RCM AR Manager

Position Summary:  

The RCM AR Manager is responsible for developing from the ground-up, the internal revenue cycle systems and process for a rapidly growing healthcare company in Oklahoma, Kansas, and Texas (position located in Oklahoma City or Tulsa). This position will oversee billing accounts and resolving all revenue cycle problems. The individual will manage the billing teams. Assist in the communications with insurance, collections, cash posting, billing transactions with clients, and report creation. The RCM AR Manager helps ensure that these areas run smoothly, and they must detect problems in the billing systems and immediately correct them accordingly. 

Duties and Responsibilities: 

• Architecting our in-house revenue cycle management strategy and implementation of bringing our full revenue cycle management functions in-house and transitioning away from our third-party billing relationships. 
• Developing from ground-up, the internal revenue cycle management systems and process for our rapidly growing urgent care partner practice. 
• Oversee billing accounts and resolving day to day revenue cycle problems. 
• Build and manage an in-house revenue cycle management department 
• Monitor all payer types on unresolved claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner. 
• Identify coding or billing problems from EOBs and work to correct the errors in a timely manner. 
• Identify problem accounts and escalate as appropriate. 
• Identify trends and make suggestions on process improvements 
• Appeal for denied claims as appropriate. 
• Enter detailed notes to provide an audit trail for future follow up. 
• Assists Safety Director with development of Safety Program to ensure employee safety requirements are met. 
• Other Duties as assigned, this is a safety-sensitive position. 

Qualifications: 

Education: 

• Bachelor’s Degree is strongly preferred. 

Experience: 

• Minimum of 5 years coding, collections, and full-cycle revenue management. 
• Urgent Care experience preferred. 
• Knowledge with CMS/HCFA 1500 Billing Forms, EOBs, claims, coding and charges is required. 
• Relevant experience in Revenue Cycle management and operations is required 

Skills: 

• Good planning and organizational skills. 
• Well-developed interpersonal and communication skills. 
• Proficient and able to train others in common computer programs, such as Microsoft Office, Internet and Email. 
• Superior customer service skills to handle escalated issues. o Ability to lift approximately 15-20 lbs.PC skills or applicable computer experience.