Anesthesia Revenue Cycle Manager

CHI Memorial Mountain Management Services 

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 

Adoption Assistance

Paid Time Off (PTO) 

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

JOB SUMMARY / PURPOSE
The Revenue Cycle Manager will be responsible for the backend Revenue Cycle processes specific to only Anesthesia
Billing for CHI Memorial Medical Group. The departments the manager will oversee directly are: Coding, Charge Entry, Insurance Follow Up, Payment Posting, Refunds, Customer Service, Bankruptcy and Financial Assistance. The manager
will work closely with Information Systems as it pertains to the billing system of GE Centricity and later EPIC, Credentialing team, Payer Strategies for JOC calls, RCM Analyst and CSH National Coding team. The manager will also
ensure coding education and billing feedback is given to the Anesthesia providers for the medical group to ensure proper billing practices, quality documentation and best practices for RCM are followed specific to anesthesia billing.
This position will be considered a matrix structure, with direct reporting to the Market Director of RCM operations but also oversight will be provided by the Division Manager of HIM/Coding/Billing.

ESSENTIAL KEY JOB RESPONSIBILITIES
● Follow and/or develop as directed the appropriate and effective performance metrics / goals and staff
requirements for areas of responsibility to run with efficiency, accuracy and outstanding coding, denial
management, payment posting, credit balances and customer service.
● Communicate goals and expectations for quantity and quality measures to all team members.
● Monitor staff performance through quality assurance audits and review of productivity reports.
● Provide direction and monitor performance to ensure compliance with all confidentiality policies and
procedures relating to HIPAA for both patients and staff.
● Manage workflow of personnel, to include the schedules of team members to meet the department’s needs.
● Develop training programs and materials for all functions within the department specific to anesthesia billing.
● Ensure all audit tools are used and audits are completed in a timely manner on all business functions that are
overseen by the manager. Works closely with the RCM Analyst for auditing tools, policies and procedures.
● Ensure all new staff are properly on-boarded and necessary training provided.
● Initiates coaching, counseling, and disciplinary action in a timely, fair and consistent manner according to Human
Resources policies.

● Interviews and provides recommendations for hiring quality staff according to Human Resources policies; Plans
and ensures orientation of new employees according to Department protocol, as demonstrated by employees
being productive and accurate by end of probationary period.
● Recommends associates to be recognized/rewarded for superior job performance or excellent service;
● Provides annual and quarterly evaluation of team members utilized the RCM Scorecard procedures, being
objective, fair and consistent with MMS expectations; initiate and communicate work improvement plan when
appropriate, wherever improvement is needed;
● Communicates changes in philosophy, goals, procedures, plans and activities of the Department and
Organization to the staff in a timely and positive manner.
● Maintain time and attendance records.
● Ensures any functions within the department are completed that may be required due to staffing shortage to
ensure all activity is complete at month end close.
● Assist in any outside audits and the follow-up of outstanding issues.
● Organize and facilitate weekly team meetings and daily huddles.
● Manages all coding functions with strong attention to lag time, correct anesthesia billing practices and auditing
of staff and providers. Works closely with the National Coding/Billing team and operations to ensure best
practices are followed.
● Manages all denials related to anesthesia billing. Strong knowledge of insurance, denial codes and trends
specific to anesthesia. Ensures denials are worked in a timely manner and KPIs are met for AR days.
● Provide trending reporting for all areas that are overseen. Evaluate data to find areas of opportunity for
improvement in denials, adjustments, credit balances and other areas. Is able to report this in summary fashion
to Market Direct and stakeholders in weekly to monthly cadence as needed. Works closely with RCM Analyst for
support.
● Looks for ways to improve service and introduce new work procedures that saves time, effort, and money.
● Assesses a patient's financial ability to pay an account and recommends actions which will maximize payment
according to department guidelines, to include Financial Assistance Program as well as Budget Plans.
● Reviews Bankruptcy, Budget and Deceased Accounts Receivable to ensure compliance with policy guidelines.
● Ensures appropriate approval and adjustment for financial assistance according to department, state and federal
guidelines.
● Develops alternative collection plans to improve overall collections when appropriate.
● Monitor credit balances for appropriate and timely refunds. Maintain and report on credit balance aging. Ensure compliance with Unclaimed Property policy.
● Review handling of returned checks, statements and credit card disputes.
● Review collection queues for adherence to policy and effectiveness of effort.
● Coordinate activity with outside collection agencies; handle retractions from Agency and monitor collection
agency activity; approve monthly activity invoices for payment.
● Conduct end of day reconciliation of deposits and payment posting.
● Ensure all unassigned payments are reconciled, resolved prior to month end.
● Meet and communicate with clients in the market routinely and upon request regarding billing and collections.
● Utilize payer websites relative to all backend billing functions such as denials, posting etc.
● Manage and maintain all relevant back end and coding work queues, conducts periodic reevaluation for volume,
aging and balance due.
● Reports to Director of Revenue Cycle as to status of registration issues, denials, system issues, cash goals,
posting backlog, reconciliation issues, self-pay accounts receivable aging, customer service, collection agency
performance, and any department issues in a timely manner.
● Serves as a liaison between Director – Revenue Cycle and team members. Provide positive communication and
feedback to the teams.
● Reports any issues identified to the appropriate department.
● Demonstrates competency in computer skills required to function on MMS and Patient Accounts computer
systems and Microsoft Word and Excel; Provides Productivity and Goal Charts and Graphs as needed; Expresses
thoughts and ideas one-on-one and in various CBO teams; Ability to communicate effectively and positively with
peers, practices, and team; Exercises good listening skills.
● Develops and maintains smooth, cooperative working relationships with others.
● Participates in professional development activities to keep current with trends and practices in health care cash
management and customer service
● Keeps current on changes in billing system and requirements of third party payers.
● Is flexible; copes successfully with a variety of situations, personalities, and the changing work environment.
Deals effectively with stressful situations.
● Other duties as assigned.

Required Education 

Minimum of 3 years leadership experience specific to anesthesiology
coding, billing and backend Revenue Cycle processes. Preferred CPC,
anesthesia focus.

Bachelor’s degree preferred.

Required Minimum Knowledge, Skills and Abilities

• 7-10 years of progressive experience in Learning
Development or related discipline.
• Extensive experience and demonstrated success developing,
designing and executing Revenue Cycle teams.
• Excellent oral and written communication skills, be
comfortable communicating with all levels of the organization,
and demonstrate ability to clearly present information to both
large and small groups of people.
• Excellent interpersonal skills with the ability to maintain good
working relationships with employees and management at all
levels; effectively coach and counsel for development and win
the trust of others.
• Demonstrated strategic thinking skills and the ability to
translate strategic ideas into tactical implementation.
• Self-motivated with the ability to coach, encourage and
motivate people.
• The desire to work in a highly collaborative environment.
• Strong Program Management experience.
• Leadership coaching experience.