Revenue cycle manager Jobs in Scottsdale, AZ

Job Description

Job Description

ESSENTIAL FUNCTIONS

• Manages the day-to-day operations of the billing department to maximize net revenues and cash flow by managing all aspects of the revenue cycle while ensuring adherence to policies and procedures.
• Monitor accounts receivable activity and initiates appropriate corrective measures as needed.
• Communicates performance data and associated action plans to Senior Leadership.
• Identifies and implements processes to achieve key revenue cycle metrics including but not limited to a / r days, unbilled a / r, denial percentage, and cash collections.
• Analyze large volumes of data and provide financial analysis and regularly presents trends, movements, and status to Senior Leadership.
• Review billing work queues regularly to ensure that workloads are distributed evenly and that the department metrics are being met.
• Resolve complex patient, physician, and other issues when necessary.
• Manages self-pay receivables including vendor relationships to help resolve AR. Inclusive of self-pay receivables is the process of charity review and bad debt management.
• Develop and implement policies and procedures for designated areas; evaluate new systems and methods and recommend changes as necessary.
• Communicate with payers and know when and how to escalate payer issues.
• Oversee the hiring, training, and supervision of department personnel.
• Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles. Also maintains comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions.
• Conducts regular meetings with staff to discuss third-party reimbursement methodologies. Provides direction to staff on changes in managed care reimbursement and expectation of changes in insurance guidelines.
• Keeps abreast of compliance regulations, standards, and directives regarding governmental / regulatory agencies and / or third-party payers. Ensure communication and education of such to the Billing department as well as other Revenue Cycle Leaders.
• Must be able to meet deadlines given by Manager or Senior Leadership.
• Research and resolve discrepancies in a timely manner.
• Works with sensitive and confidential materials and must be able to exercise discretion.
• Verifies and updates patient registration information in the practice management system.

EDUCATION

EXPERIENCE

REQUIREMENTS

KNOWLEDGE

SKILLS

ABILITIES

ENVIRONMENTAL WORKING CONDITIONS

PHYSICAL / MENTAL DEMANDS