Job Description

Job Description

Job Description

POSITION SUMMARY:

The Revenue Cycle Manager is responsible for leading and directing all revenue cycle activities related to admissions, registration, precertification/pre -authorization, insurance verification, and ensuring optimal patient relations and performance standards are maintained. This position is responsible for management oversight of Billing and Collection Activities for in patient Hospitalist professional services.

ESSENTIAL DUTIES AND RESPONSIBLITILES: 
? Direct the planning and the coordination of all patient registration functions in order to ensure effective cash flow through quality data gathering, finding funding sources for uninsured patients, improved customer satisfaction, improved employee satisfaction and maximum reimbursement for hospital services rendered to patients
? Facilitate communication between on site program coordinators, central billing office personnel and other departments within and the Hospital and/or health system.
? Develop and implement goals and objectives that support company and client hospital missions and objectives. Work with company and leadership to prioritize department initiatives and objectives. Implement, monitor, and revise annual goals, objectives, and performance standards for each functional area of departmental responsibility. Communicate individual and team goals to the staff
? Monitor, track, and evaluate staff productivity and performance and provide summary report to executive management on a monthly basis
? Oversee department training and individual development
? Other duties as assigned

QUALIFICATIONS:
? 3 to 5 years of Revenue Cycle experience Managing Billing and Collections of Physician and non Physician Professional Fee Services
? Understand managed care and insurance contractual arrangements
? Medicare, Medicaid and Managed Care Experience in Multiple States
? Experience with automated billing and collections processing systems including use of and interface with external collections systems
? Experience with Electronic Claims Processing, Payment and Remittance in Multiple States
? Exercise good judgment in handling of accounts and demonstrate a professional approach when dealing with patients
? Demonstrate good leadership and supervisory skills, driving the team to achieve goals and objectives
? Proficient in Excel

DESIRED CERTIFICATIONS:

Bachelor’s Degree in Business or Accounting from Accredited University
Advanced Degree and/or Certification a Plus

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