Revenue Cycle Senior Manager

Revenue Cycle Senior Manager

West Cecil Health Center (WCHC) is seeking a dedicated Revenue Cycle Senior Manager to join our team. WCHC is a thriving nonprofit, community health organization that provides comprehensive and collaborative patient centered healthcare services. Work is onsite, based in Conowinogo, MD.

Position Summary:

The Revenue Cycle Senior Manager is responsible for developing, organizing, implementing, and leading the organization's revenue cycle. The health center's revenue cycle encompasses front, middle, and back-end components, which involve, as examples, patient registration and insurance verification, patient co-payment collection, service coding, insurance reimbursement, receivable management, and information system management. Additionally, the Revenue Cycle Senior Manager will collaborate with the CFO on all current and future strategies, policies, and initiatives to optimize the revenue cycle. Finally, the Revenue Cycle Senior Manager will collaborate on all federal, state, and insurance provider projects, including renegotiation, credentialing, registration, and compliance.

Why Should You Apply?

• Growth and Advancement Opportunities
• Company Sponsored Events
• Employee Engagement Committees
• WCHC offers a comprehensive benefit package including:
• Medical, Dental, and Vision insurance
• Health Reimbursement Arrangement
• Employer paid Life and AD&D and Disability insurance
• 401K with employer match
• Generous Paid Time Off and Volunteer time
• Paid Holidays
• Education reimbursement

Responsibilities:

• Interpret the impact of broad organizational change for staff and develop models for successful implementation.
• Develops strategic programs and KPIs for all phases of the organizational Revenue Cycle and ensures execution and achievement of goals.
• Collaborate with health center leadership and management to improve revenue cycle performance, organizational education, and analysis.
• Actively seek opportunities to improve financial outcomes while engaging staff in the process.
• Establish annual goals and utilize external benchmarking to set targets that improve performance.
• Enhance information system performance by utilizing automation and workflow improvements to streamline operations and eliminate redundancy.
• Collaborate on the development of new business plans and their impact on the organization.
• Continually assess all services, identifying opportunities, and utilize data to analyze and propose innovative solutions.
• Provides projections and reports as required for development and management of budgets; produces and analyzes monthly reports that assist in the monthly forecast process.
• Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivable are no more than the agreed-upon limit and that bad debt is within the budgeted target.
• Monitors the effectiveness of collection efforts and maintains that insurance billings are current within the established time frame specified in the department policy.
• Compiles and prepares various status reports for management to analyze trends and make recommendations.
• Enhance and standardize workflow processes throughout the revenue cycle to gain efficiency, reduce errors, and improve revenue collection. Create a cross-functional training manual for WCHC leaders that incorporates and aligns with the Company's strategy and culture.
• Designs and develops the appropriate organizational structure for the Revenue Cycle team.
• Delineates, defines, and streamlines its various functional activities, thereby ensuring its effectiveness in maximizing the utilization of both asset and people resources.
• Designs and develops training programs that are relevant and necessary for the continuous development of the team's technical competencies. Ensures that the HIPAA Notice of Privacy Practices is on display, if applicable.

Qualifications & Experience:

• ICD-10: 1 year (Preferred)
• CPT Coding: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)
• A bachelor's degree in business administration, health administration, or a related field is required.
• A master's degree is preferred; equivalent education and experience will also be considered.
• Minimum of 5 years of experience in healthcare management, including but not limited to clinic management, patient management, accounts receivable and payable, and marketing and public relations.
• Strong background in financial management and knowledge of federal and state laws and regulations related to healthcare management.
• Proven leadership and managerial skills, including team development, coaching, mentoring, and situational assessment, with a track record of building and maintaining high-performing teams.

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Supervisory Responsibility

This position directly supervises the Patient Services Manager, Billing Supervisor, and Medical Records Department.

Position Type and Expected Hours of Work

This is a full-time position. Working hours and days will be scheduled in accordance with operational needs.

Physical & Environmental Requirements

To successfully perform this role, the Revenue Cycle Senior Manager must possess the following abilities:

• Sufficient capability to fulfill job responsibilities.
• Standing, walking, sitting: Ability to stand, walk, and/or sit at a desk/workstation for prolonged periods (typically 8-12 hours per shift).
• Lifting, carrying, pushing, pulling: Ability to lift, carry, push or pull up to 20 pounds: (examples: equipment, supplies, files).
• Reaching: Capacity to reach (choose overhead and/or at or below shoulder level)
• Keyboarding: Entering text or data into a computer or other machine by means of a traditional keyboard.
• Gross Manipulation: Seizing, holding, grasping, turning, or otherwise working with the hand(s). It is often present when lifting involves the hands. Note: Fingers are involved only to the extent that they are an extension of the hand to hold or operate a tool such as tin snips or scissors.
• Fine Manipulation: Touching, picking, pinching, or otherwise working primarily with fingers to execute tasks such as answering phones, typing, transporting, and filing charts.
• Speaking: Ability to express or exchange ideas by means of the spoken word to impart oral information to clients or the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly.
• Hearing Requirements: The ability to hear, understand, and distinguish speech and/or other sounds (e.g., machinery alarms, medical codes or alarms). Including in-person speech, over the telephone, and/or using equipment
• Visual Acuity: sufficient to clearly see and distinguish small objects, including while using a computer, as well as to recognize individuals and features at a distance

Location & Travel

This position is located in West Cecil Health Center and/or its qualified subsidiaries. Regular local travel between sites may be warranted.

Other Duties:

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

WCHC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to age, race, color, national origin, ancestry, religion, sex, sexual orientation, pregnancy, marital status, credit history, physical or mental disability, genetic information, veteran status, uniformed service member status, or any other characteristic protected by law.