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Medical Revenue Cycle Manager - Remote, OR

Quick Facts
Company Name:AMAC
Location:Remote, OR
Employment Type:Full Time
Category:Medical Insurance
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Description

JOB FUNCTIONS:

    • Manage Billing teams responsible for all daily work activities that include: demographic entry, insurance follow up, cash posting, client interaction and daily reports.
    • Ensure all client deadlines are met.
    • Appropriate training of staff including back-up and cross training in all necessary job functions.
    • Responsible for the appropriate and timely assignment of work to staff and daily monitoring of productivity for each function of the revenue cycle process.
    • Ensure accurate and correct posting of payments received on overturned accounts.
    • Work directly with the billing teams to facilitate the gathering of information to ensure proper response to claim denials.
    • Directs the training and information sharing of the revenue cycle policies and procedures to all direct reports and office staff.
    • Works with and provide direction to Physicians regarding coding and compliance matters.
    • Seek opportunities for process improvement and workflow automation and refinement; work with external and internal resources to implement necessary process and system changes.
    • A/R management, collections, and reconciliation.
    • Possess an in -depth understanding of Medicare physician payment process and commercial/third party payer regulations.
    • Ability to travel to a client site to design and set up logistics to successfully implement new engagements.
    • Design, implement, and monitor the process for data and information delivery between the client and AMAC
    • Assist in the preparation and delivery of status reports as well as other monthly activity and KPI reports to clients.
    • Ability to resolve payment issues with insurance companies; ability to interpret payer contracts.
    • Possess an in-depth understanding of the Medicare hospital payment process and commercial / third party payer regulations.
    • Must possess an aptitude for process design and re-design of existing processes to ensure the most efficient use of resources to satisfy client expectations.
    • The Revenue Cycle Manager is also responsible for developing and documenting revenue cycle policies and procedures, monitoring performance reports to improve practice financial position, and coaching and developing employees.
    • Assists with other duties as assigned

EDUCATION / CERTIFICATION REQUIREMENTS:

  • Five (5) years of comprehensive billing experience (coding, reimbursement, collections, etc.) in a medical office with multiple physicians.
  • Three (3) years of supervisory experience in a billing office role.
  • Bachelors Degree in Business Administration or equivalent combination of education/experience and experience preferred.
  • Strong working knowledge of ICD-10 and CPT coding.
  • Knowledge of complete Revenue Cycle flow and process.
  • Successful Completion of AHIMA or AAPC-Approved Certified Billing Certified Program preferred.
  • Strong knowledge of medical terminology, radiation oncology preferred.
  • Ability to read and interpret medical charts.
  • Proficient skills in computer programs such as EMR and Practice Management systems.
  • Effective time management and communication skills.
  • Excellent interpersonal skills.
  • Radiation Oncology experience preferred.