Job Posting
Revenue Cycle Manager
Pay is based upon experience.
Reports directly to the Finance Controller, the Revenue Cycle Manager has primary authority and responsibility to oversee the people, processes and customer service related to hospital billing and coding, and collections of patient payments, and assisting in navigating denials. They help will drive high customer service and high performance in assuring patient balances are collected in a timely and courteous manner, the data collected for insurance processing is accurate and supports effective claims processing.
This position will work with the Finance Controller on performance projects and initiatives to meet short term strategic goals and will provide analytical analysis and create written guidelines, policies, and procedures in accordance with implementation of all work processes because of thorough analysis.
Desired Education, Certifications and/or Experience
• Associate’s degree in accounting, business or other related field, OR equivalent experience required (experience may be substituted on a year for year basis to meet this requirement).
• Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management.
Responsibilities / Functional Job Description
General: Standards of Behavior
1. Demonstrates a commitment to living the SLHD standards of behavior through exemplifying in action, a commitment to the values of SLHD, namely:
A. Innovation – continually seeking the latest advances in cost effective healthcare and customer service.
B. Compassion – concern for the individual, empathy for the situation, action to provide service
C. Integrity – doing the right thing; always.
D. Community – supporting, giving and acting to improve where we live, serve, and work.
E. Passion for Healthcare – fervently, avidly, and zealously seeking the improvement of human health
2. Displays this commitment to the standards of behavior through actions and words, by demonstrating the following behavior traits:
A. Adaptability – Responding resourcefully to changes indirection, priorities, schedules, approaches and responsibilities for the good of everyone. Maintaining a positive attitude when faced with a difficult or challenging situation and providing an uplifting and realistic outlook on the opportunities the future may present.
B. Communication – Listening attentively and seeking clarification, being friendly in words and actions, responding to others in a timely manner to ensure satisfaction, comfort and quality care. Utilizing AIDET and the promise to explain the experience the patient can expect, and communicate how the patient will receive excellent and timely care.
C. Professional Conduct and Attitude- Keeping personal conversations to an appropriate volume for the area I am working in, treating everyone in a courteous manner – rudeness is never acceptable, addressing conflict with others privately and respectfully and utilizing the appropriate chain of command. Doing the right thing, even when no one is watching, keeping frustration separate from patent care and professional activities, and recognize that patients are not an interruption, they are our reason for being here.
D. Commitment to Team Members/Patients – Assist patients in finding their destinations, walking with them when possible, interacting constructively with team members and supporting a blame free environment, recognizing there is no place for “it’s not my job”, finding the right person to support a patient or coworker if I am unable to support or help them. I will not spread negativity, being positive starts with me.
E. Personal and Career Development – Demonstrating a curiosity toward learning and practicing self-development. Supporting co-workers by sharing knowledge, expertise and encouragement to help them be successful in their role. Finding ways to improve the quality of my work even when things are going well. Seeking creative solutions to problems and encouraging creativity in others.
F. Sense of Ownership – Admitting and correcting mistakes, taking personal responsibility to help the organization to succeed. Ensuring cleanliness by maintaining a clutter free environment. Refraining from behavior or conversations that undermine the confidence of the community in our facility. Utilizing resources effectively and maintaining financial responsibility.
Role Specific: Work role responsibilities
1. Oversee staff performing patient access (either directly or indirectly as assigned), financial advocacy and enrollment functions of the organization.
2. Supervise the budgetary dollars of the department in collaboration with the revenue cycle manager for assigned area of responsibility
3. Ensures that operating expenses are well within the prescribed limits of budget plans and fiscal guidelines.
4. Provides projections and reports as required, for development and management of budget; produce and analyze monthly reports that assist in the monthly forecast process.
5. Monitors timeliness and effectiveness of department activities, ensuring that collection targets, accuracy, procedures, and customer service standards are maintained at the highest levels
6. Monitors effectiveness of collection efforts and adapts processes, or provides recommendations for updates to policy in order to maintain effective patient financial collections processes
7. Complies and prepares various status reports for management in order to analyze trends and make recommendations.
8. Manages and oversees all personnel assigned
9. Handles complex patient complaints and issues to reach the greatest level of customer satisfaction possible, while maintaining alignment with department and organizational policy as well as local, state, federal and contractual compliance.
10. Oversees the execution of plans and programs in conjunction with department and executive leadership to monitor patient relations.
11. Monitors and streamlines the various functional activities to ensure the effectiveness in maximizing the utilization of technological, financial and people resources.
12. Monitors and oversees performance measures and standards for the team, as basis for the conduct of annual performance management review program.
13. All other work/assignments as delineated or assigned.
Desired Knowledge, Skills & Abilities
1. Knowledge of state and federal regulations, policies, and procedures governing accounting, medical billing and financial recordkeeping.
2. Knowledge of general accounting principles and ability to produce, read and analyze financial reports
3. Knowledge of accounting and finance best practices and programs which enhance the financial success of the organization
4. Knowledge of financial/revenue cycle reporting and key performance indicators for measuring and benchmarking performance
5. Ability to operate various office equipment
6. Skill in accuracy and attention to detail
7. Ability to perform public relations and public speaking in a professional manner
8. Ability to maintain confidentiality
9. Ability to read, write legibly and calculate mathematical figures
10. Ability to solve practical problems and deal with a variety of variables
11. Ability to work with, lead and supervise others
12. Ability to manage multiple assignments/projects; meet timelines and prioritize responsibility
13. Ability to handle stressful situations and react appropriately
14. Ability to exercise good judgement in appraising situations and making decisions
15. Ability to work and interact effectively and positively with other staff members to build and enhance teamwork across SLMC departments
16. Ability to communicate to complete responsibilities effectively
17. Ability to see to use computer efficiently and read computer reports and correspondence
18. High proficiency with Microsoft office products (excel, word, PowerPoint, etc.)
Equal Employment Opportunity
South Lincoln Medical Center will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation or any other category protected by law.
Americans with Disabilities Act (ADA) Statement
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand; walk; stoop, kneel, or crouch. The employee must regularly lift and/or move up to 20 pounds.
SLHD is an E-Verify Employer
Https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster%20Eng_Es.pdf
Https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf
Additional Information
Position Type : Full Time
Contact Information
Nicole Micheli-Cowley - HR Business Partner
HR
Email: ncowley@slhd.org
Phone: 3078008683 |
