Revenue Cycle Manager

New Jersey, NJ

Department: Healthcare Finance and Operations Job Number: 5630

Title: Revenue Cycle Manager

Location: New Jersey, NJ

Industry: Healthcare

Occupational Category: Healthcare Finance and Operations

Hours: Full-time

Description: Our Client, a well-known and successful medical practice is seeking a Revenue Cycle Manager. Reporting to the Executive Director of Operations, this position is responsible for the direct oversight and management of Revenue Cycle processes, staff and department. 

 Responsibilities:

  • Create and implement a vision for the department that will incorporate best practices for a multi- location practice and set the foundation to build a best in class" department that will keep pace in a high growth environment.
  • Develop, maintain and document standardized revenue cycle department policies and procedures
  • Perform analytical reviews and quality assurance on all data generated by revenue cycle department to ensure data integrity
  • Works closely with managers and directors to assure communication of information necessary to ensure efficient processes are understood and implemented in accordance with policies and procedures.
  • Consistently exhibit behavior and communication skills that demonstrate commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
  • Directly manage and oversee the staffing, training, support and development of the revenue cycle department.
  • Responsible for accurate and timely billing, data entry, charge corrections, payment entry, adjustments, invoice corrections, software maintenance, pre-registration and collections.
  • Responsible for developing a Quality Assurance program and Auditing periodically to ensure adherence to appropriate billing and collection protocols.
  • Generate specific management reports and customizes key billing metrics for dissemination to the Senior Leadership Team.
  • Review reimbursement levels to determine when changes take place. Keep up to date of changes in the industry that will impact charging patterns and reimbursement levels.
  • Disseminate and track all pertinent information supplied to operations staff.
  • Obtain and maintain appropriate reference materials for the department.
  • Develop action and contingency plans to correct bottlenecks, backlogs, etc., to reach productivity and collection goals.
  • Create processes necessary to implement new requirements.
  • Use, protect, and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Requirements:

  • Bachelor s degree or higher level education.
  • Over 10 years of demonstrated experience in an automated accounts receivable environment.
  • Multi-location management experience in a physician or hospital environment.
  • 7 years of medical billing experience.
  • 5 years of medical billing management experience.
  • Third-party billing experience (MCR, MCL, PPO, WC, and Humana).
  • ICD-10 and CPT coding experience.

Preferred Requirements:

  • 7 years of management experience
  • Certified Professional Coder
  • Electronic Health Records knowledge
  • Large multi-location experience

 

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