Revenue Cycle Manager Job Attleboro area,Massachusetts USA,Healthcare

Responsibilities

Revenue Cycle Manager Opportunity - Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Inpatient units are designed to treat adults with general psychiatric or intellectual disabilities, as well as adolescents with general psychiatric issues. Patients with co-occurring psychiatric and substance abuse disorders can be treated on most units.

Fuller Hospital also provides a less intensive Partial Hospitalization Program (PHP) to patients with psychiatric and co-occurring psychiatric and substance abuse disorders.

The Revenue Cycle Manager supervises and coordinates the overall management of patient billing and collection. This position efficiently and effectively manages the Business Office operations to provide maximum reimbursement for the hospital while maintaining the highest level of confidentiality department wide.

Responsibilities

Bill Medicare claims and perform standard daily billing tasks
Monitor claim denials and ensure timely entry on the denial logs; ensure regular staff follow up on denied claims
Analyze AR Aging and obtain staff updates on all past due accounts weekly
Review and direct staff on working self-pay, credit balances, unbilled charges, and other account groups
Assist staff with resolving complex claim rejections
Analyze contractual adjustments for accuracy and approve prior to posting
Lead monthly insurance calls on outstanding problem claims and maintain claim logs
Oversee accurate and timely completion of daily insurance verification and cash posting processes
Obtain single case agreements and assist staff with denial appeals
Prepare for and oversee any third-party payor audits and complete any third-party reports
Maintain reports and logs requested by the CFO for the month end close
Prepare weekly AR reports and attend weekly AR meetings.
Collaborate with Intake, UR and Medical records department as needed to accommodate financial policies
Communicate new issues or trends to CFO promptly
Respond to inquiries from management and staff promptly
Update changes in contracted rates timely in the Contract Matrix system per communications from the corporate contracting department
Maintain close familiarity with payer contracts, rates, billing codes and guidelines
Review and approve write offs as appropriate; ensure all necessary documentation is provided
Monitor and implement business office policies and procedures as requested by the CFO
Monitor productivity, coordinate, and audit daily business office staff activities
Manage and develop business office staff
Use staff feedback and findings to implement process improvements
Administer annual performance reviews, and performance improvement plans and disciplinary actions, as needed
Complete one-time projects as assigned by CFO

Benefit Highlights

Student Loan Repayment - $200 per month
Tuition Reimbursement - $5,000 per year
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off (26 days per year + roll over)
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries!
Supervision for Licensure
More information is available on our Benefits Guest Website:

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United

Qualifications

Requirements

Education:

Bachelor's degree in finance, accounting or related field
Experience:

5 years of healthcare billing, accounts receivable, and collections experience required; 1 or more years of experience in revenue cycle management required;
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