Mgr, Revenue Cycle Mgt

Description

Title: Revenue Cycle Management Manager

Location: Long Beach

Department: Pharmacy

Status: Full Time

Shift: Day

Pay Range*: $52.63/hr - $78.85/hr

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Position Summary

The Revenue Cycle Management Maanger plans, organizes, staffs and supervises daily operations and activities of the Ambulatory Pharmacy, Home Health, and Transitional Rehab Services.This position is responsible for all revenue cycles processes. Effectively and efficiently manages revenue cycle function for all areas supervised including related billing and collection systems.Meets financial goals including A/R days maintained within parameters set by management; cash goals, and timely billing and collection services activities.Develops, documents and maintains processes and procedures to ensure financial, and compliance guidelines and regulations are met for all commercial, government and cash claims produced while maximizing reimbursement for services provided.Ensures an exceptional level of customer service using conflict resolution and excellent interpersonal skills for both internal and external customers.Serves as a role model promoting respect for others, and assisting staff managed to understand the purpose and importance of ethics and policy standards consistent with MHS mission and values.Continually works to improve workflow processes, maximizing resources and automation to achieve Best Practices.

Essential Functions and Responsibilities of the Job

Principal Duties and Responsibilities:Briefly describe the major responsibilities and functions of this position.

1.Plans, organizes, staffs, and supervises daily operations of departments managed.

2.Manages Revenue Cycle activities and meets operational cash, A/R day, and other financial goals.

3.Develops, documents and maintains processes and procedures to ensure regulatory and financial compliance and other regulations are met for all claims produced while maximizing reimbursement for servicesprovided.

4.Assures all billing and collection of accounts is timely.

5.Assures effective and secure management of all computer systems and LAN, including updates to software, policies and procedures, and staff training needs.

6.Is a Subject Matter Expert on all billing and collection systems

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our for more information about our Benefits and Rewards.

Qualifications

Qualifications - External

Experience

·2+ years retail pharmacy and/or billing/supervisory experience preferred

·Ability to interpret an extensive variety of concepts including retail pharmacy billing & collection procedures and related regulations and requirements (JCAHO, HCFA)

·Excellent oral and written communication skills

·PC proficiency including Microsoft Office components

·Experience working independently

·Sound decision-making experience

Education

·High School Graduate or GED, Bachelor’s degree preferred