Revenue Cycle Manager Ii/Iii

Description

THE POSITION:Under the supervision of the Assistant CFO, the Revenue Cycle Manager will be responsible for supervising the billing staff and ensuring smooth operation across all areas of the billing department.

The Revenue Cycle Manager will collaborate with the Assistant CFO to ensure accuracy and proper processing of all billing functions. This position supports the organization's mission, vision, and values through excellence, competence, collaboration, innovation, respect, commitment to the community, and accountability.

THE IDEAL CANDIDATE: The ideal candidate for this role is a collaborative leader with excellent communication skills and a demonstrated ability to streamline processes and drive standardization initiatives. They excel in fostering teamwork, facilitating effective communication channels, and implementing solutions that enhance operational efficiency. With a proactive approach to process improvement, they possess a keen eye for identifying optimization opportunities and the strategic acumen to implement sustainable solutions. They are passionate about driving continuous improvement efforts and possess a track record of success in achieving tangible results.

PAYROLL TITLE:Staff/Services Manager II/III

APPROXIMATE SALARIES:

Staff/Services Manager II -$44.11 - $61.75 Hourly

Staff/Services Manager III - $47.31 - $66.25 Hourly

DEPARTMENT/AGENCY:Health Care Agency - Ambulatory Care

EDUCATIONAL/BILINGUAL INCENTIVE:Possible educational incentive of 2.5%, 3.5%, or 5% based on completion of Associate's, Bachelor's, or Master's degree. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill.

Staff/Services Manager II and III are Management classifications and are not eligible for overtime compensation. Incumbents in these classifications are eligible for benefits at the MB3 level.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only. At this time, there is one (1) Full Time/Regular position with the Ambulatory Care Department.

TENTATIVE SCHEDULE

OPENING DATE:June 12, 2024

CLOSING DATE: Continuous

(Previously: June 26, 2024 at 5:00 p.m.)

Examples Of Duties

Duties may include, but are not limited to the following:

• Oversees daily billing department and accounts receivables activities.

• Supervises billing clerks, billing leads, and accounts receivable specialists, including performing evaluations and making recommendations for career development.

• Reviews aging report and KPIs with the billing staff routinely to ensure aging goals are met and recommend changes based on trends if balances are outstanding for Patient Accounts Receivable.

• Evaluates billing errors and provides updates and training recommendations to CFO and billing leads.

• Regularly meets with CFO to provide updates and recommendations regarding departmental performance.

• Analyzes and maintains appropriate billing procedures and accounts receivable procedures to ensure compliance with fiscal policies.

• Analyzes and maintains optimal accounts receivable workflows and performance to meet agency needs.

• Conducts meetings on a regular basis with the billing staff to discuss any procedural changes, as well as provide updates regarding health insurance billing or state-funded programs.

• Conducts monthly meetings with billing clerks, billing leads, and accounts receivable specialists to discuss workflow, goals, and development.

• Prepares and evaluates revenue cycle reports (such as monthly reports, ad hoc reports, etc.) in order to analyze the billing functions and accounts receivables and make recommendations to the CFO as needed.

• Maintains interdepartmental communication regarding billing-related issues.

• Attends, conducts, and/or facilitates interdepartmental meetings to optimize workflows for all departments involved in the revenue cycle.

• Creates and updates training and documentation related to billing for interdepartmental training.

• Identifies and monitors compliance of coding and billing of all interdepartmental functions, services, supplies, medications, and overall other revenue cycle-related areas.

• Coordinates training and support for staff members and keeps up to date with state programs, specialty programs, and third-party payers.

• Travels throughout Ventura County as necessary to visit various worksites.

• Performs other duties as assigned.

Typical Qualifications

These are entrance requirements to the exam process and assure neither continuance in the process nor placement on an eligible list.

EDUCATION, TRAINING, and EXPERIENCE

Any combination of education and experience which has led to the acquisition of the required knowledge, skills, and abilities.

The required knowledge, skills, and abilities can typically be obtained by:

Level II: Five (5) years of experience in financial operations related to billing and collecting revenue for medical or health services which includes (3) years of supervisory experience that includes writing performance evaluations.

Level III:Seven (7) years ofexperience in financial operations related to billing and collecting revenue for medical or health services which includes (4) years of supervisory experience that includes writing performance evaluations.

NECESSARY SPECIAL REQUIREMENTS:

• Possession of a California Driver's License and ability to maintain it upon time of application

• Previous experience in an outpatient, primary care, or specialty clinic setting

• Previous experience working with any of the following state programs and rules:

• Medi-Cal Programs, including Medi-Cal Managed Care

• Commercial Insurance

• Medicare

DESIRED:

• Bachelor's degree in business administration, health sciences, or a related field.

• Possession of a coding certificate

Knowledge, Skills, and Abilities:

Considerable (Level II) to thorough (Level III) knowledge of:

• Medical reimbursement programs and complexity of payment systems;

• Current Procedural Terminology Codes (CPT) codes, practice management systems and electronic health records systems, preferably Cerner;

• International Classification for Diseases (ICD)-10 codes, Health Care Procedure Coding System (HCPCS) codes for payment processing of Medicare and/or Medi-Cal;

• Medi-Cal Provider Manual for Billing and Policy and Program and Eligibility;

• Outpatient, primary care, and specialty clinic operations; and

• Microsoft Excel functions.

Working ability (all levels) to:

• Analyze administrative and fiscal problems;

• Prepare a variety of reports and recommendations;

• Speak effectively in public;

• Plan, organize, and supervise the work of others; and

• Safely drive a vehicle

Recruitment Process

FINAL FILING DATE:This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested. Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on the closing date.

(Previously:Applications must be received by County of Ventura Human Resources no later than 5:00 p.m. on June 26, 2024).

To apply on-line, please refer to our web site atwww.ventura.org/jobs. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources, 800 South Victoria Avenue, L-1970, Ventura, CA 93009.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

SUPPLEMENTAL QUESTIONNAIRE - qualifying: All applicants are required to complete and submit the questionnaire for this exam at the time of filing. The supplemental questionnaire may be used throughout the exam process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION - qualifying: All applications will be reviewed to determine whether or not the stated requirements are met. Those individuals meeting the stated requirements will be invited to continue to the next step in the screening and selection process.

TRAINING AND EXPERIENCE EVALUATION- qualifying: A Training and Experience Evaluation (T&E) is a structured evaluation of the job application materials submitted by a candidate, including the written responses to supplemental questions. The T&E is a method for determining the better qualified applicants among those shown to meet the stated requirements. Using a T&E, applicants may be scored or ranked according to criteria that most closely meet the business needs of the department. When the pool of candidates is exceptionally strong and large, candidates are typically scored or ranked in relation to one another; consequently, some qualified candidates may receive a score or rank which is moderate or lower resulting in them not being advanced in the process.

In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation. Examinees must earn a score of seventy percent (70%) or higher to advance in the process.

ORAL EXAM - 100%: A job-related oral exam will be conducted to evaluate and compare participating applicants' knowledge, skills, and abilities in relation to those factors which job analysis has determined to be essential for successful performance of the job. Applicants must earn a score of seventy percent (70%) or higher to qualify for placement on the eligible list.

If there are three (3) or fewer qualified applicants, an examination will not be conducted. Instead, a score of seventy percent (70%) will be assigned to each application, and each applicant will be placed on the eligible list.

Candidates successfully completing the examination process may be placed on an eligible list for a period of one (1) year.

NOTE:If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please clickherefor additional information.

BACKGROUND INVESTIGATION:A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.

For further information about this recruitment, please contact Erin Niemi by email at erin.niemi@ventura.org or by telephone at (805) 654-2568.

EQUAL EMPLOYMENT OPPORTUNITY:The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status,national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.