Idaho Job Bank

Revenue Cycle Manager
Valor Health
Emmett, ID

Posted 10/18/2023

Description:

• Position Title: Revenue Cycle Manager
• Department: Business Office
• Supervisor’s Title: Chief Financial Officer

Position Summary:

The Revenue Cycle Manager is responsible for developing, planning, organizing, and implementing current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s receivables. Also, responsible for managing the day-to-day activities of the health system as they relate to revenue cycle functions which include but are not limited to registration, billing, collections, coding, prior authorization, HIM, accounts receivables and financial planning for patients. This position will work on revenue cycle performance to meet short term strategic goals and will provide analytical analysis and create written guidelines, policies, and procedures in accordance with implementation of all work processes. Responsible for accurate and timely charging, billing and reimbursement with the patient experience at the forefront of everything we do.

Principal Functions and Responsibilities:

• Develop strategic plans and programs for the Revenue Cycle team and ensure goals and objectives of the team are properly defined and clearly established.
• Provide or ensure the correct technical expertise related to CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) coding is taking place.
• Train appropriate staff proper billing and coding procedures.
• Oversight of the Chargemaster which includes maintaining a system to track, revise and update the chargemaster with the appropriate CPT and ICD-10 codes for accurate and timely charging of services.
• Develop and utilize appropriate quality improvement tools to measure accuracy and efficiency of billing. Address areas of concerns identified from such efforts and report to the CFO.
• Provide training for all Valor providers on any changes or updates to the coding and billing practices for Critical Access Hospitals.
• Assure compliance with HIPAA privacy and security standards. 
• Maintain good relationships with insurance companies; identify possible problems that may cause any slowing of the cash flow (i.e. denial trends, new insurance plans, new network providers, reference services, or new providers).
• Review and evaluate the performance of the team on a regular and periodic basis, and ensure the overall performance of team is on track, and well within the pre-established goals and objectives.
• Consult with the appropriate subject matter experts with the hospital practice management system activities including the month-end close, hardware support, identifying systems issues, submitting support calls or service tickets, and training personnel on systems procedures to ensure the Rev Cycle employees have the tools, knowledge and training to do their jobs.
• Ensure billing and coding practices are in compliance with federal and state law and regulation.
• Participate as a change agent and capable of guiding the organization in initiating various change management initiatives with the view of leading and guiding the organization towards the future.
• Assist with meeting quality measures by completing tasks related to Valor initiatives.
• Will sit down with employees as needed both on day and night shift to validate processes are being followed and appropriate coaching and mentoring is taking place.
• Will ensure audits are being done in all areas of Revenue Cycle (registration accuracy, billing, coding, regulatory, payor, etc.) and appropriate follow-up and education is taking place
• Regularly report out to CFO and other leadership the health systems performance on agreed upon KPI’s and goals.
• Other duties as assigned.

Requirements:

• Position Qualifications/Requirements/preferences:
• Bachelor’s degree in healthcare administration, business or another related field.
• Minimum of five years of progressive experience in healthcare management, billing, accounts receivables, CPT, and coding.
• Minimum of three years leading and managing staff.
• Proven ability to effectively communicate with all levels of staff personnel.
• Competency in computerized patients’ billing systems, EHR and other appropriate computer software.
• Demonstrated knowledge, usage, and experience with CPT and ICD10 codes.
• One of the following certifications is preferred: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIT (Registered Health Information Technician).
• Strong ethics and a high level of personal and professional integrity.
• Strong analytical skills and adept in interpreting strategic vision into an operational model.

Physical Requirements:

• Must be able to lift 25 lbs.
• Continuous sitting, standing, walking.
• Normal manual dexterity.
• Correctable vision and hearing.
• Must be able to read, write and speak clearly.
• This position is onsite and relocation is negotiable.

Apply:

https://recruiting.paylocity.com/Recruiting/Jobs/Apply/2012329