Manager

• Managing the day-to-day operations of the financial reimbursement function including customer service, charge capture, claim submission, rejections, ERA/EFT, cash application, collections, and reporting.
• Supervising the Revenue Cycle Department in various duties, such as account management, communications with insurance providers, collections, cash posting contract analysis, claims, and charge capture.
• Overseeing regular audits and reviews to ensure staff follows policies and procedures, as well as federal and state regulations.
• Ensuring timely and accurate billing and collection activities consistent with Federal, State, and department policies and procedures.
• Developing and monitoring strategic goals and objectives; reporting performance and corrective action.
• General reporting and monitoring department financial performance at departmental and billing area level.
• Month-end close reporting and process.
• Managing problematic patient accounts, refunds, outside collection services.
• Serving as a key external relationship manager for all payers and liaison between payers, management, and clinical staff.
• Supporting Medicare and payer correct coding initiatives by maintaining current knowledge of coding and coverage guidelines.
• Running AR reports and coordinating with team to ensure all claims have been worked.
• Supporting Compliance Management in implementing and monitoring compliance.
• Overseeing the hiring, training, and performance management of staff.
• Conducting random audits to verify system integrity, payer accuracy, and payment per contract.

Manager of Revenue Cycle

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