The Revenue Cycle Manager will lead the revenue cycle for assigned accounts, manage a team of Billing Specialists, and provide analytical, practical, and operational experience with private practice revenue cycle.
Requirements
- Manage a team of Billing Specialists
- Promote growth of Team Members through established developmental goals, competencies, guidance, and counseling
- Act as coach, leader, catalyst, and facilitator with Team Members
- Provide analytical, practical, and operational experience with private practice revenue cycle
- Provide direction to team members and organize the billing function to maximize departmental productivity
- Conduct regular productivity analysis and audits for assigned billing team
- Manage department, including problem solving, administering procedures to increase efficiencies, and implementing new systems to ensure accountability
- Review payor denials, making required corrections in billing system(s) by obtaining the necessary contract documentation
- Ensure all bills/claims received by billing team are expediently logged, prioritized and verified according to established policies and procedures
- Ensure billing team follows MMG Billing Policies as well as Client Policies
- Train team on the specifics of each contract, changes in policies and procedures, industry or regulatory changes to ensure compliance
- Identify and facilitate problem solving and conflict resolution
- Ensure continual payor maintenance
- Participate in payor reimbursement meetings and/or conferences relating to Medical Billing and Accounts Receivable as requested
- Audit, research, and reconcile setup and required maintenance of the billing system(s) including any payer contract changes
- Generate standard reports, and reviews each for accuracy and consistency with the billing system(s)
- Communicate and meet with practices to review account activity/issues
- Conduct professional meetings, prepare agendas and provide minutes to meetings
- Analyze accounts MTD/YTD activity and address concerns regularly
- Maintains and ensures compliance to regulatory standards. Abide by HIPAA standards and requirements
- Monitor monthly cash collections by payor to eliminate potential payor issues
- Participates in professional development efforts to ensure currency in health care practices and trends
- Participate in LinkedIn posts and articles
- Travel as required or needed to the Corporate Office or Client sites
- Other duties as assigned
Benefits
- Health, dental and vision insurance
- Paid time off and holidays
- 401(k) plan
- Life insurance
