TITLE: Manager of Revenue Cycle
LOCATION: Columbus, Ohio
Are you considering a career change?
Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city.
If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team.
The system is a not-for-profit and has over 300 physicians and multiple outpatient care centers throughout the area.
The system is the largest provider in a six county region and a primary referral center.
It offers a higher level of service than what is typically found in a community of its size including open-heart surgery, trauma care, a Level II neonatal intermediate care unit, neurosurgery and
comprehensive cancer services.
They are proud of their rich history of serving the community and vow to continue the tradition of healing and caring with compassion, trust, innovation and excellence. SUMMARY:
Manages and directly participates in the performance of the revenue cycle operations of the hospital and the medical group to maintain a high functioning revenue cycle.
Plans, organizes, and directs overall operations of patient accounting functions for both hospital and professional billing.
Manages and directly supervises daily operations of the billing, follow up and denial processes.
Determines work schedules, monitors performance, resolves technical and project issues and educates staff. RESPONSIBILITIES:
-Oversees all practice revenue cycle activities through direct and matrix reporting relationships with office managers, office and billing staff, patient registration, and other support staff within revenue cycle process. Coordinates revenue cycle interaction with the operations and revenue producing areas and providers.
-Develops, documents, and implements policies, procedures and processes for practice support and overall management of the revenue cycle.
-Develops, produces, and reviews the Performance Indicator Report, or other similar performance reports within EPIC, with Hospital and health system administration and physicians to demonstrate revenue cycle performance and comparisons to targets and benchmarks.
-Works collaboratively with office managers to ensure that physicians and office staff capture and report accurate billing information and follow revenue cycle related point-of-service policies, such as collection of co-pays, treatment of self-pay balances, and appropriate charity care designation.
-Oversees training/education in relation to all aspects of the revenue cycle process, from registration and point of service through the collections and reimbursement process.
-Analyzes trending and secures process improvements consistent operational improvements in account resolution.
-Oversees the denial management process, including working with billing and denial staff to track and trend recoveries, and to ensure appropriate communication and follow-up activities.
-Works with Coding Manager, Contract & Compliance Manager, and other Physician Services administration to monitor and coordinate responses to the latest regulatory billing/payment requirements of the federal, state and 3rd party payers to ensure helathcare offices are in compliance and that electronic data processing (EDP) systems and coding structures are maintained to minimize manual processing and maximize claims acceptance and reimbursement. Translates regulatory requirements into daily operational procedures. Expedites payment processing and resolves problems with major 3rd party payers.
-Maintains professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general.
-Maintains compliance with applicable federal, state, and local laws and regulations, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
-Uses knowledge of insurance criteria and regulations in order to expedite appropriate use of resources, training content development and compliance with 3rd party payer contracts.
-Researches and understands Regulatory requirements and maintains a consistent knowledge of payer changes, Governmental changes and/or billing requirements to ensure the system captures and is reimbursed correctly for all services provided.
-Ensures all Medicare, Medicaid and Commercial guidelines are accurately administered for the facility.
-Prepares required reports using statistically sound information, displaying content in easily understandable format.
-Secures data for month end scorecard metrics and builds action plans to meet and exceed targets.
-Conducts team meetings for enhanced communication within Professional and Hospital patient accounts.
-Develops and maintains payer and vendor relations with all outside parties and holds them accountable through metrics and consistent meetings and scorecard reviews. EDUCATION/REQUIREMENTS:
Bachelor's degree in healthcare, finance, management or related field.
At least 5 years of healthcare experience is required in patient registration, billing, accounts receivable and cash management, managed care contractual terms, financial reporting, and industry standards for healthcare revenue cycle management practices.
Experience with process re-design and process re-engineering methodologies and techniques.
Position reports to the Director of Revenue Cycle Management.
Will oversee around 60 employees(consisting of billing associates, resource counselors, etc.) and there are 2 staff at the supervisory level.
This is a new position.
They use EPIC EMR.
The position is offering between 63K-87K depending on experience and offers relocation and a great benefit package.
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