Revenue Cycle Management (RCM)

Position : Revenue Cycle Management (RCM)

Location : Wauwatosa, WI

Job Id : 332

of Openings : About the Company :

AssuranceSD is a mission-driven organization providing payroll processing services that enable individuals to take ownership over personal healthcare services in their home or community-based setting. Our mission is to help strengthen communities through enabling individuals to elect and manage their own care programs, including how, when, where and who delivers these healthcare services. This work supports care recipients in retaining their dignity and receiving the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with special needs.

General Responsibilities :

The RCM Director is responsible for planning, direction, and management of the operational activities of the revenue cycle department in support of the mission, goals, and objectives of AssuranceSD. Revenue cycle includes prior authorization, charge capture, coding, information management, billing, claims filing, collections, denials management, and revenue integrity.

This leader plays a key role in optimizing revenue cycle processes while maintaining compliance with payor requirements.

This leader will be responsible for implementing and maintaining top-tier billing practices and will be a thought partner with other operational leaders to develop, formalize, and implement best practices across the revenue cycle management department. The ideal candidate is motivated to; create efficient processes from inefficient ones, to improve the capabilities of their team, to contribute to the success of other teams, and to address new challenges with pragmatic solutions.

Essential Duties and Responsibilities :

The RCM Director will supervise the billing and claims team, currently numbering 11, and coordinate revenue cycle functions of the businesses while partnering with other departments (e.g., Accounting, Operations, Human Resources, and IT).

• Lead and manage end-to-end revenue cycle operations.
• Implementing processes to ensure that accurate billing information is entered into the billing systems
• Supervising the revenue cycle department in various duties, such as account management, communications with payors, collections, cash posting, contract analysis, and billing.
• Work closely with the company's Operation team to submit timely and accurate billings.
• Review billing information for completeness and accuracy and investigating identified differences.
• Monitor and oversee the tracking of billed claims and collections.
• Review and update timely A / R reports in collaboration with Accounting to support management reporting.
• Oversee the reconciliation of ACH and check remittances to participant billed claims per the payroll ledger.
• Oversee monthly billing documentation for payers to ensure proper record retention.
• Recommend bad debt and write-off amounts for uncollectible accounts to the Accounting team.
• Communicate with customers concerning billing, collection, and reconciliation of invoices.
• Perform regular reconciliations and reviews to identify discrepancies.

Who You Are :

Compensation and Benefits

Disclaimer :

This job description indicates the general work necessary to adequately execute core job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability,

genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law. We are committed to diversity, opportunity, and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee. We strive to create a mindful and respectful environment where everyone can bring their best self to work, and experience a culture that is free of harassment, racism, discrimination or bias.

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