Revenue Cycle Manager

Our client is a large-scale healthcare provider with extensive experience providing professional clinical and nonclinical care to patients both at home and throughout their community. They focus on quality, innovation, and improving their community. They are hiring a Revenue Cycle Manager to support all components of the health plan enrollment process.

The Revenue Cycle Manager will be responsible for the overall day to day functions of the AR process including maintaining and managing all health plans payer portals administrative duties. Their focus will supervise the needs of the Medical Collections team.

This Role Offers:

• Competitive base salary plus comprehensive benefits, including medical/dental/vision, 401(K), PTO, and more.
• Company on the cutting edge of healthcare technology innovation.
• Massive customer base and an exceptional reputation and presence.
• High employee tenure with low red tape culture. They hire professionals and trust their expertise, giving them room to make tangible impacts.

Focus:

• Manage the full AR cycle, managing a high volume of collections and invoicing.
• Negotiate payment arrangements, send past-due statements, and generate process activities.
• Work with insurance companies to file claim appeals to guarantee max reimbursement.
• Be point of contact and subject matter expert for financial reporting and compliance.
• Document all AR processes and monitor all data.
• Assist team in performing month-end close, general ledger reconciliation, and general bookkeeping duties.
• Resolve invoice disputes and other billing inquiries from customers.
• Monitor performance metrics of team and provide feedback for improvements.
• Ensure adherence to HIPAA best practices, government regulations, and proper tax procedure nationally.

Skill Sets:

• 3+ years of revenue cycle and healthcare billing experience with knowledge of Medicaid/Medicare is required.
• 1+ year of revenue cycle management/supervisor experience.
• Strong Background admitting/registration, charge capture, claims submission and follow-up, payment posting or collections.
• Bachelor’s degree in business or healthcare management is preferred.
• Experience reading and resolving remits and working with insurance companies to file claim appeals.
• Strong documenting and reporting experience with incredible attention to detail.
• Strong understanding of HIPAA policies and regulations.
• Strong communication skills and ability to develop creative solutions to business challenges.
• Proficiency with EHRs, MS Office, RCM solutions, and accounting software is a must. Knowledge of MatrixCare and/or ZirMed is a plus.