Balboa Nephrology
Renevue Cycle Manager
Balboa Nephrology - San Diego, California, United States, 92154
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Renevue Cycle Manager
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Renevue Cycle Manager
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Balboa Nephrology Get AI-powered advice on this job and more exclusive features. Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth. We will help you grow in your leadership experiences while learning the new value-based care world. Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire. Employer contribution of up to 10% of annual pay for your 401K. Generous paid time off plus 8 paid holidays! Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations. Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!
The following information provides an overview of the skills, qualities, and qualifications needed for this role.
Job Details
Description
Why work for us?
Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth. We will help you grow in your leadership experiences while learning the new value-based care world. Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire. Employer contribution of up to 10% of annual pay for your 401K. Generous paid time off plus 8 paid holidays! Company paid life insurance. Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations. Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!
Our Values:
Patient-centered I Accountability I Respect I Innovation I Data-Driven
Our Mission:
to consistently deliver superior care – Balboa Care – to every patient with kidney disease.
Work Location:
Hybrid
Works out of our Executive Square office in La Jolla, San Diego, CA. Eligible for hybrid schedule upon successful completion of onboarding/training. Position is usually in office 2-3 days a week, based on business needs. Employee must reside within San Diego County, California.
Position Summary
The Manager of Revenue Cycle reports to the Director of Revenue Cycle Management, and is responsible for planning, coordinating and managing the daily activities of assigned teams including authorizations, claims, payments & credits, medical records, and accounts receivables. The manager works in collaboration to monitor key performance indicators, adjust team priorities, identify risks, and continually improve outcomes.
Pay Range:
$80,000 - $90,000/year, with 10% annual bonus
Essential Duties And Responsibilities
Oversees day-to-day activities, provides leadership, training, and support while ensuring compliance with policies and procedures. Monitors volumes, workqueues, and Key Performance Indicators and adjusts priorities and workflows as necessary to ensure performance metrics are achieved. Reviews denials and other issues impacting timely submission and payment and works to improve performance. Researches payor policy to ensure proper billing, compliance, and payor/plan setup. Works with EHR vendor to address issues and maintain system. Runs reporting, trends, summarizes findings, and implements changes or makes recommendations to improve performance. Documents and maintain written standard operating procedures and reference materials. Strategizes and implements measures to increase efficiency, reduce costs, and minimize denials and reimbursement delays. Demonstrates strong leadership in fostering a collaborative and supportive environment within the team and with other departments both internal and external. Supports and actively participates in process improvement initiatives. Assists with other duties to support the revenue cycle process and Balboa’s core values.
Required Qualifications
High School graduate or equivalent required. Five years of current and related experience with oversight of billing and collections operations in a large medical practice, OR a bachelor’s degree in a related area plus 3 years of current and related experience with oversight of billing and collections operations in a large medical practice. Thorough and demonstrated knowledge of EPIC EHR in revenue cycle functions. Extensive and demonstrated knowledge of Revenue Cycle, Key Performance Indicators and the drivers of high performing revenue cycle teams. Experience analyzing trends and adjusting priorities in order to effectively lead to optimal performance and meet Key Performance Indicators. Metrics driven with strong analytical skills. Ability to effectively supervise and prioritize activities of subordinate staff and to manage complex workflows and multiple priorities involved with billing and/or collections operations. Clear communication skills, both oral and written, to be able to effectively manage team and to work with staff, providers, and outside organizations. Superb customer service skills. Strong proficiency with Microsoft Windows (ability to navigate, create and rename folders, save and organize files), Strong proficiency with Microsoft Office products (Outlook, OneNote, Teams, Excel, Word), proficiency with Adobe PDF. Ability to type 30 words per minute.
Preferred Qualifications
7 Years current experience managing billing and collections for a large medical group practice Bachelor’s degree in Business Administration or Healthcare Nephrology billing and collections experience Six Sigma or other Lean Management certification Certification in billing and collections such as HFMA CRCR or CSPPM
Other Considerations
Background check required Travel to other sites located within San Diego County may be required Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Supervisory duties – Yes
This position is being handled internally. We are not accepting solicitations from external recruiters or staffing agencies at this time.
Language Skills
While performing duties, the employee is regularly required to talk, hear, read, write, type and respond in English and understand clinical/medical vocabulary written and spoken.
Vision Requirements
Vision requirements include close vision, ability to adjust focus, and see color.
Physical Demands
Physical requirements may vary slightly and should be reviewed with your manager. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies. Must be able to safely ascend and descend stairs as a core part of the job, with or without reasonable accommodation, when no elevator or lift is present.
Work Environment
Job required tasks routinely involve a potential for mucous membrane or skin contact with blood, body fluids, tissues or potential spills or splashes. Use of appropriate personal protection measures is required for every healthcare provider in these positions. Require to routinely use standard office equipment such as laptop, computer, mouse, and photocopier.
About Balboa United
Beginning in 1973, Balboa has grown from two physicians to a comprehensive nephrology team of 52 board certified physicians and 8 advanced practitioners. On January 1, 2018, Balboa Nephrology Medical Group (BNMG) launched Balboa United, a full-service medical practice management services organization. From one small office, BNMG now has 24 clinical offices throughout San Diego, Imperial, Orange and Riverside counties. In addition to office and hospital-based patient care, Balboa physicians manage the dialysis treatments of approximately 4,500 patients at 88 dialysis centers and conduct Nephrology based clinical research at 6 centers throughout Imperial and San Diego counties (California Institute of Renal Research).
EEO Statement Balboa United is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available person in every job. Our Company policy prohibits unlawful discrimination based on race, color, creed, religion (including religious dress & grooming), sex (including pregnancy, childbirth or related medical conditions), gender (including gender identity and gender expression), marital status, registered domestic partner status, military status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, sexual orientation, or any other basis protected by applicable federal, state, or local law. We also prohibit unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics. The Company is committed to compliance with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee of Balboa United, including managers and co-workers. If you believe you have been subjected to any form of unlawful discrimination, submit a written complaint to your manager or Human Resources (HR). Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your complaint, or if you prefer to make a complaint in person, contact the Company's Human Resources Department. We will immediately undertake an effective, thorough, and objective investigation and attempt to resolve the situation. Seniority level
Seniority levelMid-Senior level Employment type
Employment typeFull-time Job function
Job functionOther IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Balboa Nephrology by 2x Get notified about new Manager jobs in
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Renevue Cycle Manager
role at
Balboa Nephrology 2 weeks ago Be among the first 25 applicants Join to apply for the
Renevue Cycle Manager
role at
Balboa Nephrology Get AI-powered advice on this job and more exclusive features. Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth. We will help you grow in your leadership experiences while learning the new value-based care world. Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire. Employer contribution of up to 10% of annual pay for your 401K. Generous paid time off plus 8 paid holidays! Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations. Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!
The following information provides an overview of the skills, qualities, and qualifications needed for this role.
Job Details
Description
Why work for us?
Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth. We will help you grow in your leadership experiences while learning the new value-based care world. Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire. Employer contribution of up to 10% of annual pay for your 401K. Generous paid time off plus 8 paid holidays! Company paid life insurance. Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations. Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!
Our Values:
Patient-centered I Accountability I Respect I Innovation I Data-Driven
Our Mission:
to consistently deliver superior care – Balboa Care – to every patient with kidney disease.
Work Location:
Hybrid
Works out of our Executive Square office in La Jolla, San Diego, CA. Eligible for hybrid schedule upon successful completion of onboarding/training. Position is usually in office 2-3 days a week, based on business needs. Employee must reside within San Diego County, California.
Position Summary
The Manager of Revenue Cycle reports to the Director of Revenue Cycle Management, and is responsible for planning, coordinating and managing the daily activities of assigned teams including authorizations, claims, payments & credits, medical records, and accounts receivables. The manager works in collaboration to monitor key performance indicators, adjust team priorities, identify risks, and continually improve outcomes.
Pay Range:
$80,000 - $90,000/year, with 10% annual bonus
Essential Duties And Responsibilities
Oversees day-to-day activities, provides leadership, training, and support while ensuring compliance with policies and procedures. Monitors volumes, workqueues, and Key Performance Indicators and adjusts priorities and workflows as necessary to ensure performance metrics are achieved. Reviews denials and other issues impacting timely submission and payment and works to improve performance. Researches payor policy to ensure proper billing, compliance, and payor/plan setup. Works with EHR vendor to address issues and maintain system. Runs reporting, trends, summarizes findings, and implements changes or makes recommendations to improve performance. Documents and maintain written standard operating procedures and reference materials. Strategizes and implements measures to increase efficiency, reduce costs, and minimize denials and reimbursement delays. Demonstrates strong leadership in fostering a collaborative and supportive environment within the team and with other departments both internal and external. Supports and actively participates in process improvement initiatives. Assists with other duties to support the revenue cycle process and Balboa’s core values.
Required Qualifications
High School graduate or equivalent required. Five years of current and related experience with oversight of billing and collections operations in a large medical practice, OR a bachelor’s degree in a related area plus 3 years of current and related experience with oversight of billing and collections operations in a large medical practice. Thorough and demonstrated knowledge of EPIC EHR in revenue cycle functions. Extensive and demonstrated knowledge of Revenue Cycle, Key Performance Indicators and the drivers of high performing revenue cycle teams. Experience analyzing trends and adjusting priorities in order to effectively lead to optimal performance and meet Key Performance Indicators. Metrics driven with strong analytical skills. Ability to effectively supervise and prioritize activities of subordinate staff and to manage complex workflows and multiple priorities involved with billing and/or collections operations. Clear communication skills, both oral and written, to be able to effectively manage team and to work with staff, providers, and outside organizations. Superb customer service skills. Strong proficiency with Microsoft Windows (ability to navigate, create and rename folders, save and organize files), Strong proficiency with Microsoft Office products (Outlook, OneNote, Teams, Excel, Word), proficiency with Adobe PDF. Ability to type 30 words per minute.
Preferred Qualifications
7 Years current experience managing billing and collections for a large medical group practice Bachelor’s degree in Business Administration or Healthcare Nephrology billing and collections experience Six Sigma or other Lean Management certification Certification in billing and collections such as HFMA CRCR or CSPPM
Other Considerations
Background check required Travel to other sites located within San Diego County may be required Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Supervisory duties – Yes
This position is being handled internally. We are not accepting solicitations from external recruiters or staffing agencies at this time.
Language Skills
While performing duties, the employee is regularly required to talk, hear, read, write, type and respond in English and understand clinical/medical vocabulary written and spoken.
Vision Requirements
Vision requirements include close vision, ability to adjust focus, and see color.
Physical Demands
Physical requirements may vary slightly and should be reviewed with your manager. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies. Must be able to safely ascend and descend stairs as a core part of the job, with or without reasonable accommodation, when no elevator or lift is present.
Work Environment
Job required tasks routinely involve a potential for mucous membrane or skin contact with blood, body fluids, tissues or potential spills or splashes. Use of appropriate personal protection measures is required for every healthcare provider in these positions. Require to routinely use standard office equipment such as laptop, computer, mouse, and photocopier.
About Balboa United
Beginning in 1973, Balboa has grown from two physicians to a comprehensive nephrology team of 52 board certified physicians and 8 advanced practitioners. On January 1, 2018, Balboa Nephrology Medical Group (BNMG) launched Balboa United, a full-service medical practice management services organization. From one small office, BNMG now has 24 clinical offices throughout San Diego, Imperial, Orange and Riverside counties. In addition to office and hospital-based patient care, Balboa physicians manage the dialysis treatments of approximately 4,500 patients at 88 dialysis centers and conduct Nephrology based clinical research at 6 centers throughout Imperial and San Diego counties (California Institute of Renal Research).
EEO Statement Balboa United is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available person in every job. Our Company policy prohibits unlawful discrimination based on race, color, creed, religion (including religious dress & grooming), sex (including pregnancy, childbirth or related medical conditions), gender (including gender identity and gender expression), marital status, registered domestic partner status, military status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, sexual orientation, or any other basis protected by applicable federal, state, or local law. We also prohibit unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics. The Company is committed to compliance with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee of Balboa United, including managers and co-workers. If you believe you have been subjected to any form of unlawful discrimination, submit a written complaint to your manager or Human Resources (HR). Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your complaint, or if you prefer to make a complaint in person, contact the Company's Human Resources Department. We will immediately undertake an effective, thorough, and objective investigation and attempt to resolve the situation. Seniority level
Seniority levelMid-Senior level Employment type
Employment typeFull-time Job function
Job functionOther IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Balboa Nephrology by 2x Get notified about new Manager jobs in
San Diego, CA . Quality & Continuous Improvement Manager- $10K Sign-on BonusGeneral Manager, Full Time, UTC San Diego - Pottery Barn Kids Solana Beach, CA $60,000.00-$75,000.00 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr