Manager - Revenue Cycle (76175)

Job DetailsJob Location: Saint Roch - New Orleans, LA 70117Position Type: Full TimeAt CrescentCare, we bring caregivers and the community together as partners in health and wellness for all. Our experience builds on more than 40 years of impact. In 2014, we became a Federally Qualified Health Center to offer an expanded range of health and wellness services for anyone and everyone who is seeking healthcare services in Greater New Orleans and Southeastern Louisiana.

Our Mission

Strengthening our entire community through whole-person healthcare and education.

Position Summary

This position is responsible for managing all aspects of the revenue cycle functions for CrescentCare a Federally Qualified Health Center.  These functions include, but are not limited to, claims submissions, managing denials and rejections, coding services, payment recording, credentialing services and collections.  This position is responsible for ensuring compliance with insurance billing and coding standards (Medicare, Medicaid, Private) and the American Association of Professional Coders (AAPC) standards.  The Revenue Cycle Manager is the lead team member responsible for patient financial services including counseling and collections.  This role manages the billing components of the electronic medical record software including interactions with the clearinghouse.  The position requires implementing procedures and workflows within the billing and credentialing functions to maximize efficiencies and collections.  This role ensures compliance with payer contracts and federal, state and HIPAA privacy and security regulations.  The Revenue Cycle Manager is an integral part of the Finance department leadership team and works closely with the CFO in the implementation of revenue cycle strategy and goals.

Key Duties and Responsibilities

Managing and supervising the daily operations of the revenue cycle team
Ensuring all billing and collection procedures adhere to legal and health insurance policies
Developing strategies to improve and optimize the revenue cycle process
Managing the patient financial services
Responsible for appeals management
Responsible for payer enrollments with the clearinghouse
Preparing and presenting reports on the status of accounts and collections
Overseeing the credentialing functions including payer relationships
Maintaining up-to-date knowledge of coding, billing and regulatory standards
Ensuring patient confidentiality and data privacy in compliance with relevant laws 

Qualifications

Education & Work Experience

5 years of healthcare Revenue Cycle experience
Bachelor’s degree in finance, health management or similar degree required or additional 2 years of experience in healthcare finance with one of the following certifications:

Certified Revenue Cycle Representative (CRCR)
Certified Revenue Cycle Executive (CRCE)
Certified Professional in Healthcare Information and Management Systems (CPHIMS)


 2 – 3 years of supervisory experience is required
eClinical Works knowledge is preferred
Federal Qualified Health Center (FQHC) billing experience is preferred

Other (licensure, certifications)

 Certificate in medical billing and coding or both preferred. 

ESSENTIAL PHYSICAL REQUIREMENTS 

Extended periods of sitting required.
Work is primarily office based
Some travel may be required

Total Compensation Package

We believe the investment we make in our employees is among the most important. Our compensation package includes:

Comprehensive medical and prescription drug coverage options
Health Savings Account (HSA)
Employer-paid Dental
Employer-paid life insurance & AD&D
Employer-paid Wellness Program
Employer-paid Employee Assistance Program
Employer-sponsored vision insurance
Employer-sponsored short-term disability insurance
Vacation time (accrue 10 days in first 12 months)
Sick time (accrue 8 days in first 12 months)
Eleven (11) paid holidays
401(k) retirement plan with employer match beginning in employee’s second year
Qualifications