Revenue Cycle Manager; RCM

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Full TIme Management Avondale, LA, US

• GENERAL SUMMARY OF DUTIES:Manages patient account and reimbursement services for the agency that requires third party and other billing related functions. Develop, implement, and enforce policies and procedures, as well as streamlining effective billing processes (with the exception of grants and contracts).
• This position is highly visible and requires a strong leader with the ability to prioritize, plan, manage, follow-up, report, communicate, and direct the department. Must have a proven track record for improving process efficiencies, identifying gaps, solving problems, and communicating to executive lea
• SUPERVISION EXERCISED
  :
  Manages the Billing Department-Revenue Cycle Management, Days in AR, Reconciles and identified front end and back-end issues and escalates appropriately. The Revenue Cycle Manager is responsible for the overall management, condition, and evaluation of the Revenue Cycle. Directly supervises employees who support the revenue cycle process. Carries out managerial responsibilities in accordance with the agency’s policies and applicable laws; responsibilities include interviewing and training employees, planning, assigning and directing work;
  
  appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems.

  ESSENTIAL FUNCTIONS:
  
  The RCM will perform the following duties personally or through subordinates.

  • Oversee and optimize centralized billing operations, supervising all related roles for Medical and Dental Billing that’s comprised of Central Office Billing.
  • Formulate, assess, and update billing and reimbursement policies and procedures based on changes in laws, policies, and under the advisement of supervisory and executive staff.
  • Maintain confidentiality and adherence to standard accounting practices in accounts receivable.
  • Uphold stringent internal control measures over accounts receivables.
  • Secure cash payment processes and assure all processes are followed.
  • Track and manage collections, insurance claims, and third-party payments.
  • Analyze and ensure compliance with third-party reimbursement policies; investigate and elevate discrepancies.
  • Stay current with CMS policies and third-party contracts, private insurers, and government regulations.
  • Solves operational issues and customer service issues in coordination with supervisor.
  • Ensure that all critical issues are escalated to the Director of Finance and executive team.
  • Support training and communication initiatives for Front Desk operations, Practice and Operations Management, and provider staff.
  • Collaborate with external stakeholders for financial studies and audits concerning patient accounts.
  • Manage charge postings, denials, billing, and collections for outpatient services, enforcing consistent policy application and reimbursement consistent with services rendered.
  • Develop and conduct staff training and development programs to include evidence of gaining new knowledge.
  • Organize staff schedules to guarantee optimization of the revenue cycle based on size, scale, and scope of the medical and dental practices.
  • Host departmental meetings to communicate procedural changes as often as necessary.
• Collaborate with the financial and executive leadership on issues that impact the organizational budget and organization’s strategic plans.
• Conduct research and procurement for necessary business tools or business intelligence that support and enhance the department.
• Serves as liaison between the department and other departments as needed to insure the best billing practices and…