Revenue Cycle Manager

Description

Who we are:

Aligned Orthopedic Partners is a well-respected private orthopedic team comprised of highly trained, board-certified orthopedic surgeons devoted to delivering the highest orthopedic care possible. Our commitment to finding the best solutions for individual needs sets us apart from the competition. We take pride in providing exceptional care while remaining friendly, courteous, and efficient. Aligned Orthopedic Partners is recruiting an experienced Revenue Cycle Manager to support billing operations in our Maryland and Virginia Beach locations.

PRIMARY RESPONSIBILITIES MAY INCLUDE:

Management and Supervisory Duties:

• Assist with recruitment, discipline, and termination of assigned Medical Coders and Revenue Cycle Specialists performing elements of billing and revenue cycle operations
• Train and oversee the performance and productivity of assigned Medical Coders and Revenue Cycle Specialists
• Meet with assigned Medical Coders and Revenue Cycle Specialists on a regular basis to discuss key issues, overall coding/charge entry/billing performance, and opportunities for improvement
• Monitor overall workload and production of assigned staff, and distribute work accordingly
• Ensure all duties are covered in the case of vacancies, vacations, and sick days
• Maintain knowledge of the operational details of key positions in the business office, including coding, charge posting, insurance claim processing, insurance collections and patient collections
• Seek and recommend ways to use technology to improve operational efficiency
• Maintain detailed knowledge of practice management and other computer software as it relates to job functions
• Collaborate with other Revenue Cycle Managers to ensure smooth communication between all functions of billing and collection, and that all pertinent processes are in place.

Charge Entry and Billing Duties:

• Meet with the Revenue Cycle Director as needed to discuss specific concerns related to the accurate and timely processing of patient charges and claims processing
• Work to receive timely information from physicians and physician assistants regarding which surgical procedures are performed, and ensure charges are entered accurately in the EPM for processing within 48 hours of receipt of information
• Perform monthly audits to ensure the complete and timely entry of all charge entry data and insurance processing from all medical practice sites for services provided
• Work with staff to ensure timely month end processing, with a goal to close month end within three business days of month end.
• Process weekly patient billing statements in all billing programs; reviews and releases them for mailing
• Initiate modifications of procedural paperwork related to charge entry and insurance processing – encounter forms, billing screens, etc.

Insurance and Patient Collection Duties:

• Meet with the Revenue Cycle Director as needed to discuss specific concerns related to accounts receivable activities, aging reports, and reimbursement trends
• Have expert knowledge of the daily processing of assigned collections/AR follow up by provider/facility/payer
• Serve as an expert on responding to denials/rejections/underpayments and provide guidance and assistance to Revenue Cycle Specialists as needed.
• Responsible for ensuring cash collections, days in accounts receivables and adjustments are within established goals
• Organizes and directs the resources assigned to ensure the efficient and effective management of the accounts receivable
• Serve as primary point of contact for third party collection services

Other Duties:

• Occasional travel to our Virginia Beach location
• Attend Medicare and other seminars as requested and maintains and distributes updates as applicable
• Prepare information for the HIPAA Compliance Officer as needed
• Maintain patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
• Attend monthly Management meetings and work with all other department managers to ensure high quality of processes and workflow throughout the company

We’d love to hear from you if you have:

• Two to three years of experience in office management and working in a physician group practice billing department
• Certification as a Medical Coder
• Proven knowledge of CPT and ICD-9-CM coding for orthopaedics and orthopaedic surgery
• Proven success in managing staff
• Comfortable using email and interacting with Internet applications
• Knowledge of practice management and word processing software
• Ability to perform multiple and diverse tasks simultaneously
• Strong written and verbal communication skills and cheerful attitude
• Able to enter data into the computer system accurately

What we offer:

We strive to enrich the lives of our team and offer a variety of health and wellness benefits including medical and dental benefits, employer-paid short-term and long-term disability coverage, a matching 401K program, generous paid time off, and an environment that celebrates continuous learning and development. 

Equal Opportunity Employer

Aligned Orthopedic Partners is an equal-opportunity employer. We promote diversity of thought, culture, and background. We celebrate what makes us different and are committed to building a team that represents a variety of experiences. All employment is decided on the basis of qualifications, merit, and business need.