Revenue Cycle Manager

Job Description

This position will provide guidance to the claims analyst staff on timely and accurate billing and aging claims follow-up. Ensure accurate and detailed documentation of actions taken to resolve open balances. This position will also be point of contact for analyzing/researching why specific accounts remain unpaid; working with health plan representatives and other employees to resolve problematic claims issues, and reviewing, approving, and posting adjustments and write-off requests. The Revenue Cycle Supervisor will also provide training and on-going guidance to the claims analyst team and report concerns and recognition regarding department. Duties & Responsibilities: Monitor and ensure accuracy, compliance, and uniformity in financial operations. • Manage performance of individuals through regular communication and feedback. • Review and approve employees’ timecards. • Coordinates with HR to recruit, interview, and hire qualified staff. • Counsel staff and conduct disciplinary actions as appropriate up to and including termination. • Educate internal departments on provider billing guidelines and procedures, including developing and maintaining training information. • Conduct annual performance evaluations of claims analyst staff in accordance with companies’ policies. • Recognize, review, and implement new processes within the department to enhance productivity and quality. • Performs various actions and projects including and not limited to; payer credit resolution, posting adjustments, submitting account to collections, review of refund requests, posting of client credits, training for new hires, troubleshoot difficult claim denial issues. • Provides customer service to internal staff, and third-party payers by researching accounts to determine if the claim was billed correctly by EOSIS and paid correctly by the client’s health plan. • Working with software vendor to troubleshoot issues pertaining to the billing and claims follow-up, follow- up on revenue cycle support tickets and be the EOSIS program revenue cycle subject expert. • Monitor claim submission reports, rejections, denials and aging reports. • Provide payer information updates to staff as needed. • Counsel patients on financial and other issues regarding accounts management. • Assists with claim related audits. • Other duties as assigned. Qualifications Required: Associates degree or equivalent combination of education and experience preferred • Two to three years of Billing, Accounts Receivable and Claims experience • Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process. • A minimum of one to two years’ experience in a lead position, preferred • Identifies and implements problems to solutions. • Excellent communication and customer service skills • A minimum of one-year freedom from chemical abuse problems Show more Show less