regulations on billing, and common terms and clauses of insurance contract language
• Strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications, the ability to create spreadsheets to analyze and present data
• Actively participates in the HRRMC Organizational Strategic plan.

SUPERVISORY RESPONSIBILITIES As directed by the CM and to the extent desired by the CM, carries out supervisory responsibilities at Central Billing Office described herein and accordance with the organization's policies and applicable laws.

Responsibilities include maintaining daily work flow through selection, training, evaluating, controlling employees; planning, assigning, and directing work; addressing complaints and resolving problems.

Requirements

All offers of employment are contingent upon the successful completion of a negative drug screen test*, criminal background check, reference checks, infection prevention procedures (COVID vaccination, or approved religious exemption test, Flu Shot, immunization records, etc.), physical capacity profile and acknowledgement of policies.

EDUCATION and/or EXPERIENCE

• Bachelor’s degree or Associates degree in accounting or equivalent experience in managing receivables for a multi facility health care organization preferred.
• Requires extensive knowledge and understanding of provider contracts and billing processes normally acquired in (3) years of progressive responsibility in the collection and processing of health care receivables.
• Strong knowledge and understanding of healthcare planning as normally demonstrated through three years of credentialing and/or process management and operations experience
• Experience in interacting with physicians and allied health professionals, their office staff and hospital personnel
• Substantial previous related work experience in physician billing or hospital billing
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements as well as applicable professional and performance standards.
• Ability to manage multiple competing priorities in a chaotic, demanding environment.
• Ability to focus on priorities, complete goals meet deadlines.
• Understanding of medical terminology, and a broad understanding of medical insurance laws and guidelines, insurance policies and coverage types, physician billing procedures and payment policies
• Must have 95% or better accuracy rating
• Effective team working skills and the ability to meet deadlines and productivity standard

**Disclaimer: The duties and responsibilities described above are not a comprehensive list and additional tasks may be assigned to the employee, time to time; the scope of the job may change as necessitated by business demands. Click “View Application” below for more detail on this specific job.