Revenue Cycle Manager - Billing

Description

JOB TITLE:  Revenue Cycle Manager

DEPARTMENT:  Business Office

REPORTS TO:  Director of Revenue Cycle

FLSA STATUS:  Exempt

JOB SUMMARY: The Revenue Cycle Manager, under the direction of the Director of Revenue Cycle

is responsible for managing the day-to-day operations of the Revenue Cycle and Health Information

Management (HIM) departments for a multi-specialty, multi-site group practice.

JOB DUTIES & RESPONSIBILITIES:

? Manages assigned staff to ensure the performance of tasks are completed in an efficient and

professional manner.

? Serves as a resource to staff by answering questions and assisting with problems related to the

revenue cycle and HIM processes.

? Monitors weekly ROI, indexing, separating, and transcription numbers to assure staff quotas are

being met.

? Continuously updates, in conjunction with related clinical data collection, appropriate procedures

for all revenue cycle and HIM activities.

? Facilitates and assists in the training and development of existing and new team members.

? Responsible for Quality and Assurance of claims review, utilizing the one touch methodology.

? Serves as liaison between Office Coordinators, Medical Secretaries, and Insurance Verification

Specialists to resolve issues regarding accuracy in completeness of patient records.

? Is responsive to payer billing and claims appeal requirements, and maintains strong

relationships with payer provider representatives.

? Audits team members’ work for accuracy and efficiency based on performance standards.

? Assists Director of Revenue Cycle and COO with preparing and presenting reports as needed.

? Actively participates in A/R management, patient collections, and other business office

functions.

? Supports and maintains a work environment that embodies professional excellence, teamwork,

integrity, and confidentiality.

? Assists with analyzing department needs and suggesting ways to improve overall revenue and

process efficiency.

? Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare,

Medicaid and Commercial insurances.

? Responsible for management of staff including recruitment, training, coaching, discipline and

performance appraisals.

? Performs other duties and tasks as assigned.

PERFORMANCE REQUIREMENTS

? Excellent oral, written and telephone communication skills, along with tact, diplomacy, and

strong customer service orientation.

? Reports to work regularly without undue tardiness.

? Works independently, without direct supervision.

? Prioritizes work activities for team and self to achieve department goals.

? Completes work accurately and in a timely manner.

? Maintains effective working relationships with physicians, administration, patients and other staff

members.

? Strong analytical and problem solving skills

? Proven ability to manage multiple projects concurrently.

? Maintains strict confidentiality regarding patient and practice information.

TYPICAL PHYSICAL DEMANDS:

? Prolonged sitting, standing, some bending, stooping and stretching and/or walking.

? Eye-hand coordination and manual dexterity sufficient to operate a computer keyboard,

photocopier, fax machine, telephone, calculator, and other office equipment.

? Normal range of hearing and vision to record, prepare, and communicate appropriate reports.

TYPICAL WORKING CONDITIONS:

? Work is performed in an office environment, with contact with patients, office staff, physicians,

etc.

EDUCATION & EXPERIENCE

? CPC Preferred

? High School Diploma or G.E.D. required. Bachelor’s Degree preferred

? Five+ years of full cycle medical billing experience required

? Previous surgical specialty experience required, preferably neurosurgery.

? Minimum of three years in a manager/supervisory role required.

? Two years coding (CPT, ICD-10, Modifiers) knowledge and experience preferred.

? Experience with EMR systems required, Centricity (Athena Practice) a plus.

? Knowledge of HIPAA required

? Knowledge of medical records and transcription practices, standards and practices preferred