Revenue Cycle Manager

POSITION SUMMARY: Responsible for the oversight of patient billing and patient accounts receivable. Maintain day-to-day operations and reporting requirements.

REQUIRED SKILLS/ABILITIES: Proficient at computer software such as Excel, Outlook, Word, and Electronic Health Records/Billing. Exceptional oral and written communication skills, articulate and decisive. Must be organized and able to manage several projects simultaneously. Other skill sets include, but are not limited to, conflict resolution and analytical skills.

PHYSICAL AND ENVIRONMENTAL DEMANDS: Visual acuity for computer work and administration of all paperwork. Requires minimal stooping and crouching to access files. Hearing and speaking necessary for phone conversations with clients, employees, and other individuals. There are long periods of sitting. Manual dexterity is required to perform keyboard and calculator functions and other related duties.

SPECIFIC FUNCTIONS/TASKS/RESPONSIBILIITES:

1. Accounts Receivable Functions
   1. Coordinate billing and collection activities.
   2. Monitor accounts receivables activity.
   3. Oversee monthly closing processes.
   4. Ensure accurate billing of insurance providers and consumers.
   5. Research billing denials from insurance providers.
   6. Evaluate billing processes and procedures and make adjustments as needed.
   7. Maintains timely follow-up with payers regarding collections of accounts receivable.
   8. Updates the electronic health record, as needed.
   9. Serves as a liaison between the electronic health records revenue cycle management staff for accounts receivable.
   10. Ensures data is assembled and submitted to process or re-file claims.

1. Billing Functions

1. 1. Communicates and disseminates billing information to appropriate staff.

1. Communicates relevant changes in laws and regulations regarding billing to management and appropriate staff.
2. Provides consultation and technical assistance to Inlet Health or subsidiaries related to billing.
3. Tracks metrics, such as billing error rates and billing turnaround times.

1. Supervisory Functions

1. Supervising the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
2. Trains and orients new employees to departmental policies and procedures.
3. Interviews and recommends employee personnel actions (hiring, firing, promotions, etc.)
4. Assist with training staff on the electronic health record.

1. Miscellaneous Responsibilities

1. Meets productivity standards as assigned.
2. Facilitates all compliance-based data submissions within established deadlines.
3. Works cooperatively with all Inlet staff members and contract entities to facilitate smooth corporate functioning.
4. Participates in regulatory visits by external entities as assigned.
5. Attends all mandatory in-service and other training/educational programs as required and attends all periodic meetings and/or trainings as assigned.
6. Provides well-grounded advice both proactively and reactively.
7. Adheres to all organizational policies and procedures.
8. Performs other duties or responsibilities as needed or assigned.

QUALIFICATIONS:

1. Bachelor's degree in accounting or finance, and five years of related experience in accounts receivable, preferably dealing with insurance, Medicare, and Medicaid. May substitute experience for education.
2. Must have a valid driver's license and insurable driving record.
3. Must be willing to travel between divisions regularly.
4. Must have references that report successful experience in accounts receivable and billing.
5. Must have references that report exceptional skills at self-direction, planning, and organization.
6. Must pass all required background checks.

MANDATORY REQUIREMENTS:

1. Adheres to all policies and procedures of Inlet Health and subsidiaries.
2. Attends mandatory in-services and other training/educational programs as required.

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