Job Information
Butterfly Effects Senior Manager of Revenue Cycle Management in United States
T h e Senior Manager o f Re venu e C yc l e M anagemen t ("RCM") p r o v i de s l e a de r s h i p a n d e x e cu t i on to t he b i l l in g , c o l l e cti ons , au t h o r i z a t i on s a n d c r ed e n t i a l i n g t e am s . Based on the candidate's experience, the department will be bifurcated to split oversight and execution of r e i mb u r s e m en t t ra n sac t io ns, d a y- t o-d a y o v e r s i gh t , tr a i n i n g a n d p e r f o rm a n ce m an a g e m e n t o f a l l b i l l i ng , c o l l e cti on s , au t ho r iza t io n s, payment posting an d cr e de n t i a l i n g t e am m e m b er s . The Senior Manager of RCM will lead p ro c e ss d e v e l o p m e n t a n d i m p l e m e n t a ti o n o f best pr a c t i c e s to a c h ie v e o r g an i z a t i on r e v e nu e c y c l e g o a ls a n d ou t c o m e s t h ro ugh a c o l l a bo ra t i v e ap p r o a c h w i th o u t s i d e v e nd o rs a n d b u s i n e ss p a r t n e r s, c l i n i c al an d operat i o n s t e a m m e m b e r s, par e n t s, an d a l l o t her p a y e r r ep res e n t a t i v es . The candidate will be expected to e xe m p l i f y i n t e g r it y , re s p on si v e n e s s , a n d drive r e s u l t s while creating a p o s i t i v e t ea m environment . The candidate will be re s p o n s i b le f o r t h e m a n a g e m e n t, m o t i v at i o n, e d u c a t i on, an d m on i t o ring o f t h e o u t p u t o f t he b i l l i n g s u pp o rt s t af f a n d is e x p e c t ed t o m ai nt a i n t he hi g he st l e v el o f c o nf i d e n t i a l i t y d epa r t m e n t w i d e.
This role will be based in our Deerfield Beach Headquarters.
ESS E N TI A L S F U N C TIO NS
R ea s onab l e ac c o m m o da ti o n s m a y be m ade t o e n a b l e i n d i v i d uals w ith di s abil it i es t o pe r f o r m th e e s se ntial f u n ct i o n s .
M ana g e b ill i ng a nd c ol l e c t i o n s t e am a nd p r o v i d e co m p r eh en s i v e o v e r s i gh t in solution-oriented reimbursement performance
P r o v i d e d e p a r t m e nt l e a d e r s hi p, training and guidance
P r o a ct i v e l y p r o v i de t ra i n in g and r o ut i ne as s e s s m e nt t o t ea m m e m be r s in sys t e m s and company processes related to revenue reimbursement to ensure productivity and compliance. Develop, operating procedure to establish consistency for proactive effective reimbursement processes
S e t d a i ly t e am m e m ber p r i o r i tie s , d e v e l o p s t r a t e g y f o r e x e c uti o n a n d m e a s u r e success against the goals
De v e l op p r o du c t i v i t y m e tr i c s and m e a s u r e a g a i n s t t h em
M a in t ai n b il l i ng ac c u r a c y t h r ou g h m o ni t o r i ng m e c h a n i sm s and a d d r e s s v a r i an c e s and/or claims denials timely
M o ni t or e s t a b l i s h ed k ey p e r f o r m a nce in di c a t o rs and co mm u n i c a te s t a t u s d ai ly
P r o m p t l y id e n t i f y t r en ds in a c c ou n t s r e c e iva b le s and d e t e r m i n e th e r o ot cause(s)
Demonstrate ability to analyze information and think critically
En su r e t i m e l y an d a c c u r a te c l a i m s s ub m i s s i on , p a y m e n t p os t i n g , an d de n i a l s m anag e m en t
M o n i t o r b illi n g an d co l l e c ti on s o f p a t i e n t f in a nc i a l r esp o n s i b i l i t y . En s u r e c l i e n t b il l i ng p r o c e s s m ee ts s t a n d a r d o p e r at i n g p r o ce d u r e
Co l l a b o r a te w i t h o t h e r de p a r tm e n ts an d ass i s t t o r es ol v e A / R a nd pa y e r i ss u e s
P e r f o r m qua li t y a ud its a t p r ede t e r m i ne d ti m e i n t e r v al s
W o r k c o l l a b o r at i v e l y w i t h t e a m m e m be r s o n t h e f loo r to ass i s t an d ob t a i n r esu l ts
C OMPE T E N C IES
C o n f i d e n t i a l i t y : Co n f o rm t o agen c y po l i c ie s an d p r a c ti ce s r e l a t ed t o co n f i d e nt ia l i t y , H I P A A , c o n d uc t , an d e t h i ca l bu s i n e s s p r a c ti ce s .
C o n ti n u i n g Ed u c at i o n : I t is a n e x pec t at i o n t h a t a l l e m p l o y ee s a ss u m e a n a c ti v e r o l e in persona l an d p r o f e ss i o n a l de v e l op m en t . J o b r eq u i r e s engage d p a r t i c i p a t i o n in a l l co m pan y an d agen c y s po ns o r e d c o n t i n u i ng ed ucat i on .
E l ectr on i c R e c o r d s: U s i n g co m p u t e rs an d co m p u t e r s y s t e m s , i n c l u di ng D o m o , M S O f f i c e an d E le c t r o n i c M e d i ca l R ec o r d s p r o g r am s an d t h e ab il i t y t o e n te r t r a n s m it an d p r o c e s s i n f o r m a t i o n is e s s en t i a l to a ge nc y s ucce s s .
S UP ER V I S O R Y RE S PO N S I B I L I TY
E f f e c t i v e ly m ana g e an d p r o v i d e f ee dbac k an d s uppo r t B ill i ng , Co l l ec ti o n s , Po s t i n g, Authorizations and Credentialing t e a m m e m be r s .
REQUIRED EDUCATION AND EXPERIENCE
Bachelor's degree in Business Administration, Health Administration, Finance, or Accounting
10 years of Healthcare revenue reimbursement management, payment processes, collections, and denials management experience, and or related experience.
PREFERRED EDUCATION AND EXPERIENCE
Master's degree
ICD-10 Certification
Knowledge of practice management syste ms
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