Revenue Cycle Manager
Pyramid Healthcare
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
SeniorLead
About the role
- Oversee Central Business Office (CBO) for all aspects of Revenue Cycle.
- Manage and control the billing process, including timelines of billing, collections, and systems management.
- Research and resolve inquiries involving billing discrepancies, client account status, adjustments, etc.
- Implement company policies and procedures into a steady flow of parent company protocol.
- Collaborate with the VP Revenue Cycle to report profitability of claims by insurance payers.
- Communicate with Senior Management concerning insurance, therapists, clients and or vendor concerns and difficulties.
- Reports on receivables status as required.
- Implement internal controls, create and mandate policies and procedures to ensure consistency and standardization for automated billing process in all offices.
- Review and document processes to maximize efficiencies of team tasks.
- Responsible for interviewing, hiring, evaluations and discipline up to and including promoting or discharging.
- Prepared daily, weekly, monthly and year end reports.
- Communicate with Site and Program Directors concerning any program changes or new programs at facility level.
- Direct contact with the insurance provider representative whenever there are claim disputes such as contract issues, non-par, large rejections, etc.
- Oversight of vendor relationships.
- Participate in payer’s meetings whenever required.
- Other Duties as deemed necessary
Requirements
- Bachelor’s degree required
- 6-10 years of experience and expertise in healthcare revenue cycle including staff management.
- Must possess extensive knowledge of revenue cycle systems, functions, policies and procedures
- Must knowledgeable about Medicare/Medicaid and other Governmental regulations.
- Must have a proven record of identifying process improvement opportunities.
- Experience with, insurance claims, denial and appeal processing, including ICD-10, CPT, HCPC codes, and UB and 1500 claim forms.
- Proficiency with all Microsoft Office applications.
Benefits
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
- Employee Recognition Programs
- Referral Bonus opportunities
- And More!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
revenue cycle managementbilling process managementinsurance claims processingdenial and appeal processingICD-10 codingCPT codingHCPC codingUB claim forms1500 claim formsprocess improvement
Soft skills
communicationleadershipcollaborationproblem-solvingorganizational skillsstaff managementreportinginterpersonal skillsevaluationdiscipline