Senior Revenue Cycle Manager

Job Description
New England Cancer Specialists (NECS) is currently seeking a full time Sr. Revenue Cycle Manager to join our growing Finance team. The Sr. Revenue Cycle Manager will be responsible for the financial performance of the revenue cycle process. The Sr. Revenue Cycle Manager will be responsible for leading, coaching, and mentoring their direct reports, overseeing and upholding performance standards and the level of accountability within the department, and providing accurate and timely revenue cycle performance reports, metrics, and analysis.

NECS is a private medical practice composed of 18 oncologists and hematologists serving the region currently from five separate locations in Maine and New Hampshire. Our mission is to make life better for people with cancer and blood disorders. Kindness, compassion, and respect are part of everything that we do - from our phone operators to our physicians, every person on our team is important, and every person makes a difference every day. We are proud to be the first Dana Farber Affiliate practice in the country, striving to provide the highest quality care and unmatched, holistic support for every patient.

Experience and Skills
Essential Duties and Responsibilities:

• Manage the Revenue Cycle process in collaboration of direct reports and Billing Office Manager to accurately capture reimbursement opportunities, while providing extraordinary customer service.
• Provide analytical, practical, and operational experience with private practice revenue cycle.
• Provide direction to team members and organize the billing function to maximize departmental productivity.
• Conduct regular productivity analysis and audits for assigned billing team.
• Manage department, including problem solving, administering procedures to increase efficiencies, and implementing new systems to ensure accountability.
• Ensure payor denials are handled quickly and efficiently including making recommendations on workflow improvements, assisting team members with appeals, and creating payor denial tracking system.
• Ensure all bills/claims received by billing team are expediently logged, prioritized and verified according to established policies and procedures.
• Ensure billing team follows NECS Billing and Collection Policies.
• Train team on the specifics of each contract, changes in policies and procedures, industry or regulatory changes to ensure compliance.
• Ensure continual payor maintenance.
• Participate in payor reimbursement meetings and/or conferences relating to Medical Billing and Accounts Receivable as requested.
• Audit, research, and reconcile setup and required maintenance of the billing system(s) including any payer contract changes.
• Generate standard reports, and reviews each for accuracy and consistency with the billing system(s).
• Ability to remain flexible with a willingness to accept changes.
• Communicate and meet with individual team member and CFO to review account activity/issues.
• Ability to conduct professional meetings, prepare agendas and provide minutes to meetings.
• Ability to analyze accounts MTD/YTD activity and address concerns regularly.
• Maintains and ensures compliance to regulatory standards.
• Monitor monthly cash collections by payor to eliminate potential payor issues.
• Participates in professional development efforts to ensure currency in health care practices and trends.
• Other duties as assigned.

Qualifications:

• Bachelor Degree in Finance, Accounting, Business Management, or the equivalent combination of education and experience
• Minimum 15 years billing/revenue cycle management experience is required with at least 10 years prior experience in a supervisory or management capacity. Oncology experience preferred.
• Advanced knowledge of the healthcare industry and a sound financial background is required.
• Clear understanding of billing and collection regulatory guidelines and requirements.
• CPT and ICD-9/ICD-10 expertise.
• Proficient background in reimbursements.
• Knowledge of specialties and ancillary services is required.
• Knowledge and experience in monitoring Clearinghouse activity, reports, processes.
• Knowledge and experience in setting up payors with EDI, ERA and EFT processes.
• Knowledge and experience in startup of a new or established revenue cycle engagement.
• High proficiency with computer software including but not limited to insurance websites, and Microsoft Office products to include Word, Excel, Outlook, Teams, and PowerPoint. Experience with Power BI preferred.
• Knowledge and experience in developing and manipulating excel reports/pivot tables.
• Demonstrated ability to work independently or in a team environment.
• Ability to uphold production standards and accountability among direct reports.
• Proven ability to train, lead, guide, and direct subordinates is essential.
• Organize and prioritize responsibilities while remaining flexible to changing demands.
• Ability to react calmly and effectively in high stress or delicate situations.
• Excellent written and oral communication skills, interpersonal skills, and an ethical mindset.
• Able to analyze complex data and draw conclusions.
• Must have high level of discretion and judgment.
• Able to make decisions with limited information in a timely fashion.
• Utilize a proactive approach to solving problems and willingness to confront and raise issues before they become problems.
• Promote growth of Team Members through established developmental goals, competencies, guidance, and counseling.
• Identify and facilitate problem solving and conflict resolution.
• Act as coach, leader, catalyst, and facilitator with Team Members; serve as a resource person for others.
• Encourage cultural changes to empower Team Members.
• Competent with standard office equipment.
• Abide by HIPPA standards and requirements.
• Travel as required or needed.

Job Benefits
This position is full-time (40 hrs.) and includes a competitive compensation

New England Cancer Specialists offers competitive pay and a comprehensive benefits package to our employees. Our benefits include medical, prescription, dental, and vision insurances. Company-paid Life Insurance, Short Term, and Long-Term disability insurances as well as Long Term Care insurance. Other benefits include a company-sponsored retirement program, generous Paid Time Off in addition to 10 Company-paid holidays, a Wellness Program, and other voluntary benefits. Benefits are effective 1st of the month after your hire date.