Revenue Cycle Manager

Description:

Reviews, modifies, and recommends changes to policies and procedures to improve accounts receivable.

Performs ongoing trend analysis of payer rejections and denials. Supports the billing manager to perform proactive review of all recommended AR write-offs.

Analyzes workflow and operational procedures to identify opportunities for improved reimbursement, develops and implements policies and procedures with leadership to ensure all services/charges are captured, recorded, processed, and bills in an accurate and timely manner.

Maintains knowledge and understanding of insurance billing procedures to understand the reason for claims in hold and overpaid status to ensure resolution and timely payment.

Audits and ensures the sliding fee scale program is administered in accordance with HRSA compliance guidelines.

Meets regularly and works with the team to address reimbursement and data needs while recommending target areas for reimbursement improvement.

Gathers and analyzes denial information and identifies commonalities among denial reasons. Based on this data, creates training presentations for clinic leadership for overall reduction in denials and/or process improvements.

Educates and communicates revenue cycle/financial information to patients, payers, co-workers, managers, and others as necessary to ensure accurate processes.

Assists the billing manager in training new providers and financial eligibility specialists.

Supports billing department functions including electronic charge capture, payment posting, and accounts follow up as directed by the billing manager.

Collaborates with leadership team, revenue cycle operations, finance, billing IT, and finance.

Supports the billing manager on monthly and other billing department reporting activities.

Supports the billing manager on implementing and monitoring quality assurance programs.

Participates fully on the middle management team regarding agency-related projects.

Responsible for developing and implementing the agency mission and strategic vision in a collaborative leadership style.

Oversees efforts for recruitment and staffing of the department in collaboration with the Human Resources Department.

Represents the Agency in collaboration with executive leadership in its relationships with other health organizations, government agencies, third-party payers, and other stakeholders.

Completes required continuous training and education, including department specific requirements.

Performs other duties as assigned

Additional Skills & Qualifications:

At least 5 years of experience in the health care industry, FQHC experience preferred

Knowledge of revenue cycle processes, payor billing, denials management and reporting.

Knowledge of specialized reporting requirements and procedures in the preparation of accounting records and financial statements.

Ability to compile and analyze data and prepare summary status reports based on the data utilizing automated systems, databases, spreadsheets, and word processing programs.

Strong analytical and problem-solving skills.

Exemplary communications skills (active listening, written & verbal).

Excellent customer service skills.

Utilized EMR/EMP software, ideally eClinical Works.

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.