Newport, Maine
Revenue Cycle Manager Job Opening in Newport, Maine - HOMETOWN Health Center , a Federally Qualified Health Center that offers medical, dental, & behavioral health services, has an immediate opening for a Revenue Cycle Manager . With offices located in Newport, Pittsfield, Dover-Foxcroft & Dexter, our experienced and compassionate staff strive to provide each and every patient with individual attention, thoughtfulness, and kindness.
POSITION SUMMARY:
The Revenue Cycle Manager is responsible for overseeing the billing and collections of patient accounts, ensuring revenue maximization while maintaining a cost-effective operation.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Manages Accounts Receivable.
Oversees all Billing functions, including implementing new goals and procedures, overseeing daily operations and coordinating office efforts to expedite payment of accounts; ensures compliance with all regulations.
Develops and coordinates billing processes between staff members and outside agencies.
Coordinates with clinical on fee schedule and codes.
Sets insurance billing guidelines; oversees the process of insurance billing, including commercial insurance, Medicare and Medicaid; trains Patient Specialists on proper procedures that impact billing.
Manages electronic billing and secondary billing.
Coordinates Bi-monthly billing meetings.
Manages the revenue cycle; closes off month End.
Manages coding compliance; maintains up to date knowledge of ICD and CPT Coding; ensures that staff are current on federal coding changes.
Works in coordination of Credentialing with contracted vendors and CEO.
Writes, generates and evaluates a variety of reports for financial and managerial audits; initiates internal audits based on evaluations to ensure compliance and reimbursements are appropriate; audits providers.
Monitors the structure and initiates changes and improvements.
Coordinates the final disposition of patient accounts and monitors the collection rate of receivables.
Ensures timely submission of first time claims as well as the monitoring and follow-up of claims not paid in a timely manner.
Oversees the refund process for both patient and insurance.
Manages bad debt collections ? assures the accuracy of accounts being transferred to bad debt, accurate posting of payment and adjustments for collection agencies, negotiates collection agencies to settle balances, supports requested documentations from collection agencies.
Monitors staff for compliance of the organizations confidentiality policy in accordance to Health Insurance Portability and Accountability Act (HIPAA) regulations.
Develops and implements cost-effective collection methods while working within the confines of declining reimbursements from insurance companies, including communicating with providers and administration to ensure they are satisfied with reimbursement results, assisting staff in adapting to a changing medical billing environment, and being a final resource for resolution of unique problems.
Performs the usual duties of a manager, including hiring, scheduling, supervising, delegating, training, developing and evaluating subordinate staff; resolves human resource issues; maximizes employee performance and morale; keeps staff informed on goals, expectations and issues.
NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:
Performs other duties as assigned.
COMPETENCIES:
Good organizational skills to handle multiple priorities while remaining professional and calm.
Ability to work with many diverse people.
Effective telephone skills.
Strong level of confidentiality due to the sensitivity of materials and information handled.
Must able to make suggestions on workflow or system efficiency and effectiveness.
Ability to work independently and be self-directed and flexible.
Ability to prioritize.
Ability to perform functions with minimal supervision.
Ability to work at a high-volume level of accuracy.
GENERAL EXPECTATIONS:
Be committed to the mission of the Hometown Health Center.
Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the healthcare team.
Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families of Hometown Health Center and the Patient Centered Medical Home Neighborhood.
Be punctual for scheduled work and use time appropriately.
Perform duties in a conscientious, cooperative manner.
Perform required amount of work in a timely fashion with a minimum of errors.
Be neat and maintain a professional appearance.
Maintain confidentiality and protect the Practice by abiding by laws and principles related to confidentiality; keep information concerning Practice Operations, patients and employees confidential.
This position requires compliance with Health Center?s compliance standards, including its Standards of Conduct, Compliance Program, and policies and procedures. Such compliance will be an element considered as part of the Clerical Data Entry Specialist?s regular performance evaluation.
PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time, and talk and hear. The employee is occasionally required to stand, walk and use hands to operate a standard computer keyboard. The employee may occasionally lift and/or move up to 10 pounds. Vision requirements include: close vision, distance vision, depth perception, and the ability to adjust focus.
WORK ENVIRONMENT :
The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work is performed in a busy medical office environment with many interruptions. Very active, fast paced position with short deadlines. At times, must interact with irate patients and remain calm and professional.
QUALIFICATIONS NEEDED FOR POSITION :
Experience and Skill Requirements: The following experience and skills are considered essential:
Three to five years of management experience in medical office setting, with a background in billing. Experience with ICD9 and CPT coding.
Good organizational and prioritization skills to handle multiple priorities while remaining professional and calm.
Ability to work with many diverse people.
Effective telephone skills.
Ability to work independently and be self-directed and flexible.
Ability to perform functions with minimal supervision.
Education Requirements: The following education requirements are considered essential:
High school education or equivalent required. Post-secondary education in a related field strongly preferred.
CPC certified with continuing coding education.
HOMETOWN Health Center offers the following employee benefits package:
Earned benefits time (includes sick, vacation, holiday)
Health insurance (employer pays 75% of employee's plan and 50% of dependents plan)
Dental insurance
Employer Paid Life, Short-Term & Long-Term Disability Insurance
Supplemental insurances including Cancer, Accident, Specific Illness Insurances, Legal Shield & Identity Theft protection.
401k Plan with up to 5% Employer Match.
Educational Benefits
Discount on Verizon services
EOE
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
management: 3 years
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