Revenue Cycle Manager

CCI Health & Wellness Services Forest Glen , MD 20910

Posted 4 weeks ago

CCI Health & Wellness Services is a group practice, empowering patients to partner with staff for an unparalleled healthcare experience. Through integrated teams in a learning environment, we deliver high-quality, affordable, care to every patient during all stages of life.

Key Functions & Responsibilities

  • Leverages subject matter expertise to make recommendations to senior management on future directions and strategies pertaining to the revenue cycle

  • Effectively leads and manages by providing focus and purpose within the revenue cycle through the application of performance targets in receivables, cash applications, claims processing and collections

  • Works with direct leadership reports to identify talent and designs a succession strategy

  • Establishes and implements all Central Business Office (CBO) policies and procedures in compliance with the organization's standards and operational targets

  • Maintains compliance with government and reimbursement requirements and with practice standards of quality of care

  • Assists department and centers in carrying out various programs and procedures in compliance with contractual commitments and regulatory requirements of county, state and federal programs

  • Ensures prioritization of departmental functions in order to achieve optimal operational outcomes

  • Performs analysis of revenue cycle operations, conducting reviews, analysis and reporting of performance outcomes on a monthly basis, measuring performance outcomes of key indicators to key performance benchmarks as established within the industry

  • Develops and maintains high morale and productivity within the CBO

  • Directs billing management and cash applications personnel to ensure accurate submission of claims and timely collections

  • Performs research and analysis of receivables to identify opportunities for improvement and initiating process improvements in collaboration of other stakeholders, working outside silos

  • Coordinates and facilitates special program/claim submission planning and implementation

  • Provides mentoring, coaching and performance reviews for all direct reports

  • Ensures consistent quality of the billing services by distributing and assigning duties and responsibilities within the CBO, ensuring skill levels are appropriate to the assigned tasks and monitoring the department's productivity

  • Participates and coordinates annual audit of receivables and revenue cycle aspects of annual audit to ensure timely finalization of audit, with positive and constructive outcomes

  • Maintains coordination with general accounting relating to balancing and reconciliation of receivable functions including cash deposits and bank reconciliations

  • Provides support to the Chief Financial Officer (CFO) on matters relating to revenue cycle as the subject matter expert

  • Maintains regular scheduled meetings with key players to ensure positive relationships are maintained and operational issues are identified, addressed and resolved in a timely and effective manner

  • Appropriately manages accounts payable obligations as processed through pn3 application

  • Facilitates, coordinates and effectuates new contract relationships with payers to promote additional volume of services as directed by the Chief Financial Officer (CFO)

  • Actively participates in organizational goal setting and action planning through Studer processes including, but not limited to, the Leader Evaluation Management (LEM) tool, attendance and participation at the Leadership Development Institute (LDI), Joint Site Visits, and other trainings as required

  • Will provide other duties as assigned by the Chief Financial Officer (CFO)

MANAGER RESPONSIBILITIES

  • Supervises, hires and orients billing staff; assigns work, develops work schedules, and instructs in proper billing procedures

  • Development and revision of departmental billing processes/procedures; monitors staff performance and provides feedback; ensures staff is obtaining adequate billing information; provides opportunity for associated billing training for staff

  • Responsible for supervision of staff scheduling: paid time off, time clock management, and time sheet submission to payroll

  • Conduct regular meetings with staff. Assures that staff expectation is consistent with the goals of CCI- Finance

  • Ensure that each staff member understands his/her job description; the desired results associated with his/her work, and the resources available to achieve the results

  • Ensures that all annual performance evaluations are completed by due dates

  • Initiates, authorizes and recommends or delegates authority as appropriate, re: salary changes, promotions, transfers, discipline, termination, vacation schedules, and leaves of absence, performance appraisals and other personnel action in coordination with Human Resources (HR)/Chief Financial Officer (CFO) and in accordance with established CCI-Finance Billing policy

  • Applies personnel policies in a consistent, fair and equitable manner

  • Discusses and resolves employee relations issues, including grievances, according to established procedure

  • Provide consistent communication to the Chief Financial Officer (CFO), ensuring that informational reports and materials are provided.

OTHER SKILLS AND ABILITIES

  • Knowledge of billing, reimbursement, and third-party regulations

  • Knowledge of University and healthcare governing agency policies and procedures

  • Knowledge of medical terminology

  • Supervisory and management skills

  • Interpersonal/human relations skills

  • Verbal and written communication skills

  • Planning and organizational skills

  • Ability to interpret accounts and records, and develop spreadsheets and reports

  • Ability to perform basic bookkeeping and compile statistics

  • Ability to type, and operate personal computer and various office equipment

  • Ability to prepare reports, and maintain records and files

  • Ability to extract data from conversations and documents

  • Ability to maintain confidentiality

EDUCATION AND EXPERIENCE

  • 2 or more years of management experience in a billing, accounting or collection environment, managing a team of 3 or more

  • Requires computer skills in Microsoft Office, excellent organizational, verbal and written communication skills

  • Attention to detail and ability to work in a fast paced environment

  • Minimum of a Bachelor's degree preferred or work history equivalent

  • Employees Supervised: 2 to 6

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Revenue Cycle Manager

CCI Health & Wellness Services