Revenue Cycle Manager

Position Overview:
As a Revenue Cycle Manager, you will manage one of our back-end Revenue Cycle teams to ensure that the healthcare practices we serve are accurately and quickly reimbursed for their services; thus increasing revenue and decreasing the time providers spend on administrative functions, which means more time devoted to patient care.
Essential Duties & Responsibilities:
Leadership

• Lead, coach, mentor, train, manage, and hold accountable a team Patient Account Representatives to deliver high quality, reliable, efficient Revenue Cycle services
• Build strong relationships with the providers we serve, establishing yourself as a trusted partner
• Identify, measure, and report on key performance indicators such as quality, timeliness, and client experience
• Identify and design opportunities for team training and skills advancement, promoting an environment of knowledge sharing
• Identify, design, and implement process improvements; continually look for better ways to serve our clients; staying abreast of new trends, developments, technologies, and best practices

Revenue Cycle

• Triage, assign staff to work, and track status of claims that are returned for more information or other hold reasons
• Work with the Orthos leadership team to implement controls and initiatives to reduce number of claims in hold and overall A/R
• Manage performance of staff with reference to claims worked in hold
• Directly execute remediation for complex, high-dollar claims (work claims by exception)
• Coordinate with Accounts Payable and Coding staff as needed to diagnose and resolve issues
• Provide guidance and operational approvals to billing and pre-cert staff, escalating to Sr. Director, Revenue Cycle as appropriate
• Identify any points of friction in the Revenue Cycle process and resolve them

Preferred Skills:

• Bachelor's Degree in healthcare administration, business administration, or related field preferred, but not required
• 5+ years of experience in healthcare Revenue Cycle management, including experience managing billing and collections staff
• Strong knowledge of healthcare billing and Revenue Cycle processes and regulations
• Experience with electronic medical records and billing systems
• Demonstrated ability to solve complex problems that require input from various stakeholder in innovative ways
• Excellent analytical skills, with the ability to analyze data and identify trends and opportunities for improvement
• Strong communication and interpersonal skills, with the ability to work effectively with all levels of an organization
• Ability to manage multiple projects and priorities simultaneously

Skills & Requirements Qualifications Orthos is a leading-edge data analytics company, created to help orthopedic practices solve their biggest challenges. Our software helps Revenue Cycle teams process claims faster, hold insurance companies accountable, provide transparency into the performance of the practice, all while contributing to a better overall patient experience. We help orthopedic providers keep their focus on care while we ensure that their business operations and Revenue Cycle management processes perform to the highest standards.