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Revenue Cycle Manager JobNorwood, OH

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Why You'll Love This Job

Serving People, Saving Lives!

BrightView was founded to give the people in our communities two things: help and hope. If you want to do the same, we would love for you to join our dynamic, rapidly growing organization and help us make a difference in hundreds of lives every single day.

Position Summary:

Manager Revenue Cycle oversees the Billing department and works closely with the Executive Team on all revenue-related activities. Key responsibilities will be; (1) Overseeing Revenue Cycle Team by managing processes, productivity and financial results for the area(s) assigned including key aspects of billing, collections, payment posting and cash applications; (2) Key function of this position is to ensure accurate and timely follow-up of claims and working denials. (3) Developing revenue cycle strategies and implementing plans to ensure goals for timely and accurate billing, cash applications, accounts receivable, statements and patient payments and follow up on patient accounts and payers, insurance follow-up, and refunds and credit balances, and bad debt are all within stated objectives, (4). Manage metrics according to industry best practices. (5) Revenue Cycle Manager will work with Revenue Cycle leadership to implement and define denial management strategy and claims resolution process. The Manager will be responsible for overseeing adherence to this process. (6). Serve as a supportive mentor/coach for revenue cycle team members.

Essential Job Duties:

  • Ensuring high-quality service in a caring and compassionate atmosphere which recognizes the individuals' needs and rights.
  • Manages overall Billing and Collections activities in accordance with current applicable standards, guidelines, and regulations.
  • Supervision and monitoring of follow-up activities ensures complete and through performance.
  • Collaborates with RCM Leadership to develop the strategic plan for the department, including assisting with the preparation of the operational metrics and analytics.
  • The position will be focused on monitoring the overall performance of the Revenue cycle process. Responsible for meeting finance/operational annual and monthly goals.
  • Develops and maintains all policies pertaining to insurance and patient billing and collection practices.
  • Prepares and presents RCM directed monthly reports and benchmarks progress.
  • Manages the training, supervision and job evaluations of assigned associates.
  • Ensures systems and controls are in place as outlined in policy and procedure manuals. Meets established daily, weekly, and monthly deadlines.
  • Manages the processing of accounts receivable, adjustments/refunds/credits, private and third-party agencies, ancillaries, cash deposits, and posting.
  • Oversees all month-end processes, including completion of data entry, review and correction of edits, and reconciliation of claims transactions.
  • Coordinates documentation for internal and external auditors. Assists RCM Leadership with managing and resolving account variances.
  • Maintains knowledge of third-party payer regulations including Medicare, Medicare Advantage, Medicaid, TriCare, and non-governmental payers and self-pay.
  • Works closely with PAC associates to implement self-pay/foundation payment arrangements.
  • Work Closely with RAC Coordinator to perform audits as assigned and monitor changes and progress.
  • Works with the Revenue Cycle team to monitor and mitigate denials and edits.
  • Assure documentation is in compliance with regulatory agency requirements and best finical practices.
  • Adhere to the organization’s policy, procedures and professional code of ethics.

Skills & Qualifications

Required Education/Degree:
Bachelor’s degree in accounting, health care administration, finance, business, or related field preferred.

Required Work Experience:
Four (4) years’ previous experience as a medical biller or in a related healthcare administrative position

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Job Number: 7739

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