Revenue Cycle Manager - Hybrid - Must Reside in Colorado
$85.7k - $132.8kDenver Health Medical Center
We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in-it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency Department Billing and Collections Job Summary The Revenue Cycle Manager of Hospital and Physician Business Services (HPBS)manages the day to day operations that
contributes to the capture, resolution, and collection of revenue. This position is responsible for managing the day to day
activities of the organization as they relate to revenue cycle functions which include;but are not limited to billing, insurance
follow up, denial management, collections, cash posting, customer service, charge entry/corrections, supervision of vendors,
accounts receivables and overall management of Denver Health's receivables. This position will work with the Director of
Hospital and Physician Business Services on revenue cycle performance to meet strategic goals, provide analytical analysis and
keep he/she informed of pertinent issues as they arise. Analytical, verbal and written communication skills are required to
create written guidelines, policies, and procedures to develop metrics based on industry standards and measure improvement
against those metrics. Manages accounts receivable days to an industry best practice benchmark. Develops strategic plans
and programs for the revenue cycle unit and ensures that goals and objectives of the unit are properly defined and clearly
established. Monitors timeliness and effectiveness of department activities, ensuring that outstanding insurance accounts
receivables, patient accounts and bad debt are on target to meet monthly/yearly Key Performance Indicators.
Delineates, defines, and streamlines its variousfunctional activities, therebyensureits effectivenessinmaximizing theutilization
of both asset and people resources. Oversees personnel by selecting talented, competent, conscientious supervisors and other
employees. Development of supervisors and other department personnel. Adheres to, and implements the philosophy of
ensuring that prospective employee standards are aligned with Denver Health's core values. Coordinates communication
between patient access, medical records, UM, coding, EHS and other departments as necessary. Essential Functions :
- Maximizes collections by implementing revenue cycle strategies and reducing accounts receivable da ys as well as improving other metrics in a compliant manner. Reduces denials using the denial managementsystem and working with direct reports. (15%)
- Develops, defines, and tracks key performance indicators for measuring performance including AR days, cash collections, customer service, abandonment rate and other applicable metrics. (15%)
- Develops, implements and maintains compliance to policies and procedures aimed at ensuring compliance with all applicable rules and regulations. (10%)
- Sets clear expectations for direct/indirect reports by developing job specific customer service expectations and behaviors for each position supervised; clearly communicates expectations to each direct/indirect report and establishes the expectations as job requirements and performance evaluation components; delegates responsibility/authority whenever possible. (10%)
- Develops, implements and maintains robust quality assurance and training programs. (10%)
- Troubleshoots daily problems as they occur and provides information and reports in a timely manner. (10%)
- Selects, recruits and retains the most talented and skilled candidates. Recognizes personnel, coaches and develops direct/indirect reports. (10%)
- Sets forth the expectation for the department that customer service is a top priority. (10%)
- Participates and contributes in the LEAN and "Getting it Right" initiatives at Denver Health. Participates on RIEs and other LEAN events. (10%)
Education :
- Bachelor's Degree Required
Work Experience :
- 1-3 years supervisory or lead experience Required and
- 7-9 years Revenue Cycle experience Required
- Strong knowledge of hospital and physician billing and compliance related to payer specific guidelines.
- Strong background in financial management and knowledgeable of federal/state laws and requirements relating to healthcare management.
- Strong analytical skills and adept in interpreting strategic vision into an operational model.
- Flexible and adaptable to change and capable of guiding direct reports in initiating various management initiatives.
- An effective communicator at all levels in the organization, with strong oral, written and persuasive skills.
- Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills and with proven track record in building and developing high performing teams.
- Superior judgment, negotiation and decision-making skills.
- Strong ethics and a high level of personal and professional integrity.
- Working knowledge of various billing/collections systems (Epic preferred).
- Proficiency in Microsoft Office Suite.
- Working knowledge of various imaging systems.
- Working knowledge of Payer Websites.
- Knowledge of insurance verification systems.
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
About Denver Health Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation. As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled. Create a Job Match for Similar Jobs
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab ... ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.
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