Medical Group Revenue Cycle Manager
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POST DATE 9/14/2016
END DATE 11/30/2016
Mary Free Bed Rehabilitation
Grand Rapids, MI
JOB DESCRIPTIONWe have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients \\"Ask for Mary,\\" they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.
Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care.
Restoring hope and freedom through rehabilitation.
Under minimal supervision, the Medical Group Revenue Cycle Manager performs multiple administrative and daily functions to assure efficient, effective, compliant revenue cycle processes to maximize reimbursement for a 20 provider Medical Practice. The RC Manger ensures satisfactory patient relations, timely financial reporting to VP Physician Practices, Physicians and Administration, maintenance of measurable revenue cycle outcomes and adherence to all regulatory and third party standards by demonstrating a commitment to employee growth and development, direction of staff work schedules and assignments and overall team building.
Essential Job Responsibilities:
A. Supervises all billing personnel while communication and maintaining effective interpersonal relationships with front end staff, administration, physicians and patients in main office location and all satellite offices.
B. Assists administration with development of annual operating and capital budgets.
C. Assists administration in the investigation/proforma of new business opportunities, relative to reimbursement, reporting or regulations.
D. Assists administration with analysis and negotiation of third party payor contracts, including any alternative payment models (APM's).
E. Interviews potential office job candidates, making recommendations to administration and assists with development of job descriptions.
F. Hires (with administration approval) new staff. Facilitates/supervises the orientation and training of new staff.
G. Supervises and maintains staff schedules ensuring needs are met. Ensures schedules meet patient and administration directed needs at all locations. Monitors overtime and benefit time for all staff, reporting to administration.
H. Directs and monitors staff daily routines to determine quality and quantity of staff job performance goals.
I. Follows up on all patient concerns, complaints, and comments concerning the practice. Resolves issues to patient satisfaction when able.
J. Reviews and approves all accounts payable relating to billing operations.
K. Oversees all physician credentialing and recredentialing, ensuring minimal interruption of cash flow and claims processing.
L. Develop & implement system to timely receive reports and information necessary for billing and proper reimbursement.
M. Maintains reimbursement, by insurer, by procedure on a quarterly basis. Also maintains procedure analysis by CPT of frequency, gross and net charges. Uses current knowledge of CPT, ICD-10 and third party processing to monitor appropriate billing protocols.
N. Working with Decision Support and Athena, develop and implement Monthly Rejected Claims Report.
O. Maintain demonstrable outcomes
P. Adheres to the standards and policies of the Corporate Compliance Program, including the duty to comply with applicable laws and regulations, and reporting to designated Administrator (or hotline/suggestion box) any suspected unethical, fraudulent, or unlawful acts or practices.
Q. Supports the mission of the practice.
R. Maintains confidentiality of patient medical and financial records (PHI), records of the business and overall information concerning the organization, its employees and physicians in compliance with HIPAA requirements.
S. Participates and schedules regular staff meetings.
T. All other duties as assigned.
U. Will oversee five million plus in revenue.
Essential Job Qualifications (Knowledge, Education, and Training Requirements):
A. Minimum of one to two years of college in a business related field is preferred.
B. Certification as a Professional Coder (CPC, CCS-P) is required.
C. Minimum of five years' experience in large group professional physician billing required.
D. Minimum of two years large billing office management required.
E. Must demonstrate effective interpersonal skills with ability to give direction, delegate duties, communicate effectively and respond to inquiries
F. Must demonstrate strong organizational and leadership skills.
G. Must possess in depth knowledge of computerized medical billing software, word-processing and spreadsheet applications.
H. Must be able to handle multiple duties simultaneously and maintain composure and focus in a stressful environment.
I. Must be able to move about office and work area easily.
J. Must be able to differentiate colors.
K. Must be able to climb stairs.
L. Must be able to lift 25 pounds.