Revenue Cycle Manager, Payment Posting

SURGICAL NOTES IS NOW PART OF SURGICAL INFORMATION SYSTEMS

Since 1996, Surgical Information Systems ("SIS") has been dedicated to providing surgical care providers with the solutions and services they need to deliver improved operational, financial, and clinical outcomes. Focused exclusively on perioperative IT, SIS serves over 2200 facilities across the US and Canada.

The SIS product suite is built specifically for the perioperative environment and includes hospital and ASC-focused solutions covering perioperative Electronic Health Records (EHRs), Anesthesia Information Management Systems (AIMS), ASC business management, business intelligence and analytics solutions, and revenue cycle services. SIS has been recognized by Black Book Research for nine consecutive years as the No. 1 ranked ASC Technology Vendor[1]. SIS received the Best in KLAS Award in 2022 and 2023 in the ASC Solutions category for SIS Charts, SIS' EHR solution. SIS has been recognized as one of the Top 100 Healthcare Technology Companies by The Healthcare Technology Report and as a Top Workplace US by Energage for four years in a row (2021-2024).

For more information, visit SISFirst.com.

SIS, the SIS logo, and Surgical Information Systems are trademarks of Surgical Information Systems, LLC. AmkaiSolutions, AmkaiCharts, AmkaiOffice, and AmkaiAnalytics are trademarks of Amkai LLC. AdvantX, Vision, and SurgiSource are trademarks of Source Medical. Other company and product names may be trademarks of their respective owner.

[1]Black Book Research: "Top User-Rated Technology Solutions: Ambulatory Surgical Centers" February 2024, "Top Client/User-Rated Digital Solutions: Ambulatory Surgery Centers" February 2023, "Top Technology Solutions: Ambulatory Surgical Centers" March 2022, "Top Technology Solutions: Ambulatory Surgical Centers" March 2021, "Top Technology Solutions: Ambulatory Surgical Centers" February 2020, "Top Technology Solutions: Ambulatory Surgical Centers" April 2019, "Top Ambulatory Electronic Health Records Solutions: Ambulatory Surgical Centers" April 2018, "Top Electronic Medical Records/Electronic Health Records Vendors" April 2017, & "Top Ambulatory Electronic Health Records Vendors Comparative Performance Result Set of Top EHR Vendors," May 2016.

Surgical Notes, a Surgical Information Systems Company, is seeking a Revenue Cycle Manager (RCM) will lead a revenue cycle team offering direct supervision to assigned reports with proactive communication towards decision and actions that will assure success. The Revenue Cycle Manager will accomplish clearly defined results for clients in a multi-client medical billing service. As a leader of other direct contributors, this manager's role will be to develop and implement consistent strategies focused on driving best-in-class service, quality results, responsiveness and direction to assigned clients. To meet objectives, the RCM will partner closely with other RCMs, their Manager, their assigned clients, and others as necessary to determine and support the staffing, tools, coaching and training needs of the region. The candidate will have an understanding of various insurance carriers, including; Medicare, Medicaid, Workers' Compensation, Personal Injury, HMOs, contracted and non-contracted plans. The candidate should be able to recognize issues and effectively resolve them. This position will require the reporting of all ASC KPI metrics and will be accountable for the adherence of strict metrics. You will be required to work independently, resolve issues with a plan of resolution, and report any delays or issues.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

• Provide optimal customer service to both our clients and internal team
• Track and communicate billing kpis
• Meet tight deadlines
• Demonstrate a high level of commitment to customer service in responding to the needs of internal and external parties or departments
• Review billing for clients by reviewing and resolving billing queries, confirming the billing team resolved the answers to previous days' queries, QA for problematic/high priority cases for charges entered, Client hard post transactions, submission of posted charges via Waystar, paper/Waystar, paper/non Waystar, and Fax
• Manage Waystar rejections and fix COB errors
• Ensure billing rules are kept current and followed
• Reconcile unbilled cases against PAS on a minimum of a weekly basis
• Complete end of month duties
• Review the unbilled report by sharing the client unbilled report weekly and review the unbilled report daily for discrepancies or issues
• Responsible for the forward to billing queue weekly.
• Maintaining regular open communication with coding department
• Maintain communication and escalate issues as needed to Senior Manager
• Drives commitment to accomplishing consistent, quality daily results - the hours are routine business hours. Examples:
• Drives results by focusing on high productivity and quality work. On a weekly basis, or as necessary, the RCM coaches team members to develop a work plan focusing on time management, organization, and metrics.
• Expenses- human resource expenses (ie. FTEs) are managed so that the region operates as efficiently and effectively as possible.
• Effectively and actively participates in routine and non-routine meetings, performance improvement planning, project development and plan execution.
• Responds to leader, client and associate's questions and concerns with data and analytical observations geared towards providing direction.
• Coaches performance to move associates forward towards accomplishing goals, and moves associates out timely when results aren't forthcoming.
• Works directly with Human Resources to review applications, arrange for interviews and interview applicants to obtain information on work history, training, education, and job skills. Recommends hiring decisions and explains why and why not.
• Orients and trains employees on established policies, procedures, equipment, software, etc. documenting progress and competency.
• Consistently meets budgeted revenue and expense expectations.
• Ability to solve problems associated with tasks
• Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time

EDUCATION DESIRED:

• High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

• 3 years of management experience
• 3 years of experience in Ambulatory Surgery Center, Surgical Hospital or Hospital Billing
• Experience with managing forecasting, scheduling, and load balancing
• Experience with performance management/coaching activities across high-performing teams
• Experience with interviewing candidates and selecting talent according to the needs of the team
• Superior customer service skills and orientation
• Strong critical thinking analytical and problem solving skills
• Effective interpersonal skills (written and oral) and the ability to communicate effectively with a variety of staff levels
• Excellent organizational skills, and ability to manage multiple projects and competing tasks/priorities
• Prior experience in a medical setting or call center environment strongly preferred

SUPERVISORY RESPONSIBILITIES:

• Will have a team of direct reports and clients to lead/manage.

PHYSICAL REQUIREMENTS:

• Requires ability to use a telephone
• Requires ability to use a computer
• Most of work will be spent in a seated, climate-controlled office
• Working independently

We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses.

Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

At this time we are unable to sponsor H1B candidates