[Hiring] Revenue Cycle Manager @Surgical Information Systems

Role Description

The Revenue Cycle Manager (RCM) will lead a revenue cycle team/region offering direct supervision to assigned managers with proactive communication towards decision and actions that will assure success. The RCM will accomplish clearly defined results for clients in a multi-client medical billing service. As a leader of other direct contributors, this manager’s role will be to develop and implement consistent strategies focused on driving best-in-class service, quality results, responsiveness and direction to assigned clients. To meet objectives, the RCM will partner closely with other RCMs, the Sr. Managers, their assigned clients, and others as necessary to determine and support the staffing, tools, coaching and training needs of the region.

Essential Duties/Responsibilities

• Drives commitment to accomplishing consistent, quality daily results.
• Coaches team members to develop a work plan focusing on time management, organization, and metrics.
• Responsibilities include:
• Posting:
  • Review client cash summary.
  • Review posting folder in SharePoint.
  • Review account for application of payments.
  • Weekly review of ERA/EFT/ACH enrollments.
  • Weekly full-scale reconciliation of cash summaries.
  • Review payments and adjustment transactions to ensure proper JC is used.
  • Resolve Waystar balances and reporting on out of balance amount.
  • Manage month end duties including confirmation of all refunds posted and total dollars of all posted refunds.
  • Confirm all payment posting batch closed.
  • Confirm total recoupments and all month end reports are run.
• Billing:
  • Review billing for clients and resolve billing queries.
  • Confirm the billing team resolved previous days’ queries.
  • QA for problematic/high priority cases for charges entered.
  • Manage Waystar rejections and fix COB errors.
  • Ensure billing rules are kept current and followed.
  • Reconcile unbilled cases against PAS weekly.
  • Complete end of month duties.
  • Review the unbilled report daily for discrepancies or issues.
  • Responsible for the forward to billing queue weekly.
  • Maintain regular open communication with coding department.
• Accounts Receivable:
  • Process a “soft close” weekly.
  • Verify that credit balances are being worked as per policy.
  • Validate AR Follow-up Metrics to meet expectations.
  • Consistently measures and evaluates associates based on established goals.
  • Strives to meet established key performance indicators (KPIs).
  • Ensure timely closing of centers.
  • Maintain Days to Bill/Lag Days goals.
  • Manage Credit Balances accurately.
  • Manage human resource expenses efficiently.
• Resolve Queue daily.
• Participate in routine and non-routine meetings, performance improvement planning, project development, and plan execution.
• Respond to leader, client, and associate’s questions and concerns.
• Coach performance to move associates forward towards accomplishing goals.
• Work directly with Human Resources for hiring decisions.
• Orient and train employees on established policies and procedures.
• Ensure compliance with applicable employment laws and regulations.

Qualifications

• High school graduate or GED certification; AA degree in Management preferred.

Requirements

• 3-5 years of experience in managing.
• Experience in Ambulatory Surgery Center, Surgical Hospital, or Hospital Billing.
• Experience with managing forecasting, scheduling, and load balancing.
• Experience with performance management/coaching activities across high-performing teams.
• Experience with interviewing candidates and selecting talent.
• Superior customer service skills and orientation.
• Strong critical thinking, analytical, and problem-solving skills.
• Effective interpersonal skills (written and oral).
• Excellent organizational skills and ability to manage multiple projects.
• Prior experience in a medical setting or call center environment strongly preferred.

Benefits

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance.
• Vacation/Sick time.
• 401(k) retirement plan with company match.
• Paid Holidays.
• SIS Cares Day.
• Hybrid or Remote environment depending on the role.