Revenue Cycle Manager

Wallingford, CT

The Revenue Cycle Manager is responsible for directing and coordinating overall functions of billing and collections staff and general department oversight. Duties include, but are not limited to: ensuring billing/collections are consistent with applicable service and regulatory standards, policies, procedures and department guidelines, as well as internal performance standards and benchmarks; ensuring maximization of billed revenue and cash collections; and supervision of department staff.  If you are interested in this great opportunity, contact JMN today!

ESSENTIAL DUTIES & RESPONSIBILITIES

  • Provide on-going training and development
  • Encourage team-building and motivate staff
  • Set and monitor employee goals and objectives
  • Complete annual performance evaluations in a timely manner
  • Approve and monitor time out of work
  • Hire staff, handle disciplinary actions and carry out terminations when necessary
  • Run regular departmental meetings to facilitate communication
  • Hold regular one-on-one meetings with staff to discuss issues and assess goals and objectives
  • Oversee the operations of the billing department, encompassing pre-billing, claims submission, payment posting, accounts receivable follow up and reimbursement management
  • Utilize quality assurance reports and other data to assess staff performance and develop action plans and solutions based on findings
  • Ensure departmental compliance with all applicable governmental and other regulatory entities
  • Identify best practices and continually work to develop more efficient workflow processes. Use internal and external data to monitor and improve department performance and outcomes
  • Establish and monitor internal performance standards and benchmarks
  • Analyze interim and month-end billing reports and the A/R for each client monthly to ensure optimum cash flow and reduce days outstanding in A/R
  • Utilize and adopt technology to improve accuracy and efficiency
  • Ensure the development, maintenance and compliance with policies and procedures
  • Supervise all external audits and coordinate with management
  • Learn new lines of business and cross-train staff
  • Develop close, trusting relationships with clients by establishing strong on-going communications

REQUIRED QUALIFICATIONS

  • Prior Staff Supervision
  • Must be able to delegate duties and monitor work flow process to ensure that billing/collections conforms to quality production and regulatory standards outlined by the company and each client
  • Requires strong managerial, leadership and business office skills, including critical thinking and the ability to utilize data to drive performance improvement activities
  • Demonstrate ability to communicate professionally both internally and externally
  • Confidence to deal with stressful situations and conflict
  • Excellent analytical skills and attention to detail
  • Extensive experience in the healthcare billing/collections field
  • Exceptional customer service skills
  • In-depth knowledge of billing and collections regulatory standards and policies and procedures
  • Extensive knowledge of health insurance and medical terminology
  • Exceptional organizational and problem-solving skills
  • Ability to multitask, establish priorities and work independently
  • Willingness and ability to train
  • Willingness to travel
  • Bachelor’s degree preferred
  • Minimum 5 years management experience

 

J.M. Neil is an EOE, M/F/V/D