Houston, Texas
Revenue Cycle Manager Job Opening in Houston, Texas - The Revenue Cycle Manager is responsible for managing and overseeing the
revenue cycle activities in accordance with the organization?s policies and procedures
and ensures accurate and timely processing , collections and postings of insurance
revenues.
ESSENTIAL FUNCTIONS
Serve as the practice expert for all coding and billing functions and processes
Build and maintain an efficient billing process, including creating appropriate internal policies and procedures related to coding and billing
Work cross-functionally with all internal departments to answer questions, resolve problems and train new staff on coding and billing practices
Oversee the operations of the billing and collections vendor, including coding, charge entry, claims submissions, payment posting, a/r follow-up and reimbursement management
Oversee internal patient insurance documentation to ensure accurate billing and efficient account collection
Analyze weekly, monthly and yearly related financial reports and make recommendations to the CFO for improvements
Ensure all billing activities are consistent with protocols and in compliance with government and payer regulations
Develop reports for the finance department for use on the state and federal grants
PRIMARY ACCOUNTABILITIES
Ensure that all revenue cycle activities meet or exceed the organization?s financial and operational goals and are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices.
Maximize reimbursement in a cost-effective manner that is in compliance with federal/state and payer-specific billing requirements.
Develop systems and procedures to improve the quality and efficiency of the revenue cycle function.
Collaborate effectively with appropriate departments across the organization.
Develop and maintain favorable internal relationships and partnerships with co-workers.
Ensure all actions, job performance, personal conduct and communications represent El Centro de Corazón in a highly professional manner at all times.
Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization.
POSITION QUALIFICATIONS
Associate?s degree in business related field; Bachelor degree preferred
Certified Professional Coder (CPC) or other medical coding certification preferred.
3 to 5 years of relevant healthcare revenue or medical billing cycle experience, which includes coding.
Strong knowledge of clinical practice and revenue cycle management including third party reimbursement guidelines and procedures.
Strong knowledge of CPT and ICD coding and related regulations and guidelines.
Experience with short and long-term budgeting and forecasting.
Strong knowledge of billing and collections processes and procedures.
Experience with FQHC billing and revenue cycle activities strongly preferred.
Job Type: Full-time
Required education:
Bachelor's
Required experience:
Hea;thcare Revenue: 3 years
Required license or certification:
Certified Professional Coder (CPC)
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