Manager-Revenue Cycle

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Essential Functions:

• Provides leadership and supervision of day-to-day operations and assigned staff within the Medical Billing groups. 


• Manages the billing and pre-authorization department ensuring compliance with acceptable coding, billing and cash application practices.


• Responsible for all revenue related activities including billing, coding, accounts receivable, collections  and cash application processing ensuring completeness, accuracy and timeliness of all functions.


• Works closely with the Finance staff on matters related to billing, revenue recognition, the reconciliation of accounts receivable and the accurate posting of cash.


• Provide weekly KPI’s to leadership.


• Reviews and assists with revenue enhancement plans.


• Provides revenue cycle reports and metrics, including average daily census and payor mix.


• Monitors and maintains compliance with contractual reporting obligations under agreements with third-party payors and others.


• Provide analytical support to service lines across the organization by providing consistent and meaningful financial information, reporting and analysis.


• Communicates organizational direction to department staff. 


• Administers, interprets and ensures compliance of organizational policies and procedures within assigned area(s).


• May plan, develop and/or direct programs and/or services within assigned area(s). 


• Participates in the preparation of annual operational budgets, monthly financial statements and the related analysis of the variances against the budget.


• Participates and reports in the monthly operations review with the various service lines.


• Monitors billed vs. contracted rates as well as the corresponding contractual allowance account.


• Coordinates internal and external billing and accounts receivable audits.

Knowledge, Experience & Qualifications:

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  • A minimum of three years supervising a financial department in a health care setting is preferred.
  
  
  • Extensive knowledge of medical billing, and health care accounting practices required.
  
  
  • Strong analytical skills in billings systems, system conversions and general ledger are required.
  
  
  
  

Equal Opportunity/Affirmative Action Employer committed to creating a culturally diverse workforce that serves the various needs of our clients.