As a Manager of Revenue Cycle, you will:
• Manage relationships with external vendors for practice management software and clearinghouse vendors.
• Responsible for management and maintenance of billing and practice management software platform.
• Provide up-to-date education for clinical, billing, and coding staff on coding trends.
• Manage, develop, and mentor all revenue department staff, including billers, coders, and RCM Supervisors and Team Leads.
• Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
• Conduct monthly analysis of Medicare/Medicaid/Third Party Payers.
• Review and resolve issues related to claim generation and rejected/denied billings.
• Responsible for weekly/monthly status reporting (development/preparation/maintenance)
• Keeps abreast of all reimbursement billing procedures of third-party and private insurance payers and government regulations.
• Participates in the development of coding and billing strategies, evaluating processes relative to the revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations.
• Participates in scheduled payer meetings to escalate the resolution of denials and outstanding appeals.
• Generates and manages initiatives for cash acceleration through targeted projects, ensuring baseline is identified, projects are tracked, and outcomes reported.
• Responsible for maintaining and developing workflows and assisting in backlog reduction.
• Conduct routine scheduled meetings with staff to ensure consistency, ongoing education, and training.
•Assists in developing, maintaining, and implementing standard operation procedures (SOP) associated with AR follow-up, collection efforts, and operations.
• Works collaboratively with clinical departments to establish effective communications to further the efficiency of the revenue cycle process.
• Monitors established KPIs and ensure that benchmarks are met. Deploy resources to address priorities and receivables inventory. Identifies trends and conducts root cause analysis. Makes recommendations to close identified goals in patient, people, process, and technology.
• Directs staff to ensure daily productivity benchmarks and quality measures are achieved.
• Evaluate staff performance and take corrective action in accordance with departmental HR guidelines.
• Performs other tasks, and assumes additional management or supervisory responsibilities within the Revenue Cycle Department as assigned
Qualifications include:
• Bachelor’s degree or equivalent in education and experience. An equivalent combination of education and experience will be considered.
• Minimum of three years in a supervisory role preferred.
• Knowledge of professional fee billing, reimbursement, and third-party payer regulation and medical terminology is required.
• Working knowledge of regulatory requirements about health care operations.
• Demonstrated coding and billing knowledge/experience preferred.
• Ability to work independently and in a team environment.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to participate in an environment that promotes staff development, productivity, satisfaction, and efficiency.
• Intermediate to advanced level proficiency in Microsoft Office (Word & Excel)
Work Schedule:
Day Shift (Hybrid)
#GR8 Accounting & Finance
At Adventist HealthCare our job is to care for you.
We do this by offering:
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
403(b) retirement plan
Free Employee parking
Benefits Eligible Positions:
Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]
Employer retirement contribution and match after 1-year of eligible employment with 3 year vesting
Ancillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family members
Subsidized childcare at participating childcare centers
As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.
Join the Adventist HealthCare team today, apply now to be considered!
COVID-19 Vaccination
Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.
Tobacco and Drug Statement
Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.
While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.
Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.
Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.
Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.