Revenue Cycle Account Manager, Remote
Revenue Cycle Account Manager, Remote
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Salary Not Disclosed
1 Vacancy
Job Description
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Summary:Establishes and manages effective ongoing communication with assigned physician practice(s) to identify and address business needs; provides guidance and timely responses to customer service questions and requests; conducts regular meetings with practice staff. Communicates with practice(s) within the framework of the Revenue Cycle. Provides analysis and context for monthly performance data. This includes projections and comparison to budget figures.
Does this position require Patient Care No
Essential Functions: Oversee the entire billing process ensuring accurate and timely submission of claims invoicing and accounts receivable management.
-Provides the practices and Management with the status and analysis of standard operational financial billing and budget statistics on a monthly basis.
-Monitor billing performance metrics analyze trends and identify areas for improvement in revenue cycle processes.
-Ensure compliance with healthcare regulations coding guidelines payer requirements and billing practices such as HIPAA and Medicare regulations.
-Collaborate with insurance companies and payers to resolve billing issues negotiate contracts and address reimbursement discrepancies.
-Monitor accounts receivable aging implement strategies to reduce outstanding balances and oversee the resolution of billing disputes.
-Analyze revenue trends identify root causes for revenue fluctuations and develop action plans to optimize revenue generation.
Qualifications
Education
Bachelors Degree Finance required or Bachelors Degree Related Field of Study required
Can this role accept experience in lieu of a degree
No
Licenses and Credentials
Experience
Healthcare billing or revenue cycle management experience 5-7 years required and Management experience 2-3 years required
Knowledge Skills and Abilities
- In-depth knowledge of billing processes coding principles (ICD-10 CPT) reimbursement methodologies and healthcare payer policies.
- Strong leadership team management and communication skills to effectively lead and motivate a billing team.
- Proficiency in analyzing financial data identifying trends and implementing strategies for revenue enhancement and process improvement.
- Thorough understanding of healthcare regulations compliance standards and their application in billing practices.
- Ability to identify billing issues propose solutions and implement changes to improve revenue cycle efficiency.
Additional Job Details (if applicable)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
Manager
Employment Type
Full Time
