Revenue Cycle Manager

Overview

Unified Women's Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care.

We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates - enabling them to focus solely on the practice of medicine while we focus on the business of medicine.

We are action oriented. We strategize, implement and execute - on behalf of the practices we serve.

The Revenue Cycle Manager leads and manages the revenue cycle team, including managing payer relationships to drive results for our medical affiliates comprised of independent OB / GYN group practices. This position requires a thorough understanding of the medical billing lifecycle and is responsible for the entire accounts receivable process, performance, personnel management, and the profitability of our practices.

Responsibilities

• Day-to-day planning, oversight, and maintenance of the Revenue Cycle workflow to achieve an efficient and effective billing process.
• Provide leadership to team and manage personnel development.
• Conduct trend analysis to identify improvement opportunities.
• Educate care centers and other functional areas on the financial performance of the practices.
• Prepare revenue cycle financial analysis including aged accounts.
• Monitor and assesses KPI's in order to improve efficiency.
• Analyze insurance denial trends and create front end edits / rules to help increase clean claim rate, reduce denial rates and increase cash collections.
• Maintain strong understanding of payor related changes across states / markets.
• Ensure staff and external vendors meet standards for the organization while following all compliance and regulatory requirements.
• Work with Market leadership, Practice Performance Partners and other functional teams to identify and resolve issues with revenue cycle.
• Partner with Finance and Market Accounting teams to improve processes and ensure accurate revenue reporting.
• Identify issues and provide solutions to bottlenecks with action plans.
• Provide weekly status reports on projects and communicate issues to interested parties.
• Collaborate with RCM teams on priorities, improvements and growth opportunities.
• Review data and communicate with care center on payor denials, documentation or registration issues to help drive self-pay and insurance cashflow.
• Effectively lead weekly team meetings for work prioritization, coaching and development.
• Able to independently manage multiple tasks and deadlines, with minimal oversight.
• Review Athena process enhancements to ensure the RCM team is utilizing all functionality for efficient workflows.
• Ongoing quality assessment : perform audits to ensure the accuracy of claims work performed, oversee the capture and analysis of data regarding operational performance and quality control, ensure all claims work is completed with quality and

regulatory compliance

Qualifications

We're here for you-both personally and professionally.

Our benefits are designed to support you and your family at every stage of life. From health and wellness to financial security and career growth, we offer a comprehensive package to help you thrive.

Here's a look at what we offer :

Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.

Vacation, personal days, and paid holidays to help you recharge.

401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).

Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.

Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.

Opportunities and resources to support your career growth.

Compensation Minimum

USD $65,000.00 / Yr.

Compensation Maximum

USD $90,000.00 / Yr.