Revenue Cycle Manager

BrightSpring Health Services

BrightSpring Health Services is seeking an experienced and detail-oriented Revenue Cycle Billing Manager to oversee and manage our healthcare organizations billing and claims processing operations. As the Billing Manager you will report to the Director of Revenue Cycle and provide supervisory oversight and management of all billing including claims processing revenue monitoring and quality improvement initiatives. Works cooperatively with other managers to ensure timely billing reporting and patient account management. This person will contribute to the efficiency of the department by reviewing and improving processes and keeping the team in line with the overall company goals and KPIs.

• Ensures billing for all current and new services lines are accurate consistent and maximize revenue opportunities.
• Evaluates report on and improve results after implementation of new services or payers.
• Monitors reports to ensure clean claims submissions.
• Provides technical expertise to ensure accurate billing for new services and staying informed of regulatory compliance and best practices.
• Performs regular audits of daily billing reports to identify errors and work with the appropriate teams for resolution.
• Manages a team of AR Analysts and provides leadership and support.
• Develops and maintains billing policies and procedures to ensure compliance.
• Develops new hire training ongoing training and ensure all analysts are properly trained.
• Identifies opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals.
• Reviews and analyzes billing data from the various clearinghouses to identify trends and areas for improvement.
• Responds to billing inquires and resolve billing issues.
• Ensures all claims have been submitted and accepted at clearinghouses.
• Reviews with Director all Billing requirement issues are resolved monthly to ensure timely filing.
• Provides billing information for audits and reviews audit results with lead.
• Reviews billing teams productivity.
• Resolves Rejects in the billing systems.
• Participates in processing payor changes.
• Reviews maintains and updates tracking processes.
• Stays updated with Payor bulletins regarding any billing and updates/changes.
• Reconciles unbilled reports missing bill requirements as it relates to billing claims.
• Performs to company standards of compliance with policies and procedures.
• Works with Director and help desk on projects as it relates to billing.
• Performs special projects and other duties as assigned.

• Bachelors degree of Accounting Finance or Business Management or any equivalent combination of education and experience
• Three to five years in healthcare private insurance and/or federally funded Therapy billing claims
• Experience in reading and understanding remits (explanation of benefits) for denial reasons.
• Understanding of medical terminology and ability to research various payor audit requirements and billing.
• Computer experience is essential including but not limited to excel practice management software word processing and spreadsheet applications.
• Ability to manage relationships with Staff and various insurance payers.
• Maintains use of confidential information and HIPAA policies
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
• Proficient in Microsoft Excel and have working knowledge of financial software programs. (AS400 HCS Wellsky WebPT Oracle Zirmed/Waystar preferred)
• Extensive knowledge of revenue cycle
• Ability to function well as a member of a team and must demonstrate leadership and supervisory skills.
• Ability to travel 20% between RWW Business Centers (Phoenix Anna and Nashville)

• Set yearly salary
• Results Driven Time Off (RDTO) time is not accrued
  - Tuition Reimbursement
• Benefits Company Provided Life Insurance 401k Participation
• Career Growth and advancement opportunities