Job Description

The Manager, Revenue Cycle Management (MRCM) is a position that manages the billing, authorization, and collections of accounts for all payers specific to the business unit(s). In this role, you will report to the VP of Revenue Cycle Management.

Duties/Responsibilities:

• Oversees all aspects of full cycle billing processes for applicable division, with responsibility for billing, authorization, posting, adjustments, and collections

• Ensure team maintains a daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate

• Lead, coach and mentor a scalable team through team building, constructive feedback, work delegation and goal setting

• Owns all aspects of the collection process and meets aging goals as defined by business and financial managers

• Responsible for set-up and operation of multiple billing types including Medicaid, managed care and private pay either on paper or electronic claims for all applicable systems

• Participates in efforts with other departments to define and maintain payer strategy

• Participates in the Quality Assurance Performance Improvement (QAPI) process as requested by Clinical Supervisor/Director of Nursing/Regional Director

• Interfaces as point person with Contracts Department and Clinical Departments to ensure proper implementation of new payers

• Interfaces with Compliance Department to ensure compliance with federal, state, and payer specific regulations

• Audits current procedures to monitor and improve efficiency of billing and collections operations

• Responsible for payer set-up in EMR system and maintenance of payer files

• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements

• Participates in the development and implementation of operating policies and procedures

• Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency

• Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures

• Keep up to date with carrier rule changes and distribute the information within the practice

• Attains goals as set forth in annual performance evaluation

Required Skills/Abilities/Knowledge:

• Demonstrated leadership capabilities in operations and process development

• Excellent time management skills

• Excellent communication skills with all levels of authority both internally and externally

• Excellent organizational skills with attention to details and consistent follow-up

• Excellent business decorum and appearance

• Excellent computer skills

• Able to effectively manage change, deadlines and moving priorities

• Results-oriented, customer focused with experience in a fast- paced environment

Education/Experience/Licenses/Certifications:

• Bachelor’s degree in business/Marketing/Communications/Provider Relations (preferred)

• Minimum of three years of health care experience required in a supervisory/management capacity

• Minimum of five years of health care insurance billing experience

Physical Requirements:

You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations. The duties and responsibilities herein describe the general nature and level of work required. They are not intended to be construed as a complete list of all duties, responsibilities and skills required to meet requirements for this position.

• Requires the ability to write, dictate or use a keyboard to communicate directives.

• Utilizes proper body mechanics in various environments.

• Requires the ability to function in multiple environments due to travel requirements.

FLSA Status Exempt

EEO Status First/Mid-Level Officials and Managers

Benefits + Perks of Joining the Team Select Family

• Medical, Dental, and Vision Insurance

• Paid Time Off and Paid Sick Time

• 401(k)

• Referral Program

Pay Range: $60,000 - $75,000 / salary

Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.