Employer: | Sandhills Pediatrics |
Type: | FULL TIME |
Skills: | Working knowledge of Full Revenue Cycle Process,Billing,Compliance |
Specialties: | Pediatrics |
Preferred Certifications: | CRCR |
Required Experience: | 3 to 4 years |
Preferred Experience: | 5 to 7 years |
Location: | 195 West Illinois Avenue Southern Pines 28387, NC, US |
Date Posted: | 7/6/2020 |
The Revenue Cycle Manager
will provide strong leadership and directly manage all aspects of billing
including electronic submissions, manage payer edits, and collections, and
indirectly influence all functions that impacting the full revenue cycle. The
Revenue Cycle Manager’s objective is to maximize cash flow while maintaining
and improving internal and external payer and customer relations. The Revenue
Cycle Manager will contribute to the day-to-day operations on all issues related
to the revenue cycle process, provide analysis, create written processes and
procedures and develops and implements a cross functional revenue cycle team.
Essential Duties and Responsibilities:
Oversee the entire revenue cycle process such as
account management, charge reconciliation, communication with insurance
providers, collections, cash posting, contract analysis, and billing. Review
daily, weekly and monthly key accounts receivables performance metrics to
identify trends and areas in need of specific attention. Ensure
accurate month-end accounts receivable balances are recorded. Analyze
data to identify trends related to denials and rejections; develop and
execute plans to avoid, reduce and resolve denials and rejections. Create
and communicate revenue cycle policies and procedures. Plan
and structure department workflow and staffing. Develop
quantifiable goals and metrics for the department. Manage,
hire, train, develop, coach and support staff. Understand
and interpret insurance explanation of benefits/payment. Ensure
that all billing related inquiries from patients, guarantors, staff and
payers are responded to in a professional and timely manner. Maintain
knowledge of and ensure compliance with state and federal laws/regulations
for Medicaid and all other payers. All
other duties as assigned by Practice Administrator or Partners.
Qualifications/Education:
Bachelor’s
Degree in Accounting, Finance, Business Administration, Health Care
Administration or related field. Minimum of three years’ experience in a
healthcare billing and managing business office staff. Previous experience in a
pediatric facility is preferred.