HDM
Overview
Join to apply for the
Revenue Cycle Manager
role at
HDM . 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 (in-house complete billing cycle).
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; maintain exceptional customer service and timely communication with clients.
Provide training and mentoring to staff; ensure SOPs are followed and improvements occur.
Stay current with company policies and procedures regarding AR activity; monitor month-end reports to ensure AR is below 20% over 90 days and identify trends.
Analyze reports to determine causes of decreases in clients’ AR; communicate with clients and staff to resolve.
Review work performed by outside vendors for accuracy and production.
Hire, retain, mentor, and manage staff to achieve organizational goals; conduct regular performance reviews.
Prepare and deliver required reports to leadership; communicate resolutions of issues such as payer denial trends, collections, inaccurate charges, and vendor input.
Track clients’ AR productivity on a daily/weekly/monthly basis; ensure client and company expectations are met.
Provide required audits and documentation for internal and external reviews; oversee and direct retrieval, approval and correction of claims through EHR to Practice Management System.
Oversee monthly statements and AR reconciliation; ensure accuracy and integrity of AR system, claims, and registration processes.
Collaborate with stakeholders and billing personnel to ensure integrity of AR system and billing processes.
Assist in hiring and training new staff; provide ongoing support to meet business needs.
Ensure processes are compliant with billing policies and procedures; train and supervise staff in revenue management and billing operations.
Essential Duties And Responsibilities
Review all visit data to ensure services and diagnoses are properly documented.
Develop reports/data to evaluate business performance and establish best practice revenue cycle benchmarks for FQHC.
Participate in analysis of financial data and budgeting/forecasting; assist in Medicare cost reports and reconciliations.
Review sliding fees and fee schedules for current accuracy; perform ad-hoc reporting and issue resolution.
Review journal entries for revenues and doubtful accounts during month-end close.
Partner with internal and external stakeholders related to Revenue Cycle management; improve billing workflows.
Analyze data from multiple sources to identify revenue cycle and operational improvements.
Review EOB forms and pursue appeals for incorrect payments; follow up on unresolved AR.
Document procedures; provide timely information with quality and transparency.
Communicate effectively and maintain positive relationships with coworkers, clients, providers, and customers.
Perform other duties as assigned by supervisory staff.
Requirements Job Qualifications:
Education and/or Experience: Sufficient training and experience to perform duties listed below.
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: prior experience in FQHC environment
Competencies & Skills
Accountability: Takes ownership, learns from mistakes, and engages in difficult conversations when needed.
Communicating Effectively: Clear and engaging communication; listens and involves others.
Decision Making/Judgment: Analyzes issues, involves others, and makes timely decisions.
Results Orientation: Focused on outcomes and able to deliver against goals.
Oral Communication: Clear spoken communication and approachability.
Planning/Organizing: Prioritizes work and uses time efficiently.
Professionalism: Polite, respectful, and responsible; follows through on commitments.
Quality: Maintains accuracy and thoroughness; seeks improvement.
Physical Requirements
Light lifting up to 25 pounds; extended sitting/standing; ability to travel to multiple locations as needed.
Flexible to work in multiple locations; reasonable accommodations as needed.
Work Environment
Exposure to various conditions and artifacts of a healthcare/office setting as described by employer policies.
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.
Notes The description above is intended to describe the general nature and level of work performed by individuals assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications required for the position.
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Join to apply for the
Revenue Cycle Manager
role at
HDM . 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 (in-house complete billing cycle).
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; maintain exceptional customer service and timely communication with clients.
Provide training and mentoring to staff; ensure SOPs are followed and improvements occur.
Stay current with company policies and procedures regarding AR activity; monitor month-end reports to ensure AR is below 20% over 90 days and identify trends.
Analyze reports to determine causes of decreases in clients’ AR; communicate with clients and staff to resolve.
Review work performed by outside vendors for accuracy and production.
Hire, retain, mentor, and manage staff to achieve organizational goals; conduct regular performance reviews.
Prepare and deliver required reports to leadership; communicate resolutions of issues such as payer denial trends, collections, inaccurate charges, and vendor input.
Track clients’ AR productivity on a daily/weekly/monthly basis; ensure client and company expectations are met.
Provide required audits and documentation for internal and external reviews; oversee and direct retrieval, approval and correction of claims through EHR to Practice Management System.
Oversee monthly statements and AR reconciliation; ensure accuracy and integrity of AR system, claims, and registration processes.
Collaborate with stakeholders and billing personnel to ensure integrity of AR system and billing processes.
Assist in hiring and training new staff; provide ongoing support to meet business needs.
Ensure processes are compliant with billing policies and procedures; train and supervise staff in revenue management and billing operations.
Essential Duties And Responsibilities
Review all visit data to ensure services and diagnoses are properly documented.
Develop reports/data to evaluate business performance and establish best practice revenue cycle benchmarks for FQHC.
Participate in analysis of financial data and budgeting/forecasting; assist in Medicare cost reports and reconciliations.
Review sliding fees and fee schedules for current accuracy; perform ad-hoc reporting and issue resolution.
Review journal entries for revenues and doubtful accounts during month-end close.
Partner with internal and external stakeholders related to Revenue Cycle management; improve billing workflows.
Analyze data from multiple sources to identify revenue cycle and operational improvements.
Review EOB forms and pursue appeals for incorrect payments; follow up on unresolved AR.
Document procedures; provide timely information with quality and transparency.
Communicate effectively and maintain positive relationships with coworkers, clients, providers, and customers.
Perform other duties as assigned by supervisory staff.
Requirements Job Qualifications:
Education and/or Experience: Sufficient training and experience to perform duties listed below.
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: prior experience in FQHC environment
Competencies & Skills
Accountability: Takes ownership, learns from mistakes, and engages in difficult conversations when needed.
Communicating Effectively: Clear and engaging communication; listens and involves others.
Decision Making/Judgment: Analyzes issues, involves others, and makes timely decisions.
Results Orientation: Focused on outcomes and able to deliver against goals.
Oral Communication: Clear spoken communication and approachability.
Planning/Organizing: Prioritizes work and uses time efficiently.
Professionalism: Polite, respectful, and responsible; follows through on commitments.
Quality: Maintains accuracy and thoroughness; seeks improvement.
Physical Requirements
Light lifting up to 25 pounds; extended sitting/standing; ability to travel to multiple locations as needed.
Flexible to work in multiple locations; reasonable accommodations as needed.
Work Environment
Exposure to various conditions and artifacts of a healthcare/office setting as described by employer policies.
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.
Notes The description above is intended to describe the general nature and level of work performed by individuals assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications required for the position.
#J-18808-Ljbffr