Center of Excellence Manager

EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

Job Title: RCM Center of Excellence Manager

SUMMARY

The Center of Excellence (COE) Manager is responsible for managing all staff and daily operations of the Revenue Cycle Management (RCM) functions to optimize the patient financial experience. The RCM COE Manager is accountable for all RCM processes including insurance verification, authorizations, patient statements, charge entry/coding, submission of clean claims, collection of patient and insurance receivables, AR management, denials, cash posting, and patient and operational communications.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Ensure adherence to all COE outputs in legacy and acquired practice locations, meeting or exceeding all established goals and benchmarks, and maximizing revenue while maintaining regulatory compliance.
• Partner with the Director in the streamlining of processes, maintenance of accurate and timely billing processes, and identifying opportunities with RCM systems to continually enhance the COE.
• Create and implement metrics for productivity and quality.
• Ensure adherence to and compliance of payer, government, and internal system regulatory policies.
• Monitor key revenue cycle management performance levels.
• Conduct streamlined communication and collaboration with practice RCM teams, Practice Administrators, RCM leadership, and other various RCM stakeholders.
• Assess and transition new acquisition practice locations.
• Ensure that all employees within the department have received the proper level of training to complete their daily tasks.
• Assist and support the migration to consistent and standard technology platforms.
• Perform all month-end procedures and assist in assessing any variances to established baselines.
• Promote integration, consolidation, standardization and optimization through legacy and acquired practices.
• Identifies means to improve processes and promote both quality and performance via knowledge of best practices, prompt identification and resolution of staff concerns or problems, providing prompt responses to practice inquiries and soliciting staff feedback to improve team performance and satisfaction.
• Develop and mentor direct reports to promote their personal and professional growth
• Occasional travel will be required.

QUALIFICATIONS

• Experience in Optometry/Ophthalmology physician practice environments.
• Ability to prioritize and successfully manage demanding timelines, meeting outlined deliverables.
• Experience in the protection of confidential data.
• Strong change management skills utilized in a rapidly evolving environment.
• Knowledge of regulatory requirements related to patient accounting, CPT/ICD10 coding, and a solid understanding of Medicare, Medicaid and managed care processes.
• Demonstrate ability to work independently in a productive, goal-oriented manner.
• Excellent leadership, interpersonal, and both written and verbal communication skills.
• Strong analytical skills.

EDUCATION AND/OR EXPERIENCE

• Minimum Required: A. or B.S.
• Minimum Required: 7+ years of RCM experience 2+ years of healthcare revenue cycle managerial experience

LICENSES AND CREDENTIALS

• Minimum Required: None

SYSTEMS AND TECHNOLOGY

• Proficient in Microsoft Excel, Word, PowerPoint, Outlook

NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.

Physical Requirements:

While performing the duties of this job, the employee is regularly required to talk and hear. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly - only resumes submitted through this website will be considered.