Summary
The Revenue Cycle Manager is responsible for developing strategic plans and ongoing performance improvement initiatives, billing and collections. Responsibilities also include but are not limited to delivering quality services and reports, managing cash collections, deploying associated technology and ensuring support for multiple locations, while complying with related regulations.
Essential Duties and Responsibilities
• Directs the process of identifying, developing, and communicating systems, policies and procedures related to A/R and billing.
• Oversees training of Revenue Cycle Management (RCM) associates to ensure compliance with policies, procedures and State and Federal regulations.
• Reviews daily aging and collection reports and monthly A/R reports with the VP of Revenue Cycle
• Organizes and plans quarterly meetings with the VP on topics related to A/R, billing and collections.
• Trains and monitors performance of direct reports; provides direction, fosters teamwork, addresses concerns and resolves problems to retain a motivated and professional workforce.
• Monitors changes in Federal and State regulations regarding collections and gives updates accordingly.
• Maximizes collection for all third-party payers, maintaining minimum days in accounts receivable and performs financial analyses of current accounts receivable and identify problem areas.
• Communicates with internal and external parties to resolve problem accounts, achieves maximum collections and establishes relationships with all third party and contract payers
• Implements and maintains processes to appeal low reimbursement.
• Identifies and communicates opportunities to improve cash flow.
• Establishes and revises procedures, performance standards and quality control measures to manage workload and the quality of work performed.
• Builds and maintains a positive working relationship with contacts at all agencies, patients, insurance companies, government entities, clinical personnel, other staff and management, to promote teamwork and cooperation.
• Other duties as assigned
• Ensures all policies and procedures are current, works with leadership to ensure the department policies and procedures are comprehensive
• Identifies and creates new policies and procedures along with billing department leadership to identify and create new policies and procedures.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
• Technical Skills - Strives to continuously build knowledge and skills; shares expertise with others.
• Customer Service - Responds promptly to customer needs.
• Interpersonal Skills - Maintains confidentiality.
• Oral Communication - Responds well to questions; participates in meetings.
• Written Communication - Presents numerical data effectively.
• Teamwork - Balances team and individual responsibilities; contributes to building a positive team spirit.
• Quality Management - Demonstrates accuracy and thoroughness.
• Business Acumen - Understands business implications of decisions; displays orientation to profitability.
• Cost Consciousness - Works within approved budget; develops and implements cost saving measures; contributes to profits and revenue; conserves organizational resources.
• Diversity - Promotes a harassment-free environment.
• Ethics - Keeps commitments; works with integrity and ethically; upholds organizational values.
• Organizational Support - Follows policies and procedures.
• Judgment - Exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions.
• Motivation - Sets and achieves challenging goals; demonstrates persistence and overcomes obstacles.
• Planning/Organizing - Prioritizes and plans work activities; uses time efficiently; organizes or schedules other people and their tasks.
• Professionalism - Reacts well under pressure; accepts responsibility for own actions; follows through on commitments.
• Quality - Monitors own work to ensure quality.
• Adaptability - Changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
• Dependability - Keeps commitments; commits to long hours of work when necessary to reach goals.

Education and/or Experience High school graduate or equivalent. 3 years of supervisory experience preferred. 5 years of Medical Accounts Receivable experience preferred.

Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Reasoning Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills To perform this job successfully, an individual should have advanced knowledge of Microsoft Office products - Outlook, Access and Excel

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to handle or feel; reach with hands and arms and talk or hear. The employee may be required to occasionally lift, push, or pull up to 50 pounds.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet to moderate. The employee may be exposed to infectious or contagious diseases and a variety of electromechanical hazards. The employee may also handle emergency and/or crisis situations.

The above job description is intended to describe the general nature and level of work being performed in the described position. This document is not intended to be an exhaustive list of all position duties and skills required of the individual classified in this position.