Manager of Revenue Cycle

Allergy & ENT Associates is looking for a Manager of RCM to cover our Houston, Dallas, and Austin Markets!

What are we about?

As a multi-state, physician-led team of specialized providers and dedicated staff, we are focused on enhancing the well-being of our patients living with allergy, asthma, and sinus conditions. Our mission is simple: to empower individuals to embrace life to the fullest through personalized, comprehensive, and compassionate healthcare.

Address: Remote / Hybrid

Benefits:

Health Insurance

Dental & Vision Insurance

401K

Life insurance

PTO & Holidays

Short- & Long-Term Disability

Position Summary

The Manager of RCM is responsible for ensuring all functions of pre, middle, and post billing functions to includecharges and payments are processed timely and accurately. In addition, managing and assisting the team with resolving revenue cycle problems and build solutions. Extensive knowledge of the full revenue cycle with strong billing and multi-State billing experience required.

Essential Duties & Responsibilities

• Under the direction of the VP of Revenue Cycle Management, manage the pre bill functions of revenue cycle management such as verifications, prior authorization, PCP Referral, charge posting/auditor & coding/documentation to include provider education.
• Assist director with execution of standard operating procedures
• Analyze front end trends and propose recommendations to decrease ongoing deficiencies
• Collaborate with front-end stakeholders to reduce actions that impact insurance, registration, billing to improve collection efforts
• Drive process improvement initiatives related to front end revenue cycle functions in collaboration with facility leadership
• Ensures a positive relationship between all company divisions
• Supporting billing of commercial and government payers as well as supporting the collection efforts for traditional Medicare
• Claim generation, edit/exceptions, review/correction, claim validation in claim scrubbers, transmission to the clearinghouse, and processing of clearinghouse rejections and applicable reports
• The insurance collection process includes initial payment, payment validation whether over or under paid, appeal/overturn denied claims, and credit balance resolution
• Work with the commercial and government billing supervisors to ensure key performance indicators (KPIs) meet organization goals.
• KPIs include billing WIP, days in AR, AR greater than 90 days, cash collections compared to goal, denial recovery rate, avoidable write-offs if RCM, days in credit balance, and others
• Supports the supervisors and Director by ensuring the staff have all tools, peoples, processes, and skills to be successful
• All reports are completed timely for departmental core functions and reporting.
• Any other duties as assigned

EDUCATION AND EXPERIENCE

• Bachelor's degree preferred or 5 years of related work experience in Revenue Cycle
• RHIT, RHIA, CPC, or CCS-P coding certification required
• Knowledge of front-end Patient Access processes and workflow
• Proficient in Microsoft Office products required; Advanced proficiency in Microsoft Excel and SQL preferred Excellent organizational skills
• Management experience or experience leading teams Must be able to work in a team environment, prioritize and organize multiple tasks, and meet deadlines.
• Excellent written and verbal communication skills; ability to communicate with all levels of personnel in a large organization
• Three or more years of applicable supervisory and personnel supervision experience in healthcare services AR
• Thorough understanding of the revenue cycle to include commercial and government reimbursement and collections required
• Experience with enterprise billing in a multi-facility organization
• Four - Eight years of experience working with EMR systems. NextGen EMR experience is preferred
• Coding knowledge is a strong plus, including familiarity of ICD-9-CM/ICD-10, CPT/HCPCS

Knowledge, Skills, Abilities

• STRONG ORGANIZATION SKILLS - Uses time efficiently by prioritizing and planning work activities; is methodical and efficient in structuring tasks to be accomplished.
• STRONG COMMUNICATION SKILLS - The ability to write and speak effectively using appropriate convention based on the situation; actively listens to others, asks questions to verify understanding, and uses tact and consideration when delivering feedback to others. Problem Solving - Ability to identify a problem and find solutions effectively
• Safety and Confidentiality - Follows OSHA regulations and the safety guidelines of the Practice. Follows HIPAA policies and procedures. Respects and maintains patient confidentiality.
• Professional Maturity - The ability to separate emotional feelings from the real issues at hand. The ability to challenge the substance of our beliefs and biases of our observations legitimately and objectively.

• Time Management - Managing one's own time and the time of others; the ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
• Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

• Interpersonal Communication - Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation

Physical Demands

Physical Demands: Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner. May be exposed to acutely ill patients and communicable diseases when entering a clinic location.