Revenue Cycle Manager

Looking for a highly talented Revenue Cycle Manager for the Dallas, TX at prestigious health system. Earn between 80-90k based on experience with the ability for additional bonuses/incentive programs!

RC management position responsible for directing and coordinating the overall functions of the Revenue Cycle department including responsibility for a team of staff within a designated area(s) of the department. Areas may include Billing, Collections/Denials, Cash Posting, Refunds, or other areas as the department expands. Continuously monitors and directs processes that will improve patient, physician, and other client relations. Requires strong leadership, and business office skills, including critical thinking and the ability to audit current procedures to improve efficiency.

Primary Duties and Key Responsibility Areas

• Oversees the operations of the department, day-to-day supervision, direction, and training to a team of direct reports
• Partners with the Director RCM to ensure appropriate staffing levels and balance of workload for the team and participates in the hiring process.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
• Must understand the entire accounts receivable process and serve as a resource of knowledge and guidance for the department.
• Drives standardization of accounts receivable processes including proper documentation, distribution and communication.
• Analyzes trends impacting charges, coding, and clean claims submission and take appropriate action to realign staff and revise policies and procedures
• Prepares and analyzes accounts receivable reports, weekly and monthly financial reports. Collects and compiles accurate statistical reports
• Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Understands and remains updated with current coding and billing regulations and compliance requirements
• Audits current procedures to monitor and improve efficiency of charge entry, claims submission, and payment posting operations.
• Participates in the development and implementation of operating policies and procedures.
• Follow up on claims using various systems.
• Maintains contacts with office staff to obtain and analyze additional patient information to document and process billings
• Plan and implement quality assurance for all processes
• Special program/billing planning and implementation
• Personnel management in CBO and remote environment
• Personnel development; staff meetings. Supports a positive workplace culture to attract and retain Revenue Cycle talent. Continued staffing discussions and team building.
• Provides, oversees, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques

Qualifications include:

• Bachelor’s Degree in Business or Healthcare Management; or 5+ years managing the Revenue Cycle of a healthcare organization (may be substituted with equivalent years of experience)
• Progressive experience in the health care industry; in a medical practice, health system, central billing office, or billing service; with a deep understanding of medical billing rules and regulations
• Strong working knowledge of CPT and ICD9/ICD10 codes, HIPAA, HCFA claims, medical terminology, insurance regulations, insurance benefits and appeal processes
• Proven ability to perform strategic planning and priority setting for a billing department
• Proven track record for improving process efficiencies and solving problems
• Strong leadership skills with an ability to motivate direct reports
• Detail oriented with excellent communication skills both written and verbal, and interpersonal skills
• Intuitive, with excellent analytical and problem-solving skills. Strong research and auditing skills.
• Proficient in Microsoft Office, including Outlook, Word, Excel and Power Point.
• Experience working with practice management system eClinical Works

Schedule:

• Monday-Friday
• No weekends

Work Location: In-person/ On-site

All candidates will be background screened and must be eligible to work in the United States.
Drug free work environment. Equal Opportunity Employer.