[Hiring] Manager Revenue Cycle @Legacy Healthcare Services, Inc.

Role Description

This role will manage Revenue Cycle personnel and processes across Patient Access and Customer Service to maximize productivity, accuracy, revenue collections, and customer satisfaction.

• Leverage AI and automation to streamline workflows.
• Develop SOPs supporting best practices.
• Build and employ daily analytics for proactive management.
• Harness healthcare technology to achieve business goals.
• Foster a team culture built on positivity, accountability, collaboration, and mutual respect, with a commitment to celebrating wins.
• Work closely with leadership on all Revenue Cycle initiatives and apprise of any major issues affecting service, productivity, or revenue.
• Hire, train, support, monitor, coach, and evaluate Revenue Cycle personnel.
• Maintain and develop SOPs and reference/training manuals as needed.
• Utilize KPIs and analytics daily to manage individual and team performance.
• Serve as Subject Matter Expert for Revenue Cycle, corporate, clinical staff, and leadership.
• Act as escalation point for internal and customer complaints.
• Develop strong relationships with technology partners and outsourced vendors.
• Acts as administrator for RCM software, payer portals, and applications.
• Manage staff and processes to maximize efficiency and accuracy of patient profile setup, insurance eligibility, benefit verification, submission of prior authorizations, and provider referral requests.
• Maintain knowledge of pertinent payer guidelines and legislative changes.
• Analyze and address root cause of all write-offs related to patient access and customer service issues.
• Responsible for ensuring all patient payments are identified and posted accurately and timely.
• Maintain the accuracy and consistency of patient statements.
• Manage the patient copay, payment plan, automated credit card, and patient overpayments processes.
• Oversee the successful collections and bad debt write-off of outstanding patient balances.
• Monitor Call Tower metrics to ensure all customer service deliverables are met.

Qualifications

• Bachelor's degree preferred.
• 7+ years of experience in Revenue Cycle Management required.
• 3+ years management of customer service and patient access management required, preferably with remote supervision experience.
• 3+ years of experience implementing, developing, and supporting practice management and EHR systems, healthcare applications, and clearinghouses (preferably Waystar) required.
• Deep knowledge and understanding of Medicare, Medicaid, Medicare Advantage, and commercial insurance plans.
• Solid understanding of HIPAA, Fair Debt Collection Practices Act, and No Surprises Act.
• Must be organized, flexible, and detail-oriented.
• Professional demeanor with expertise in deescalating rising concerns.

Requirements

• Ability to stay current on payer guidelines and governmental legislation.
• Capacity to successfully manage competing priorities.

Benefits

• Desirable Monday–Friday schedule with no weekend or holiday requirements.
• 401(k).
• Medical/dental/vision/prescription/pet insurance.
• Paid time off (PTO) with rollover and buyout options at year’s end.
• Company-paid group life.
• Flex spending account.
• Voluntary life, short-term disability, and long-term disability insurance.
• Licensure reimbursement.
• Company-provided CEUs and unlimited online CEUs for full-time employees.
• Career advancement opportunities.

Company Description

Our not-for-profit organization offers personalized therapeutic care for residents within senior living communities, offering rehabilitative care that helps improve their quality of life.

• Founded by and continues to be led by therapists.
• One of the largest providers of on-site senior therapy care in the country, serving nearly 500 senior living communities throughout the U.S. and growing.
• Leaders in innovation and personalized care, making us a preferred provider for senior adults residing in the communities we serve.

Pay Range

USD $60,000.00 - USD $70,000.00 /Yr.