Description :
The Revenue Cycle Manager will oversee the day-to-day operations of the billing department. Will oversee revenue cycle procedures for multiple clinics with emphasis on ensuring the accuracy and consistency of data for all accounts receivable, cash flow management and financial reporting.
Responsible for process improvement, execution of goals and providing service excellence.
Responsibilities :
Will assist with checking in patients, calling patients, and assisting with patient complaints and billing questions.
Every 30 days, this person will handle escalated billing conversations with customers whose billing is being sent to collections.
Will operate out of Fresia and follow up with customers with default plans - will call patients to get updated credit card numbers or handle insufficient funds.
Will be the escalation point of contact for the Financial Counselor - will handle all escalated billing and patient issues.
Audit time of service collections (front desk) and spot check with the goal of reaching 90%. Will also audit work ques with denials and questions for the medical coders
This role will have provider communication. Will need to be professional, sharp and research oriented.
Will manage all staff oversight and work directly with site management and USSM management (outside management company partnering with Urology Center of IA)
Looking for someone that is a problem solver and someone can bring ideas to the table! This is a new role and the providers are looking for new RCM opportunities to leverage.
Daily Duties :
Exhibits and demonstrates a leadership style that promotes the company and adheres to the highest ethical standards and management philosophies.
Plans, directs and supervises coding, data entry, billing and collections.
Manages accounts receivable including timely and accurate insurance claim processing and patient billing.
Ensures the accuracy and consistency of data for all accounts receivable and cash management.
Conducts overview of patient accounts to identify and resolve billing and claims processing problems in a timely manner.
Develops and maintains all billing policies and best practices including collection procedures.
Establishes and implements a system for the collection of delinquent accounts ensuring third party payers are contacted
Performs root cause analysis of claim denials.
Established and maintained credit and collection policies.
Establishes production goals and quality standards for billing department.
Responsible for maintaining and reporting on revenue metrics, and departmental and payer revenue performance.
Reviews processes to identify efficiencies and drive improvements.
Reviews and maintains in-depth billing practices to ensure compliance internally and externally is met consistently and timely.
Manages online payment processes.
Manages the billing office within budget.
Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payer regulations.
Oversees charge master files, reimbursement methodologies, denials, insurance audits and contract management issues.
Trains all staff on significant coding and billing changes.
Maintains accuracy and productivity levels as established by department standards.
Performs, organizes and streamlines operational tasks to reduce the potential for errors.
Always maintains patient safety and confidentiality.
Travels as required.
Looking for candidates with exceptional customer service and phone etiquette, the ability to maintain effective and organized systems regarding patient flow, medical terminology experience, strong computer skills (electronic medical records experience preferred), and the ability to work in a fast paced work environment.
Skills :
medical billing, supervisory skills
Top Skills Details :
medical billing, supervisory skills
Additional Skills & Qualifications :
Previous leadership / staffing management experience - 3-5 years
Knowledge of revenue cycle management functions including ICD10 coding, accounts receivable management, explanation of benefits
Strong communication skills / professional
About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.
We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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