Premier Financial Management Services
Revenue Cycle Management (RCM)
Premier Financial Management Services, Chicago, Illinois, United States, 60290
Position: Revenue Cycle Management (RCM)
Location:
Wauwatosa, WI
Job Id: 332 # of Openings: 1 About the Company: AssuranceSD is a mission-driven organization providing payroll processing services that enable individuals to take ownership over personal healthcare services in their home or community-based setting. Our mission is to help strengthen communities through enabling individuals to elect and manage their own care programs, including how, when, where and who delivers these healthcare services. This work supports care recipients in retaining their dignity and receiving the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with special needs. General Responsibilities: The RCM Director is responsible for planning, direction, and management of the operational activities of the revenue cycle department in support of the mission, goals, and objectives of AssuranceSD. Revenue cycle includes prior authorization, charge capture, coding, information management, billing, claims filing, collections, denials management, and revenue integrity. This leader plays a key role in optimizing revenue cycle processes while maintaining compliance with payor requirements. This leader will be responsible for implementing and maintaining top-tier billing practices and will be a thought partner with other operational leaders to develop, formalize, and implement best practices across the revenue cycle management department. The ideal candidate is motivated to; create efficient processes from inefficient ones, to improve the capabilities of their team, to contribute to the success of other teams, and to address new challenges with pragmatic solutions. Essential Duties and Responsibilities: The RCM Director will supervise the billing and claims team, currently numbering 11, and coordinate revenue cycle functions of the businesses while partnering with other departments (e.g., Accounting, Operations, Human Resources, and IT). Lead and manage end-to-end revenue cycle operations. Implementing processes to ensure that accurate billing information is entered into the billing systems Supervising the revenue cycle department in various duties, such as account management, communications with payors, collections, cash posting, contract analysis, and billing. Work closely with the company’s Operation team to submit timely and accurate billings. Review billing information for completeness and accuracy and investigating identified differences. Monitor and oversee the tracking of billed claims and collections. Review and update timely A/R reports in collaboration with Accounting to support management reporting. Oversee the reconciliation of ACH and check remittances to participant billed claims per the payroll ledger. Oversee monthly billing documentation for payers to ensure proper record retention. Recommend bad debt and write-off amounts for uncollectible accounts to the Accounting team. Communicate with customers concerning billing, collection, and reconciliation of invoices. Perform regular reconciliations and reviews to identify discrepancies. Who You Are: Bachelor’s degree in finance, business administration, healthcare administration, accounting, or related field. 7+ years of Healthcare-related RCM management experience. Excellent communicator, both written and verbal; able to communicate complex processes in a clear and direct manner to others in the organization Demonstrated experience leading, building, developing, mentoring, and inspiring a high-performing professional team Proficiency in Microsoft Suite (e.g., Excel, Word, PowerPoint, Teams) with particular emphasis on data analysis and literacy using Excel or other data tools. Strong problem-solving and organizational skills evidencing a solid business acumen with a mind set of continuous improvement. Excited to navigate and bring structure to a high growth, rapidly changing, and sometimes ambiguous environment A collaborative team contributor with a “roll up the sleeves” attitude Professional ability to work with sensitive HIPPA information appropriately. Medicaid billing and requirements experience a plus Experience in working with ANSI X12 837/835 electronic claims submissions a plus Able to travel up to a week a month, as needed, to interact with the RCM team and other company groups across the upper Midwest (MI, WI, MN, possibly CO, UT and CA) Embody AssuranceSD’s values of empathy, empowerment, ambition, accountability, and ethics Compensation and Benefits
Competitive Salary & Bonus opportunity Generous PTO Open to hybrid location for the right candidate Disclaimer: This job description indicates the general work necessary to adequately execute core job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law. We are committed to diversity, opportunity, and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee. We strive to create a mindful and respectful environment where everyone can bring their best self to work, and experience a culture that is free of harassment, racism, discrimination or bias.
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Wauwatosa, WI
Job Id: 332 # of Openings: 1 About the Company: AssuranceSD is a mission-driven organization providing payroll processing services that enable individuals to take ownership over personal healthcare services in their home or community-based setting. Our mission is to help strengthen communities through enabling individuals to elect and manage their own care programs, including how, when, where and who delivers these healthcare services. This work supports care recipients in retaining their dignity and receiving the most appropriate services for their specific situation. Through facilitating self-directed home and community-based services, AssuranceSD improves the standard of home care available to aging seniors as well as individuals with special needs. General Responsibilities: The RCM Director is responsible for planning, direction, and management of the operational activities of the revenue cycle department in support of the mission, goals, and objectives of AssuranceSD. Revenue cycle includes prior authorization, charge capture, coding, information management, billing, claims filing, collections, denials management, and revenue integrity. This leader plays a key role in optimizing revenue cycle processes while maintaining compliance with payor requirements. This leader will be responsible for implementing and maintaining top-tier billing practices and will be a thought partner with other operational leaders to develop, formalize, and implement best practices across the revenue cycle management department. The ideal candidate is motivated to; create efficient processes from inefficient ones, to improve the capabilities of their team, to contribute to the success of other teams, and to address new challenges with pragmatic solutions. Essential Duties and Responsibilities: The RCM Director will supervise the billing and claims team, currently numbering 11, and coordinate revenue cycle functions of the businesses while partnering with other departments (e.g., Accounting, Operations, Human Resources, and IT). Lead and manage end-to-end revenue cycle operations. Implementing processes to ensure that accurate billing information is entered into the billing systems Supervising the revenue cycle department in various duties, such as account management, communications with payors, collections, cash posting, contract analysis, and billing. Work closely with the company’s Operation team to submit timely and accurate billings. Review billing information for completeness and accuracy and investigating identified differences. Monitor and oversee the tracking of billed claims and collections. Review and update timely A/R reports in collaboration with Accounting to support management reporting. Oversee the reconciliation of ACH and check remittances to participant billed claims per the payroll ledger. Oversee monthly billing documentation for payers to ensure proper record retention. Recommend bad debt and write-off amounts for uncollectible accounts to the Accounting team. Communicate with customers concerning billing, collection, and reconciliation of invoices. Perform regular reconciliations and reviews to identify discrepancies. Who You Are: Bachelor’s degree in finance, business administration, healthcare administration, accounting, or related field. 7+ years of Healthcare-related RCM management experience. Excellent communicator, both written and verbal; able to communicate complex processes in a clear and direct manner to others in the organization Demonstrated experience leading, building, developing, mentoring, and inspiring a high-performing professional team Proficiency in Microsoft Suite (e.g., Excel, Word, PowerPoint, Teams) with particular emphasis on data analysis and literacy using Excel or other data tools. Strong problem-solving and organizational skills evidencing a solid business acumen with a mind set of continuous improvement. Excited to navigate and bring structure to a high growth, rapidly changing, and sometimes ambiguous environment A collaborative team contributor with a “roll up the sleeves” attitude Professional ability to work with sensitive HIPPA information appropriately. Medicaid billing and requirements experience a plus Experience in working with ANSI X12 837/835 electronic claims submissions a plus Able to travel up to a week a month, as needed, to interact with the RCM team and other company groups across the upper Midwest (MI, WI, MN, possibly CO, UT and CA) Embody AssuranceSD’s values of empathy, empowerment, ambition, accountability, and ethics Compensation and Benefits
Competitive Salary & Bonus opportunity Generous PTO Open to hybrid location for the right candidate Disclaimer: This job description indicates the general work necessary to adequately execute core job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. We are an equal opportunity workplace, committed to equal employment opportunity regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or any other characteristic protected by applicable federal, state or local law. We are committed to diversity, opportunity, and inclusion, both in our hiring practices and in our experiences as a AssuranceSD employee. We strive to create a mindful and respectful environment where everyone can bring their best self to work, and experience a culture that is free of harassment, racism, discrimination or bias.
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