Revenue Manager Jobs in Riverside, CA (NOW HIRING)

Responsibilities
Come and join the RMC Family!
We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare.
Riverside Medical Clinic is the best place to work, practice medicine, and receive care.
SUMMARY: Directly supervises employees in the Revenue Cycle/Business Office. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, training employees, planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Hours: 8:30am-5:30pm
Qualifications
EDUCATION and/or EXPERIENCE: Bachelor's degree (BA/BS) in Health Care or related work experience required. Master's Degree preferred. Minimum (5) five years' experience in a clinical or HMO/Prepaid Business Office environment with (3) three years of management experience required.
CERTIFICATES, LICENSES, AND REGISTRATIONS: Certification on medical procedural coding or equivalent work experience.
ESSENTIAL FUNCTIONS:
Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).
1. Develops strategic plans and programs for Revenue Cycle (RC) team, oversees, monitors, and reports on annual and monthly performance targets for RC compared to industry benchmarks for all enterprise locations.
2. Utilizing available business intelligence, analyzes RC trends and leverages information to develop solutions to optimize RC performance.
3. Interacts with senior leadership at all locations with respect to RC performance including regular reporting of RC results.
4. Assures monitoring of all revenue cycle services performed by outside vendors, such as statement processing, EDI vendors, Bad Debt agency performance.
5. Analyzes enterprise-wide revenue cycle trends and provides insight into strategic implications.
6. Ensures that all revenue cycle policies and procedures are adhered to and updated as necessary.
7. Reviews and monitors all payer contract performance and compliance and reimbursement requirements to ensure each payer is adhering to contract terms and conditions.
8. Coordinates with the provider credentialing department to ensure data is accurate for new payers and new locations and to resolve credentialing data impacting claim processing.
9. Participates in the development of the annual revenue operating budgets for all locations.
10. Oversees and ensures that all HIPAA and PHI policies are being followed within the RC team.
11. Coordinates/ interacts with many other departments in the enterprise in the successful execution of RC activities including: Patient Scheduling, Orders, Prior Authorization, Registration, Clinic Operations Management and IT Support departments.
12. Interview, hire, initiate corrective action, termination decisions; monitor employee performance and conduct evaluations.
13. Orient, train coach, and re-orient staff.
14. Participate in the development and implementation of business development and marketing plans.
15. Conduct and participate in meetings as a representative of the Business Office.
16. Keeps CFO informed of issues and concerns affecting the organization.
This opportunity offers the following:
Challenging and rewarding work environment
Growth and Development Opportunities within UHS and its Subsidiaries
Competitive Compensation
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.