Revenue Cycle Manager

GENERAL SUMMARY

• This position is responsible for all administrative and clinical functions that contribute to the capture management and collection of patient service revenue. The Revenue Cycle Manager is responsible for enhancing and maintaining a properly function revenue cycle process through a crossdepartment organizational structure. These functional areas act interdependently during a patient visit contributing critical information required for clinical service and procuring payment. Thus the Revenue Cycle Manager concentrates resources on improving core clinical care delivery and protecting the assets of the organization.
• The Revenue Cycle Manager focuses on continuous improvement within the Managers area of influence and delivering the highest degree of quality service possible.

ESSENTIAL FUNCTIONS

• Supervise the Centralized Scheduling Leader and Patients Accounts Leader.
• Incorporate the facilitys values into all business staff development practices and all departmentally directed activities.
• Complete (or contribute to the completion of) various financial forecasts including cost center salary and direct expenses monthend financial reporting receivables levels (days in AR and aging) cost center productivity and any longrange strategic plans for the department.
• Plan coordinate and prepare yearend audits with public accounting firms and thirdparty auditors as they relate to AR operations. Mediate and resolve conflicts regarding public accounting firms thirdparty auditors and investigative parties.
• Directly manage all service programs including external vendor programs and systems.
• Monitor and support daily staff functions in all areas related to the scope of the Managers responsibility. Participate in revenue cycle denial management charge master bad debt management and access management work teams.
• Maintain appropriate internal control safeguards over AR records and collection of cash. Maintain compliance standards for providing accurate information on all facility or health system billings.
• Assess and respond to organizational and customers needs with innovative programs to ensure customer satisfaction. Implement patient friendly billing guidelines. Achieve patient satisfaction goal.
• Ensure compliance with relevant regulations standards and directives from regulatory agencies and thirdparty players including RAC and MAC.
• Oversee the financial interface between and performance analysis of the patient financial services functions HMS service functions and fiscal services functions.
• Oversee the integrity of financial and clinical interfaces while facilitating the development of strategic system planning.
• Direct ongoing programs for staff development which include:

• Hiring and training for leadership positions and directing the hiring and training of all staff in the department;

• Establishing maintaining and modifying work standards for all activities performed under the Revenue Cycle Managers direct control;

• Completing (directing the completion of) all necessary human resource documentation and adhering to all human resources expectations for subordinates;

• Communicating regularly and effectively with subordinates and superiors regarding the status and condition of the business operations under control of the Revenue Cycle Manager;

• Developing multidisciplinary patient financial services teams to enhance quality and efficiency.

• Carries out other assignments or special projects as assigned.

MINIMUM KNOWLEDGE AND SKILLS REQUIRED

• Working knowledge in the areas of patient registration billing accounts receivable (AR) and cash management requirements charge detail management(CDM) managed care contractual terms and requirements health insurance practices industry regulatory requirements business office operations AR and financial reporting technology wage and hour regulations basic accounting and industry standards for healthcare revenue resolution management practices.
• Ability to analyze and resolve problems that affect the claim submission process regardless of whether the problem originates in an area under the direct or indirect control.
• Financial management skills including the ability to financially analyze data for operations budgeting auditing forecasting; basic accounting knowledge; AR and reserve analysis market analysis; staffing and financial reporting skills.
• Leadership skills to motivate crossdepartmental teams performance towards excellence and develop team concepts and consensusbuilding management styles.
• The ability to make a significant contribution to the organizations overall effectiveness.
• Know the definitions of fundamental computer terms related to applications software and desktop PCs
• Know how to open read and respond to email
• Know how to manage electronic files
• Know how to print electronic documents and reports

MINIMUM EDUCATION AND EXPERIENCE REQUIRED

• Bachelors degree required preferably in business health or public administration management or a related field.
• Minimum of four 4 years management experience in the healthcare receivables field required

LICENSURE AND CERTIFICATION

• CPAM or FHFMA licensure/certification preferable.

ENVIRONMENTAL AND PHYSICAL REQUIREMENTS

• Employee works in a temperaturecontrolled environment
• Walking and/or standing approximately 30 of the day
• Sitting approximately 70 of the day
• Must be able to lift up to 20 lbs using proper lifting techniques several times during their shift
• Must be able to bend and stoop less than 10 of the day
• Reaches over the head less than 10 of the day
• Communication skills to deal well with employees patients families and physicians
• Hearing for low medium and high pitch
• There is a potential for contact with chemicals blood borne pathogens and exposure to infectious disease.

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Required Experience:

Manager