Curalta Health is the largest and foremost network of podiatrists in the Northeast, focused on delivering high-quality, complete foot and ankle care. Curalta’s providers combine decades of experience with a forward-thinking, innovative approach to treatment in order to maximize patient outcomes and experiences across all lower extremity conditions. Curalta delivers exceptional service to patients by offering best-in-class administrative support to its practices and providers.
This opportunity is for a Revenue Cycle Manager in our Rochelle Park, NJ offices.
The Revenue Cycle Manager is responsible for managing the overall functions of Revenue Cycle for Curalta Health LLC. Responsible for maximization of revenue and cash flow. This includes oversight of all the revenue cycle from the initial billing, coding, follow-up, appeals through the collections process. Responsible for maximizing revenue and ensuring timely billing, steady cash flow. Lead teams to analyze and maintain key performance metrics, resolve denial and rejections, establish escalation protocols, maintain payer portals, provide direction for the team, and ensure compliance with regulations.
Manage the end-to-end revenue cycle, including insurance verification, coding and claim submissions
Responding to all patients, doctors, and field staff inquiries in a timely manner via various channels (phone or email)
Serves as a point of contact for resolving issues by troubleshooting problems, handling complaints, and finding an effective resolution
Analyze denials, identify trends, implement strategies to reduce, fix and prevent denials
Monitor metrics such as Days in AR, collection rates, coding errors and reporting to leadership
Supervise, train, mentor staff to improve efficiency and accuracy and evaluate performance of employees
Ensure compliance with state/federal regulations (including Medicare and Medicaid) and develop internal policies for billing accuracy
Completes annual performance reviews for direct report employees
Utilize Electronic Health Records (EHR) and practice management systems (Modern Medicine)
Assist VP of Revenue Cycle in various projects and responsibilities as needed
Apply DRH Standards of Behavioral and exhibit behavior consistent with DRH core values
Other special projects as assigned
Education & Experience:
Bachelor’s degree in finance or business preferred or a combination of education and experience
Minimum 5 years of Revenue Cycle experience, healthcare, or medical office supervisory experience required
Experienced with insurance company operating procedures, regulations, and billing requirements required
Experience with computer accounting programs, spreadsheets, and applications required
Experience with medical terminology and coding required
Experienced with facility credentialling and managed care contracting required
Experience with billing software required Modernizing Medicine experience preferred
Experience with Podiatry billing a plus
Strong oral and written communication skills required
Skills and Abilities:
Knowledge of current medical terminology to communicate with staff and patients
Time Management & excellent organization are very important for this position
Proficient computer skills, including working knowledge of Microsoft Office (Work & Excel to use daily) e-mail systems, and web-based programs
Detail oriented with the ability to prioritize, organize, troubleshoot and problem solve
Excellent time management skills and multitasking skills
Strong oral, written and interpersonal communication skills
Motivated self-starter and ability to work independently and in a team setting
Physical Requirements:
Prolonged periods of sitting or standing at a desk and working on a computer
Must be able to lift up to 15 pounds at times
This job description may not be inclusive of all assigned duties, responsibilities or aspects of the job described, and may be amended at any time at the sole discretion of the employer.
The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable the employee with disabilities to perform the essential functions of the position, absent undue hardship.
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