RCM Manager

Job Description

Job Description

ESSENTIAL FUNCTIONS :

1. Plans and directs billing and collections processing to ensure accuracy and efficiency in accordance with polices set forth in Practice Management, Compliance and HIPAA Manuals.

2. Is a liaison for ACS and Client regarding staffing and billing and collection issues.

3. Manages the Billing Office within the established budget.

4. Annual planning and reporting of monthly status reports.

5. Reviews status of A / R accounts to identify and resolve billing and processing issues in a timely manner. Assists team with A / R accounts and collections when needed.

Identify, audit and resolve problem accounts.

6. Follows credit and collection policies and procedures set forth in ACS Practice Management, Compliance and HIPAA Manuals.

Makes recommendations for improvement to Area Manager / Divisional Vice President.

7. Solves difficult payment and associated billing office issues. Audits problem accounts.

8. Maintains contacts with medical records and other departments to obtain and analyze additional patient information to document and process billing.

9. Recommends new procedures to improve the quality and quantity of work processed. Ensure policies are communicated and administered consistently.

10. Develops and oversees business systems and works with information technology to ensure timely and accurate implementation.

11. Supervises, trains, and evaluates performance of assigned personnel. Recommends merit increases, promotions, disciplinary actions.

12. Monitors daily operating activity of billing office and makes necessary adjustments in work assignments.

13. Initiates and answers pertinent correspondence. Prepares and writes reports. Maintains required records and files. Provides reports as required per client.

14. Maintains knowledge of and complies with established policies and procedures including government, insurance and third party payor regulations.

15. Attends administrative meetings and participates in committees as requested. Conducts special projects and studies as directed.

16. Participates in professional development activities and maintains professional affiliations.

17. Performs RCM Specialist, Team Lead, Office Manager and Coding Specialist functions as needed.

EXPERIENCE :

Extensive knowledge of Medical Billing Processing and Office Management. 3-5 years preferred.

KNOWLEDGE :

1. Knowledge of business management and basic accounting principles to direct the medical billing process.

2. Knowledge of medical terminology, coding and office procedures.

3. Knowledge of third-party operating procedures, regulations and billing requirements and government reimbursement programs.

SKILLS :

Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.

ABILITIES :

1. Ability to process patients and public inquiries and respond with poise and efficiency.

2. Ability to develop, implement and administer a financially efficient billing office.

3. Ability to recognize, evaluate, solve problems, and correct errors.

4. Ability to conceptualize work flow, develop plans, and implement appropriate actions.

5. Ability to maintain confidentiality of sensitive information.

EDUCATION :

High school diploma or equivalent.

PHYSICAL / MENTAL DEMANDS :

Frequent mobility and / or sitting required for extended periods of time. Manual dexterity for using a calculator and computer keyboard.

Some bending and stooping required.