Revenue Cycle Manager

Job Description

The Revenue Cycle Manager is a vital aspect of our billing team who is responsible for oversight of daily billing/submissions of claims, correcting and monitoring rejections, reviewing staff tasks, third-party follow-up, and reviewing payments posted, among other duties.

JOB SPECIFIC FUNCTIONS:

• Oversee and streamline billing and collection processes

• Manage and reconcile patient accounts

• Oversee the claims and collections team, ensure timeliness and compliance

• Establish and maintain Accounts Receivable goals and perform monthly close

• Review payer contracts to ensure billing and reimbursement compliance and accuracy

• Provide effective communication to patient/family, team members, and other health care professionals and maintain confidentiality.

• Review posted payments for reimbursement according to contract and accuracy in relation to posted to correct line items.

• Detailed understanding of healthcare insurance follow-up processes, including resolving non-paid, denied, underpaid, and rejected claims.

• Review billing and follow-up trends, make recommendations for resolution of issues and findings of staff, and report findings to leadership

Qualifications:
Qualifications

• Education: High School Diploma or GED required; some college preferred.

• Experience: A minimum of 2 years in medical billing is preferred

• Skills: Communicates clearly and concisely, verbally and in writing, establishes and maintains long-term customer relationships, builds trust and respect by consistently meeting and exceeding expectations.

• Ability to sustain prolonged sitting and extended computer use. Requires working under some stressful conditions to meet deadlines and to make quick decisions.

Additional Information

Salary Range: $70,000 - $80,000

Status: Full time, exempt