Manager of Revenue Cycle; Hybrid

Job Details

Location:

Erie West Town Administrative Offices - 1701 W. Superior St.

- Chicago, IL 60622

Position Type:
Full Time

Salary Range: $72,000.00 - $82,000.00 per year

Join the Erie team! Motivated by the belief that healthcare is a human right, we provide high-quality affordable care to support healthier people, families, and communities. Erie delivers holistic care to help every member of the family stay healthy and active from infancy through adulthood. Since 1957, we have provided high-quality care to diverse patients most in need, regardless of their insurance status, immigration status, or ability to pay.

Compensation is based on each candidate’s experience, skills and education within the range identified for the role. Candidates who meet the minimum requirements of the role will start at entry in the range. Any additional skills, experience and education will be reflected in the compensation offered.

We offer competitive salaries, high-quality health care plans, generous time off benefits, retirement benefits, and more. Employees are eligible for Erie’s Full Benefits Package including Medical, Dental, Vision, Life and Disability Insurance and Flexible Spending (FSA) for Health Care or Childcare. Retirement Programs: 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee’s biweekly salary.

Annual Paid Time Off: starting at 20 days of PTO, and 8 paid holidays. Competitive salary, annual merit increases, plus room for growth and career advancement.

• Ensure claim processing by external vendor is timely; monitor key indicators such as clean claim rate, denials, and rejections. Collaborate with vendor and internal stakeholders to guarantee timely, accurate billing.
• Assist the Chief Financial Officer in revenue cycle reporting and monitoring of outputs and trends.
• Assist and collaborate to facilitate clean claim submission and timely payment with multiple insurance carriers, as well as credentialing with insurance carriers, partner hospitals, and Erie Family Health Centers.
• Collaborate with Finance team members, clinical, operations, Information Technology staff, and outsourced revenue cycle partner and other Revenue Cycle consultants to develop and enhance all billing and revenue cycle processes and systems, ensuring effective billing and collection of all patient-related revenue activities.
• Assist the CFO and Erie leadership in development and execution of managed care strategy, including contract review negotiations.
• Perform other job-related duties as assigned.

• Education:
  
  Bachelor’s degree required.
• Experience:
  
  Minimum five (5) years progressive healthcare billing and revenue cycle experience.
• Skills and Knowledge:
  • Overall revenue cycle knowledge and billing familiarity.
  • Knowledge of Medicaid, Medicare, Managed Medicaid, Commercial payment regulations, and electronic billing.
  • Familiarity with Medical terminology, patient registration, CPT‑4, ICD‑9CM/ICD‑10, HCPCS Level II, and Modifiers.
  • Interpret Remittance Advices and Explanation of Benefits.
  • Understanding of Medicaid and Medicare denial and rejection codes.
  • Billing knowledge to facilitate clean claim submission.
  • Excellent communication skills with internal and external parties.
  • Analytical skills and ability to process large volume of data.
  • Proficient in Excel.
  • Ability to liaise between Erie operations and outside revenue cycle vendor.
• Preferred Qualifications:
  • Medical claims billing process experience.
  • Knowledge of AMA Guidelines and HIPAA Compliance.
  • Experience with Epic or similar EHR systems.
  • FQHC Sliding Fee Discount knowledge.