POSITION SUMMARY

MINIMUM EDUCATION REQUIREMENTS

• Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business related field, required.

MINIMUM WORK EXPERIENCE REQUIREMENTS

• At least 3 years' experience in Revenue Cycle Management and Healthcare Reimbursement, preferred.
• Proven work experience managing relationships with the public and co-workers in a healthcare or service-related field.

LICENSES/CERTIFICATIONS

• Certified Professional Biller (CPB), preferred
• Certified Professional Coder (CPC), preferred

OTHER SKILLS

• Must have a working knowledge of all billing, payments, credit and collection functions.
• Must have a working knowledge of regulations governing healthcare revenue cycle, including the Chargemaster (aka Fee Book) and Coding (CPT/HCPCS).
• High level knowledge of healthcare patient accounting software applications, MS office suite and ability to comfortably learn new computer programs.
• Highly organized, self-motivated and able to work independently.
• Must have effective customer service, communication and organizational skills.
• Flexible, adaptable to change, critical thinking, problem solving, and the ability to work well under periods of stress are necessary.
• Working knowledge of Medicare, Medicaid, Government and Commercial Insurance filing regulations is required.
• Skill in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.
• Skill in establishing and maintaining effective relationships with patients, medical staff, auditors, and the public.
• Ability to work under multiple priorities.
• Ability to communicate effectively and clearly.

POSITION DUTIES (ESSENTIAL FUNCTIONS) 

Revenue Cycle Manager

• Provide leadership, vision, and direction for all matters relating to the Revenue Cycle.
• Oversee, recruit, train, and coach assigned staff.
• Identify and continuously improve patient account processes and integrate them into the hospital system.
• Educate self and staff on changes in reimbursement and billing regulations.
• Enhance professional growth and development through participation in education programs, current literature, in-service meetings and workshops, and conduct department meetings and training as needed.
• Analyze and track volume indicators, maintaining key performance indicators within required guardrails.
• Maintain thorough knowledge of all contracts and ensure compliance of both the facility and third party payors.
• Write, implement and ensure adherence to policy and procedures within department, communicating with other departments as necessary.
• Provide for selection, training, supervision and other personnel matters within the business office department in accordance with approved staff budget and hospital policies.
• Ensure adequate staffing and cross training in department to meet the need of the organization.
• Develop operating budget for department and operate within approved budget guidelines.
• Protect assets of organization by monitoring cash and adjustment posting utilizing cash controls.
• Insure HIPAA compliance with all activities and communications.
• Performs other duties as assigned.

• Exhibits a caring attitude to co-workers and visitors, including working cooperatively with others for a positive work environment and team-building atmosphere.
• Complies with facility attendance policies and procedures; meets attendance requirements of the job.
• Participates in self-growth opportunities/requirements and participates in training opportunities, in-services and meetings per department and facility policy.
• Requests help and/or guidance as necessary in order to safely perform assigned duties.
• Plans and organizes work activity to complete scheduled assignments on time.
• Completes an acceptable work load and accepts additional tasks willingly.
• Takes appropriate 15 minute breaks and 30 minute for lunch.
• Understands and follows the chain of command when dealing with problems and concerns.
• Complies with facility policies and procedures, including fire evacuation and disaster plans.
• Deals with interpersonal conflict in a healthy and positive manner.
• Completes occurrence and all other reports per facility policy.
• Demonstrates knowledge and practice of standard precautions for prevention of the spread of disease.

* This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.

Position Title: Revenue Cycle Manager