Job Description

Revenue Cycle Manager

An exempt, management position responsible for all aspects of the revenue cycle. The position defines and provides necessary support and leadership to achieve department goals and objectives. Provides oversight and functions as it relates to managing all aspects of Revenue Cycle including, but not limited to billing and claims follow up, collections, revenue integrity and all other matters related to accounts receivable. Serves as a subject matter expert on contemporary best practices for revenue cycle workflows, team integration and excellence in achieving executive goals.

Essential functions:

1. Plans, develops, and coordinates Revenue Cycle functions to attain goals and meet standards of accrediting agencies.
2. Manages, supervises and monitors functions of Revenue Cycle in a professional manner.
3. Develops and implements new departmental policies and procedures and ensure compliance with established standards; serves as primary liaison with facility personnel to interpret such directives.
4. Manages and coordinates the establishment of schedules, task assignments, and allocation of person-hours to fulfill departmental commitments.
5. Plans and conducts meetings with subordinates to communicate new policies and to keep employees abreast of hospital and compliance standards.
6. Provides education and in-service training to increase efficiency of operations and effectiveness of personnel.
7. Assists in resolving patient billing questions and complaints.
8. Assists with accounts receivable activities as necessary, such as, approving cash quotes and reviewing, approving or denying write-off requests.
9. Maintains and oversees payment poster and the daily deposit log.
10. Responsible for evaluation and counseling activities of Revenue Cycle personnel, which includes front desk receptionist, registration, billers and customer service representatives.
11. Maintains confidentiality of patient and hospital related business.
12. Develops and maintains an effective working relationship with patients, families, visitors and other hospital employees.
13. Documents concisely, precisely and accurately on all records.
14. Participates in Performance Improvement activities as directed for the continuous improvement of patient care and facility business.
15. Directs various personnel actions including, but not limited to, hiring, merit recommendations, promotions and vacation schedules, performance appraisals, transfers and dismissals.
16. Coordinates correspondence with outside agencies, insurance companies, attorneys, and authorized requesting parties.
17. Supervises the preparation of a variety of reports and analyses.
18. Ensures compliance with HIPAA Privacy Regulations for the hospital.
19. Monitors, Medicare, Medicaid and other billing requirements, notifies facility management of any changes affecting the facility
20. Ensures compliance with billing regulation, maintaining accurate and timely billing.
21. Conducts staff meetings and provides guidance and feedback to strength the Revenue Cycle team.

Non-essential functions:

• Performs other duties as assigned. Actively supports and upholds the mission and core values of the Hospital.
• Remains knowledgeable of and follows the policies of the Hospital.
• Maintains patient and hospital confidentiality at all times.
• Keeps CEO, CFO and Management Committee apprised situations as appropriate.

Bachelor's degree in business preferred. Knowledge of ICD-10 and CPT coding, medical terminology preferred, previous 2-5 years management experience preferred. Knowledge of hospital billing (UB) and professional billing (1500) required, specifically Medicare, Medicaid, Blue Cross, managed care, and commercial insurance billing experience required.

The employee works in a temperature-controlled environment. Walking and/or standing approximately 10% of the day. Sitting approximately 90% of the day. Must be able to lift up to 20lbs. Must be able to bend and stoop less than 10% of the day. Reaches over the head less than 10% of the day. Candidate must be able to read, write and speak English fluently, have cognitive skills for math, reading and filing skills. Vision for near, mid-range, far and accommodation. Communication skills to deal well with employees, patients, families and physicians. Hearing for low, medium, and high pitch. Employees should be able to lift 25 pounds using proper lifting technique several times during their shift.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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