Universal Community Health Center
Revenue Cycle Manager
Universal Community Health Center, Los Angeles, California, United States, 90079
Overview
Join to apply for the
Revenue Cycle Manager
role at
Universal Community Health Center . 2 days ago Be among the first 25 applicants Join to apply for the
Revenue Cycle Manager
role at
Universal Community Health Center Description
The Revenue Cycle Manager (RCM Manager) oversees all functions in the Billing/Accounts Receivable department and is responsible and accountable for the revenue cycle process. This position works collaboratively with front-line staff, clinicians, department managers, and senior leadership to maximize revenue, provide reports demonstrating trends in patient accounts, and ensure accuracy and compliance in billing, collections, and denials. The RCM Manager also ensures proper oversight of related financial screening areas (e.g., sliding fee discount policy, patient refunds, patient collections, COVID-related claims, and write-offs). Primary Responsibilities
Manage the day-to-day revenue cycle operational processes. Our complete billing cycle in housed Participate in the development and implementation of organizational strategies, policies, and practices to create overall department success Identify reimbursement issues and take timely steps to resolve Set productivity goals, monitor, and eliminate barriers to achieving those goals at the individual and/or team level Manage billing department staff (5) in daily activities, assign work, set completion dates, review work and manage performance in accordance with established policies and procedures Analyze and address new errors and denials Exhibit exceptional customer service skills; answer client calls; prompt return and follow up to all interactions Respond to requests for information, initiate and maintain direct contact with CHMB clients, and proactively resolve issues Clearly document issues and resolution, as well as AR issues/status for client presentation Participate in client workgroups as needed to address AR issues Maintain a schedule of client meetings monthly or quarterly depending on client size and scope Interact professionally with clients and patients to resolve questions and concerns Deliver timely reports to the Director of Operations; communicate resolutions of issues such as payer denial trends and collections Identify and provide timely resolution of process issues Track clients’ AR productivity (charge, payments, collections, adjustments) daily/weekly/monthly as needed Provide training and mentoring to staff; ensure SOPs are followed and improvements occur Stay current with policies regarding AR activity and month-end reporting to manage AR below 20% over 90 days Analyze reports to determine AR decreases and communicate with client and staff to resolve Review work performed by outside vendors for accuracy and production Hire, mentor and manage staff to achieve organizational goals Meet regularly with staff to confirm client account status and prioritize AR activities Provide support and oversight to build a team to meet business needs Address staff performance and conduct issues professionally; provide feedback and discipline as appropriate Perform periodic reviews to mentor and improve performance Handle internal staffing issues (timekeeping, coverage, workflow, training) Achieve goals set forth by supervisor and compliance requirements Assist in hiring and training new staff members Prepare reports for management and physician review Oversee and manage retrieval, approval and correction of claims in the EHR to the Practice Management System Review charges, payments and adjustments on automated systems Reconcile charges, payments and adjustments regularly Work with stakeholders to ensure AR system accuracy and integrity Report fiscal detail and trends to executive leadership Monthly review of patient statements and receivables Ensure third-party denials are re-billed or adjusted appropriately Help prepare yearly cost reports, UDS data, and audit materials Work with leadership to ensure new programs/services are billable Provide audit documentation for internal and external audits Ensure processes comply with billing policies and procedures Design and update business forms as needed Train, supervise and evaluate revenue management, billing staff and coding staff Facilitate patient and staff inquiries regarding financial accounts Train and provide direction to others impacting patient financials Provide oversight of outsourced A/R management organizations Essential Duties And Responsibilities
Review all visit data to ensure all services and diagnoses are accounted for Develop reports/data to evaluate business performance Develop best practice revenue cycle performance benchmarks for FQHC Participate in analysis of financial data, including variance analysis and profitability Assist with budgeting and forecasting Prepare Medicare cost reports and Medi-Cal reconciliation Review Sliding Fees and Fee Schedules Handle ad-hoc reporting and issue investigations Review journal entries for revenues and allowance for doubtful accounts Work independently on complex issues Partner with internal and external stakeholders in Revenue Cycle management Improve billing workflow with management and departments Analyze data from multiple sources to identify insights for revenue cycle and operations Review explanations of benefits; appeal incorrect payments Follow up on unresolved accounts receivable Document procedures as needed Provide timely information with quality and transparency Communicate effectively and maintain professional relationships Perform other duties as assigned Assist in policy and procedure documentation and updates Requirements
Education and/or Experience: Sufficient training and experience to perform duties listed Required Education: Degree in Finance or Accounting or related field Preferred Education: Bachelor in Finance, Accounting, Business, or Healthcare Required Experience: 5-7 years in billing, revenue cycle management Preferred Experience: FQHC environment experience Competencies & Skills
Accountability: Takes ownership and uses mistakes as learning opportunities Communicating Effectively Decision Making/Judgment Results Orientation Oral Communication Planning/Organizing Professionalism Quality Physical Requirements
Light lifting up to 25 pounds; sit or stand for extended periods; travel to multiple locations as needed Occasional walking and finger dexterity Ability to work in multiple locations and travel as needed Work Environment
Exposure to adverse conditions, extreme temperatures, wet/humid conditions, and moving mechanical parts Exposure to fumes, chemicals, and potential hazards; protective equipment may be required Possible risk of electrical shock, radiation, and vibration; high noise levels Equal Employment Opportunity
Universal Community Health Center is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), age, disability, genetic information, national origin, or any other protected characteristic as defined under applicable state, federal, or local laws.
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Join to apply for the
Revenue Cycle Manager
role at
Universal Community Health Center . 2 days ago Be among the first 25 applicants Join to apply for the
Revenue Cycle Manager
role at
Universal Community Health Center Description
The Revenue Cycle Manager (RCM Manager) oversees all functions in the Billing/Accounts Receivable department and is responsible and accountable for the revenue cycle process. This position works collaboratively with front-line staff, clinicians, department managers, and senior leadership to maximize revenue, provide reports demonstrating trends in patient accounts, and ensure accuracy and compliance in billing, collections, and denials. The RCM Manager also ensures proper oversight of related financial screening areas (e.g., sliding fee discount policy, patient refunds, patient collections, COVID-related claims, and write-offs). Primary Responsibilities
Manage the day-to-day revenue cycle operational processes. Our complete billing cycle in housed Participate in the development and implementation of organizational strategies, policies, and practices to create overall department success Identify reimbursement issues and take timely steps to resolve Set productivity goals, monitor, and eliminate barriers to achieving those goals at the individual and/or team level Manage billing department staff (5) in daily activities, assign work, set completion dates, review work and manage performance in accordance with established policies and procedures Analyze and address new errors and denials Exhibit exceptional customer service skills; answer client calls; prompt return and follow up to all interactions Respond to requests for information, initiate and maintain direct contact with CHMB clients, and proactively resolve issues Clearly document issues and resolution, as well as AR issues/status for client presentation Participate in client workgroups as needed to address AR issues Maintain a schedule of client meetings monthly or quarterly depending on client size and scope Interact professionally with clients and patients to resolve questions and concerns Deliver timely reports to the Director of Operations; communicate resolutions of issues such as payer denial trends and collections Identify and provide timely resolution of process issues Track clients’ AR productivity (charge, payments, collections, adjustments) daily/weekly/monthly as needed Provide training and mentoring to staff; ensure SOPs are followed and improvements occur Stay current with policies regarding AR activity and month-end reporting to manage AR below 20% over 90 days Analyze reports to determine AR decreases and communicate with client and staff to resolve Review work performed by outside vendors for accuracy and production Hire, mentor and manage staff to achieve organizational goals Meet regularly with staff to confirm client account status and prioritize AR activities Provide support and oversight to build a team to meet business needs Address staff performance and conduct issues professionally; provide feedback and discipline as appropriate Perform periodic reviews to mentor and improve performance Handle internal staffing issues (timekeeping, coverage, workflow, training) Achieve goals set forth by supervisor and compliance requirements Assist in hiring and training new staff members Prepare reports for management and physician review Oversee and manage retrieval, approval and correction of claims in the EHR to the Practice Management System Review charges, payments and adjustments on automated systems Reconcile charges, payments and adjustments regularly Work with stakeholders to ensure AR system accuracy and integrity Report fiscal detail and trends to executive leadership Monthly review of patient statements and receivables Ensure third-party denials are re-billed or adjusted appropriately Help prepare yearly cost reports, UDS data, and audit materials Work with leadership to ensure new programs/services are billable Provide audit documentation for internal and external audits Ensure processes comply with billing policies and procedures Design and update business forms as needed Train, supervise and evaluate revenue management, billing staff and coding staff Facilitate patient and staff inquiries regarding financial accounts Train and provide direction to others impacting patient financials Provide oversight of outsourced A/R management organizations Essential Duties And Responsibilities
Review all visit data to ensure all services and diagnoses are accounted for Develop reports/data to evaluate business performance Develop best practice revenue cycle performance benchmarks for FQHC Participate in analysis of financial data, including variance analysis and profitability Assist with budgeting and forecasting Prepare Medicare cost reports and Medi-Cal reconciliation Review Sliding Fees and Fee Schedules Handle ad-hoc reporting and issue investigations Review journal entries for revenues and allowance for doubtful accounts Work independently on complex issues Partner with internal and external stakeholders in Revenue Cycle management Improve billing workflow with management and departments Analyze data from multiple sources to identify insights for revenue cycle and operations Review explanations of benefits; appeal incorrect payments Follow up on unresolved accounts receivable Document procedures as needed Provide timely information with quality and transparency Communicate effectively and maintain professional relationships Perform other duties as assigned Assist in policy and procedure documentation and updates Requirements
Education and/or Experience: Sufficient training and experience to perform duties listed Required Education: Degree in Finance or Accounting or related field Preferred Education: Bachelor in Finance, Accounting, Business, or Healthcare Required Experience: 5-7 years in billing, revenue cycle management Preferred Experience: FQHC environment experience Competencies & Skills
Accountability: Takes ownership and uses mistakes as learning opportunities Communicating Effectively Decision Making/Judgment Results Orientation Oral Communication Planning/Organizing Professionalism Quality Physical Requirements
Light lifting up to 25 pounds; sit or stand for extended periods; travel to multiple locations as needed Occasional walking and finger dexterity Ability to work in multiple locations and travel as needed Work Environment
Exposure to adverse conditions, extreme temperatures, wet/humid conditions, and moving mechanical parts Exposure to fumes, chemicals, and potential hazards; protective equipment may be required Possible risk of electrical shock, radiation, and vibration; high noise levels Equal Employment Opportunity
Universal Community Health Center is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), age, disability, genetic information, national origin, or any other protected characteristic as defined under applicable state, federal, or local laws.
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