Revenue Cycle Manager

Revenue Cycle Manager page is loaded## Revenue Cycle Manager locations:
Genesis Healthplextime type:
Full time posted on:
Posted 2 Days Agojob requisition :
JR105709#
** GENESIS HEALTHCARE SYSTEM
** In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis Health Care System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do *- always.*##

Position Details:

Work Shift:

Day Shift (United States of America)
Scheduled Weekly

Hours:

40

Department:

Physician Billing Dept## Overview of Position:

Manages and directly participates in the performance of the revenue cycle operations of Genesis Hospital and Genesis Medical Group (GMG) to maintain a high functioning revenue cycle. Plans, organizes, and directs overall operations of patient accounting functions for both hospital and professional billing. Manages and directly supervises daily operations of the billing, follow up and denial processes. Determines work schedules, monitors performance, resolves technical and project issues and educates staff
** ESSENTIAL DUTIES
** 1.
Oversees all practice revenue cycle activities through direct and matrix reporting relationships with office managers, office and billing staff, patient registration, and other support staff within revenue cycle process. Coordinates revenue cycle interaction with the operations and revenue producing areas and providers.
2.
Responsible for the oversight, development, and implementation of strategy and tactical aspects of patient accounts, appeals management, financial assistance and payment posting processes.
3.
Analyzes CMS memorandums and payor reimbursement methodologies (Commercial and Government).  Performs research reviews of process changes associated with new regulations and implements a compliant process for the system.
4.
Analyzes daily financial data to determine areas of leakage and partners with departments to optimize collections and improve the capture of compliant charges.  Performs root cause analyses with trends to share with appropriate service line leaders.
5.
Monitors and maintains receivables, days outstanding in account receivables to maintain cash flow and optimize collections.
6.
Maintains billing system and edits to assure compliance to billing and regulatory requirements.  Works with third party payors, handles patient complaints, conducts employee training and performance evaluations.  7.
Liaison to all hospital departments as it relates to billing, coding, denials, and CMS coverage guidelines.
8.
Develops, produces, and reviews the Performance Indicator Report, or other similar performance reports within EPIC, with Hospital and GMG administration and physicians to demonstrate revenue cycle performance and comparisons to targets and benchmarks.  9.
Works collaboratively with office managers to ensure that physicians and office staff capture and report accurate billing information and follow revenue cycle related point-of-service policies, such as collection of co-pays, treatment of self-pay balances, and appropriate charity care designation.
10.
Oversees training/education in relation to all aspects of the revenue cycle process, from registration and point of service through the collections and reimbursement process.  11.
Analyzes trending and secures process improvements consistent operational improvements in account resolution.  12.
Oversees the denial management process, including working with billing and denial staff to track and trend recoveries, and to ensure appropriate communication and follow-up activities.  13.
Works with Coding Manager, Contract & Compliance Manager, and other Physician Services administration to monitor and coordinate responses to the latest regulatory billing/payment requirements of the federal, state and 3rd party payers to ensure GMG offices are in compliance and that electronic data processing (EDP) systems…