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Form of workPOSITION SUMMARY
EVP Eyecare is a privately held, portfolio company of The Cortec Group. Based in Denver, Colorado, EVP owns and operates a super-regional network of eyecare practices and surgical centers that conduct business under premier brands in Colorado, Texas, and Arizona. We believe that delivering on an outstanding patient experience starts with building an outstanding employee experience.
Our mission is to improve people's lives through better vision and outstanding patient experiences.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The Colorado Regional Manager of Revenue Cycle Management oversees and manages the daily functions of the Regional RCM team and is an effective liaison between our operations team and our Revenue Cycle outsourced vendor. This role will oversee the full Revenue Cycle for its region including coding to CPC standards, documentation requirements and company standards. This will be achieved by, but is not limited to the following:
- Serve as the regional point of contact for RCM vendor, and partner with the RCM vendor to ensure accuracy in billing and collections operations.
- Manage the regional RCM team (RCM call center, AR Specialists, and RCM Vendor performance); inclusive of hiring, training, providing regular feedback, performance reviews, one on one meetings, and ongoing development.
- Monitor and track regional RCM performance and present monthly performance results to CFO.
- Identify potential problems and opportunities for RCM process improvement.
- Maintain written procedures for workflow by writing or updating procedures as needed.
- Partner with CFO and internal diligence/integration team to provide support for integration of new practice acquisitions, directing the activities of the Integration Specialist.
- Serves as an escalation point for regional RCM team for denials and rejections, and facilitate communication with clinical staff, providers, and RCM vendor.
- Serve as the subject matter expert on all procedures in the region.
- Responsible for working with Accounting to get refunds issued for patients.
- Oversee monthly close process, including reporting and account reconciliation.
- Perform other duties as assigned.
MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS AND ABILITIES)
- CPC Certification required.
- Minimum of 5 years' experience in Medical Billing/AR. Ophthalmology experience preferred.
- Previous experience with healthcare practice acquisitions and subsequent integrations preferred.
- Previous management experience in a related field.
- Knowledge of entire Revenue Cycle Process, starting with date of service to zero balance or patient and insurance refund.
- Knowledge of medical billing/collection practice in Colorado preferred.
- Knowledge of basic medical coding and third-party operating procedures and practices.
- NextGen software experience a plus. Multiple system knowledge also a plus.
- Strong knowledge of CPT and ICD-10 coding.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.
NOTE
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship.
