REVENUE CYCLE MANAGER 8/18/2016

Bryan Health Crete, NE

Company
Bryan Health
Job Classification
Full Time
Company Ref #
102601
AJE Ref #
575913332
Location
Crete, NE
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
Education
High School Diploma or GED

JOB DESCRIPTION

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Job Details:

* Associates degree required

* 3 years experience required

* Supervisory experience is preferred

*

SUMMARY:



Responsible for managing the overall functions of the Revenue Cycle (Billing, Collections, Switchboard, Scheduling, Admissions, and Translation Services) departments. Ensures maximization of revenue and cash flow while maintaining the highest levels of patient, physician, employee and other customer relations. This includes management oversight of all business related functions to ensure accurate adjudication of the patient's account. Implements and maintains necessary internal control procedures to assure maximum efficiencies.



RESPOSNIBILITIES INCLUDE BUT ARE NOT LIMITED TO:



*Commits to the Mission, Vision and Beliefs of Crete Area Medical Center and consistently demonstrates our Core Values.

*Participates in and/or leads meetings, committees and lean projects as assigned.

*Serves as Service Excellence champion including implementation, competencies, and hardwiring of service excellence initiatives.

*Oversees formulations of department goals and objectives, plans and programs in alignment with the overall Medical Center goals and objectives, plans and programs; ensures plans and programs are properly executed and an effective feedback process is utilized which communicates the overall condition and trends in each area and all important activities affecting them.

*Oversees the departmental budgetary procedure to ensure proper operational and capital planning; appropriate and efficient use of resources; and consistent compliance to budgetary and fiscal controls.

*Responsible for hiring, training, supervising, coaching, mentoring, retaining and evaluating of team members.

*Ensures team member development opportunities are discussed monthly through rounding.

*Keeps informed of current issues including new procedures, developments, and innovation. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

*Performs service excellence initiatives such as: AIDET, Key Words, Managing up, 10/5 Rule, Reward and Recognition and Service Recovery when applicable.

*Performs Evidence Based Leadership Practices including; LEM goals, 90 day action plans, staff development, LDI participation & linkage grid assignment completion, utilizing the department meeting model, reward and recognition programs, thank you notes, performance evaluations and H/M/L conversations, and rounding on team members and patients (if applicable).

*Promotes effective communication, collaboration, quality, and efficiency with other departments as it relates to the revenue cycle.

*Oversees all aspects of the Revenue Cycle, including registration, assignment of account numbers, insurance verification and upfront cash collections.

*Manages the work processes within each area of responsibility. Develops work standards, monitors quality and quantity of work processed, and ensures that policies are communicated and administered consistently.

*Manages the development and implementation of processes for Revenue Cycle that supports the production of a high quality product, including a process for evaluating their effectiveness.

*Ensures that an up to date procedure/task manual for the areas is maintained.

*Develops and operationalizes policies and procedures related to patient access, billing, collections, third party payers, government/legal regulations and managed care contracts.

*Facilitates the development, implementation and ongoing maintenance of information system and other electronic data transmission systems related to areas of responsibility; coordinates the development and maintenance of information system testing, procedures and report mechanisms.

*Implements and promotes quality assurance projects within Revenue Cycle.

*Directs follow up and collection practices in the recovery process from all payer sources and patient responsibilities.

*Ensures the completion of accurate statistics and distributes them as necessary. These include room charges, visit counts and census reports.

*Oversees charge capture, ensuring that the appropriate department managers are accountable for the integrity of the charges in their respective departments.

*Maintains facility charge master in compliance with regulated billing procedures.

*Manages operational processes required to maximize reimbursement, ensure accuracy of refund activity and maintain compliance with payer regulations.

*Administers the Financial Assistance program according to established policy and procedure.

*Performs necessary tasks to prepare and send initial billing statement.

*Produces Aged Trail Balance to monitor reimbursement patterns and investigate any cash flow issues for needed corrective actions to ensure timely collection of accounts and achievement of established key performance indicators. Reports findings weekly.

*Monitors unbilled account reports to determine necessary actions required to minimize the number and dollar value of accounts being held for bill production. Reports findings weekly. Develops, in collaboration with other department managers, plan to clear accounts for bill release.

*Develops and maintains relationships with collection agencies to maximize recovery of accounts. Provides continued evaluation of the effectiveness of collection agencies.

*Develops, maintains and interprets billing statistical data and evaluates the effects of internal and external influences on department and organization objectives.

*Oversees reimbursements and maintains managed care contractual agreements with appropriate reimbursement tracking of all patient accounts to ensure optimal and timely payments.

*Contributes to month end financial reporting including dashboard reports detailing key metrics for the revenue cycle.

*Maintains the Scheduling software to ensure it is used accurately and to its potential.



QUALIFICATIONS:



High school graduate or equivalency required. Associate's degree in Business Administration or related field required. Bachelor's degree preferred. Minimum of three (3) years progressively responsible work experience providing all aspects of the Revenue Cycle required. Five (5) years of progressively responsible work experienced preferred. Prior supervisory experience preferred.

Bryan Health is an Affirmative Action/Equal Employment Opportunity Employer. Employment decisions are made without regard to race, religion, age, color, sex, national origin, disability, genetics, marital, disability and/or veteran status. Bryan Health hires and promotes individuals solely on the basis of their qualifications for the job to be filled.