Revenue Cycle Manager

Southwestern Healthcare is seeking a full-time Revenue Cycle Manager to join our dedicated this key leadership role youll oversee the daily operations of our billing and collections team ensuring smooth workflows strong staff support and timely revenue cycle performance. Youll collaborate closely with the Patient Financial Services Director and help drive our mission to deliver compassionate efficient care to every patient every time.

WHY WORK FOR SOUTHWESTERN

• Affordable Health Dental Vision and Voluntary Life Insurance that starts day ONE of employment!
• 401K Employer Contribution & Match
• Student Loan Assistance Program
• Physical & Financial Wellness Programs
• Generous Paid Time Off Plan
• Competitive Total Compensation Program
• On-site training available for qualified candidates
• We are GROWING!!!

WHAT IS THIS POSITION RESPONSIBLE FOR

• Responsible for the daily activities of Patient Financial Services including coverage smooth operation of the workflow assuring work expectations are met and notifying the Patient Financial Services Director of issues as appropriate.
• Responsible for development delivery and training new and current employees.
• Coordinate the activities of the department in the Directors absence.
• Reads and interprets transactional data within patient accounts.
• Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the Practice Management System (PMS) and EDI systems. Understands and resolves payer edits and/or rejections.
• Demonstrates knowledge of medical terminology CPT ICD-10 CCI edits and HIPM regulations.
• Performs extensive account follow up activities utilizing the PMS. Investigates analyzes and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation claim status eligibility billing guidelines or authorization/referrals to substantiate correct claim submissions written appeals or coding reviews.
• Processes daily and monthly reports including aging.
• Assists patients in setting up payment plans. Completes payment plan contracts and follows up to ensure compliance.
• Bills secondary insurances.
• Process payments and prepares daily deposit.

MINIMUM QUALIFICATIONS

1. High School Diploma or GED required with a minimum of five (5) years of experience in Patient Accounts. Secondary education preferred.
2. Prior supervisory experience in billing is preferred but not required.
3. Strong working knowledge of Electronic Medical Records (EMR) systems is required.
4. Excellent communication and organizational skills are a must.

If you are interested in joining a fun friendly innovative team apply today!

EOE/AA including Veterans and find out more about our DE&Iinitiatives.

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