Medical Billing Revenue Cycle Manager
Elite Sports Medicine + Orthopedics
Elite Sports Medicine + Orthopedics is looking to hire a Revenue Cycle Manager. The Revenue Cycle Manager must have an in-depth knowledge and understanding of the business operations and decision support systems in a successful fast paced practice. The Revenue Cycle Manager should have a proven ability to lead a team as well as being able to take responsibility for the overall performance of the revenue cycle within the practice.The Revenue Cycle Manager job will include responsibility for the revenue cycle department’s performance.Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time team members including: Three Medical Plans Options, Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and retirement pan including employer match, safe harbor, and profit-sharing components.MINIMUM ESSENTIAL JOB REQUIREMENTSResponsible for Departmental Payroll and Time Off Approval, Employee Management and DisciplineSet priorities and goals and allocate resources appropriately for goal attainmentPrioritize and handle requests from Director of RC, CFO, CEO and CEO Proxies and Physicians as neededEnsure process integrator by overseeing daily and monthly balancing processSelect, Hire, Orient, Train, Educate, Coach and Supervise Billing and Revenue Cycle TeamServe as Primary Contact for complicated and difficult patient billing mattersSupervise the selection of and inventory of supplies needed to run efficiently such as claim forms, envelopes, storage boxes, etc.Manage the preparation of all document storage both on-site and off-site with processes that will enable efficient retrieval as neededEnsure timely and accurate departmental reporting as requestedManage the Revenue Cycle Back-end Collection process, including staff resources allocationEnsure daily and monthly balancingUpdate and maintain working revised insurance plans spreadsheet and send to the appropriate parties monthly or as changes occurReview the appeal and denials spreadsheet weekly to insure follow up and address any outliers with the responsible partyParticipate in Management Meetings as directKNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTSAt least ten (10) years of related medical job experience required, preferably in orthopedicsAt least five (5) years’ experience in the field of medical business managementComfortable using email and interacting various applicationsKnowledge and experience of Billing and Coding proceduresStrong knowledge of CPT and ICD-10-CM coding and modifier usageGeneral understanding of clearinghouse processes and claims managementOrthopedic claims experience is preferredWorking knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursementProven understanding of Explanation of Benefits forms, claim forms and the insurance billing processKnowledge of MS Office Suite including Word, Outlook and ExcelStrong analytical and reporting skillsKnowledge of Excel is preferredAbility to work standard office equipment (fax, copier, telephone and other devices) and demonstrate proficient use of billing and schedule applications within the softwareExcellent written and verbal communication abilitiesStrong attention to detail and goal-orientedNeat, professional appearanceNumerical and computational skills are necessary to make arithmetic calculations when dealing with patient payments, compiling reports and balancing daily activitiesExcellent clerical and organizational skills are essential to filling correspondence and records as well as to organize daily activitiesAbility to function well in a team environment and desire to continuous improvementWe are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class. #J-18808-Ljbffr Elite Sports Medicine + Orthopedics
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