Revenue Cycle Manager
Pittsburgh
OpenArc - Empowering Your Career. As a leading IT staffing firm, we are dedicated to connecting talented professionals with your ideal opportunities. We are currently seeking a qualified Revenue Cycle Manager to join our client’s organization and contribute to their ongoing success. Job summary The Revenue Cycle Manager demonstrates and understands PurposeCare operations by continually increasing the revenue in a cost -effective and efficient manner. The Revenue Cycle Manager ensures compliance with HIPPA and other relevant Healthcare rules and regulations regarding billing processes and procedures. The Revenue Cycle Manager leads with exceptional ethical principles and demonstrates integrity and accuracy in the accounting practices. Responsibilities: •Perform duties detailed in the Revenue Cyle Analyst and Revenue Cycle Team Lead job descriptions, as needed • Supervises the revenue cycle department data process in EMR for payment posting, adjustments, write offs, denials, appeals and refunds in EMR’s. • Implements all new payors and contractual rules with charged rates/service types. • Collaborates with Operations and Clinical teams to assure information required for accurate billing is received. • Performs daily, monthly, quarterly audits to confirm claim requirements are met for clean claim submission. • Monitors claims in payor and clearinghouse portals to ensure timely receipt and acceptance, ensuring claims are processed accordingly. • Supervises payment posting, reconciling remittance posting in EMR to balance to bank deposits. • Corresponds with weekly meetings regarding outstanding visits and issues. • Manages team performance using productivity metrics by providing regular feedback, performance reviews and one-on-one meetings. • Prepares and monitors revenue cycle dashboards to track key metrics. • Oversees the hiring and training of staff, and ongoing training in the Revenue Cycle department. • Plans and structures the department workflow. • Closes the book monthly for billing purposes. • Efficiently manages client’s complaints in respect of billing and collections. • Negotiates payment arrangement with Private Pay Clients, sending statement letters on a weekly and monthly basis. Requirements: • Proficient in all Microsoft Office suite applications (Excel, Word, Outlook, PowerPoint, Access) as well as medical office software. Advanced Excel skills are highly preferred. • Solid quantitative and analytical skills with initiative for problem-solving. • Effective written and verbal communication skills. • Experience working in a dynamic and fast-growing company environment a plus. • Strong interpersonal and organizational skills. • Proven experience in healthcare billing and sound knowledge of health insurance providers. At OpenArc, we prioritize your career success and strive to build exceptional technical teams for our clients. By understanding your experience and aspirations, we ensure to present you with rewarding and fulfilling opportunities. As an employee of OpenArc and our clients, you will be eligible to participate in a comprehensive benefits package. OpenArc is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. Apply