Jobs and Careers
AD
Revenue Cycle Manager (HYBRID), Day Shift, Patient Financial Services
Adventist HealthCareGaithersburg, United Statesfull_timeVerifiedPosted 26 Sept 2024
About the role
Support Center
If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.
Adventist Healthcare seeks to hire an experienced Manager of Revenue Cycle for our Patient Financial Services who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.
As a Manager of Revenue Cycle, you will:
• Manage relationships with external vendors for practice management software and clearinghouse vendors.
• Responsible for management and maintenance of billing and practice management software platform.
• Provide up-to-date education for clinical, billing, and coding staff on coding trends.
• Manage, develop, and mentor all revenue department staff, including billers, coders, and RCM Supervisors and Team Leads.
• Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
• Conduct monthly analysis of Medicare/Medicaid/Third Party Payers.
• Review and resolve issues related to claim generation and rejected/denied billings.
• Responsible for weekly/monthly status reporting (development/preparation/maintenance)
• Keeps abreast of all reimbursement billing procedures of third-party and private insurance payers and government regulations.
• Participates in the development of coding and billing strategies, evaluating processes relative to the revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations.
• Participates in scheduled payer meetings to escalate the resolution of denials and outstanding appeals.
• Generates and manages initiatives for cash acceleration through targeted projects, ensuring baseline is identified, projects are tracked, and outcomes reported.
• Responsible for maintaining and developing workflows and assisting in backlog reduction.
• Conduct routine scheduled meetings with staff to ensure consistency, ongoing education, and training.
•Assists in developing, maintaining, and implementing standard operation procedures (SOP) associated with AR follow-up, collection efforts, and operations.
• Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
• Monitors established KPIs and ensure that benchmarks are met. Deploy resources to address priorities and receivables inventory. Identifies trends and conducts root cause analysis. Makes recommendations to close identified goals in patient, people, process, and technology.
• Directs staff to ensure daily productivity benchmarks and quality measures are achieved.
• Evaluate staff performance and take corrective action in accordance with departmental HR guidelines.
• Performs other tasks, and assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned
Qualifications include:
• Bachelor's degree or equivalent in education and experience. An equivalent combination of education and experience will be considered.
• Minimum of three years in a supervisory role preferred.
• Knowledge of professional fee billing, reimbursement, and third-party payer regulation and medical terminology is required.
• Working knowledge of regulatory requirements about health care operations.
• Demonstrated coding and billing knowledge/experience preferred.
• Ability to work independently and in a team environment.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.
• Intermediate to advanced level proficiency in Microsoft Office (Word & Excel)
Work Schedule:
Day Shift (Hybrid)
#GR8 Accounting & Finance
At Adventist HealthCare our job is to care for you.
We do this by offering:
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has ear
If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.
Adventist Healthcare seeks to hire an experienced Manager of Revenue Cycle for our Patient Financial Services who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.
As a Manager of Revenue Cycle, you will:
• Manage relationships with external vendors for practice management software and clearinghouse vendors.
• Responsible for management and maintenance of billing and practice management software platform.
• Provide up-to-date education for clinical, billing, and coding staff on coding trends.
• Manage, develop, and mentor all revenue department staff, including billers, coders, and RCM Supervisors and Team Leads.
• Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
• Conduct monthly analysis of Medicare/Medicaid/Third Party Payers.
• Review and resolve issues related to claim generation and rejected/denied billings.
• Responsible for weekly/monthly status reporting (development/preparation/maintenance)
• Keeps abreast of all reimbursement billing procedures of third-party and private insurance payers and government regulations.
• Participates in the development of coding and billing strategies, evaluating processes relative to the revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations.
• Participates in scheduled payer meetings to escalate the resolution of denials and outstanding appeals.
• Generates and manages initiatives for cash acceleration through targeted projects, ensuring baseline is identified, projects are tracked, and outcomes reported.
• Responsible for maintaining and developing workflows and assisting in backlog reduction.
• Conduct routine scheduled meetings with staff to ensure consistency, ongoing education, and training.
•Assists in developing, maintaining, and implementing standard operation procedures (SOP) associated with AR follow-up, collection efforts, and operations.
• Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
• Monitors established KPIs and ensure that benchmarks are met. Deploy resources to address priorities and receivables inventory. Identifies trends and conducts root cause analysis. Makes recommendations to close identified goals in patient, people, process, and technology.
• Directs staff to ensure daily productivity benchmarks and quality measures are achieved.
• Evaluate staff performance and take corrective action in accordance with departmental HR guidelines.
• Performs other tasks, and assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned
Qualifications include:
• Bachelor's degree or equivalent in education and experience. An equivalent combination of education and experience will be considered.
• Minimum of three years in a supervisory role preferred.
• Knowledge of professional fee billing, reimbursement, and third-party payer regulation and medical terminology is required.
• Working knowledge of regulatory requirements about health care operations.
• Demonstrated coding and billing knowledge/experience preferred.
• Ability to work independently and in a team environment.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.
• Intermediate to advanced level proficiency in Microsoft Office (Word & Excel)
Work Schedule:
Day Shift (Hybrid)
#GR8 Accounting & Finance
At Adventist HealthCare our job is to care for you.
We do this by offering:
- Work life balance through nonrotating shifts
- Recognition and rewards for professional expertise
- 403(b) retirement plan
- Free Employee parking
- Benefits Eligible Positions:
- Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]
- Employer retirement contribution and match after 1-year of eligible employment with 3 year vesting
- Ancillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family members
- Subsidized childcare at participating childcare centers
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has ear
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s