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Revenue Cycle Manager
Location:
Indianapolis, IN
Description:
Revenue Cycle Manager Finance Team Damien Center Values Dignity-Collaboration-Accountability-Equity-Quality-InnovationFounded in 1987, Damien Center is Indiana's oldest and largest AIDS service organization (ASO) and serves more than 8000 individuals living with or at risk for HIV through a comprehensive, innovative approach to care and prevention. Our purpose is to be a trusted partner in providing services, education and advocacy for all people living with or at risk for HIV and any person seeking a safe and welcoming home for care. Our services include care coordination, clinical and pharmacy services, mental health, housing, and nutrition. Position Summary: The Revenue Cycle Manager will oversee the revenue cycle for Damien Center, including medical, behavioral health, dental and pharmacy services. This role will ensure efficient billing and collections processes, optimize revenue generation, and enhance overall financial performance while maintaining compliance with regulations and standards. The Manager will demonstrate a strong attention to detail with the ability to work with management, staff, vendors, and clients to accomplish the strategic goals of Damien Center. Duties and Responsibilities: This job description describes the general nature and level of work performed by employees assigned to this position. It should not be construed as an exhaustive list of all required duties, responsibilities, and skills. Oversight includes all activities of the Revenue Cycle Department including coding/charge entry, pre-certification, accounts receivable, and payment posting. Oversees the credentialing, provider enrollment and directory maintenance with contracted payors. Maintains a working relationship with the Patient Access team to ensure that all activities around Registration and Financial Counseling support the Revenue Cycle. Provides feedback to providers to help identify training and process improvement opportunities to both maximize and ensure revenue integrity compliance. Oversees the timely creation and submission of claims by providers. Monitors and reports Accounts Receivable (AR) benchmarks/performance metrics and recommends and implements plans of action to address deficiencies. Oversees AR follow-up and monitors trends of unpaid or denied claims with the appropriate payor. Monitors pre-approved non-contractual adjustments/write-offs to ensure they are applied appropriately. Works with EHR support vendor on Electronic Interchange (EDI) issues and system upgrades to maximize practice management system utilization. Maintains and complies with up-to-date knowledge on best billing and coding practices, and regulatory requirements. Reviews contracted rates verses allowed reimbursements and identifies deficiencies. Updates chargemaster annually in collaboration with supervisor. Monitors/reviews all incoming records request related to third party chart reviews Oversees, mentors and develops revenue cycle staff, including identifying training needs. Communicate with patients via phone, email or letter to assist in resolution of complaints or concerns Oversee financial assistance programs including the Health Center's sliding fee scale, the Ryan White sliding fee scale, and the charity/financial hardship program. Proactively identifies inefficiencies in workflows, processes, and recommends changes Coordinates annual billing & coding audits & training with contracted group to ensure that providers and billing & coding staff are successful and leads corrective action plans as necessary. Ensures adherence to the health center's established policies & procedures, Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), Health Resources and Services Administration (HRSA), Ryan White HIV/AIDS Program (RWHAP), and payor contract requirements. Assists in exploring and implementing new reimbursement models or services lines as it relates to revenue cycle. Performs special assignments and other work, on an as-needed basis. Education and/or Experience Bachelor's degree in Finance, Accounting, Health Administration or a related field required. Minimum of 5 years of experience in revenue cycle management, preferably in an FQHC, FQHC-LAL, community health center or similar environment. Certification in healthcare revenue cycle management is required or must be obtained within the first year. Strong knowledge of billing processes, as well as sliding fee scale administration. Proficiency in electronic health record systems required, knowledge of eClinicalWorks highly desired. Knowledge of 340B and buy-and-bill clinic-administered drugs highly desired. Managerial experience required. Bilingual in Spanish/English desired. Knowledge, Skills, and Abilities : Possess superior organizational and administrative skills. Excellent interpersonal and communication abilities. Excellent computer skills in a Microsoft Windows environment. Ability to work independently and achieve high standards of productivity, achieving deadlines and with superior product results. Strong calendaring, organizational, and document management skills required. Proactive approach to solving problems and communicating to leadership. Knowledge of office management systems, procedures, and office equipment required. Excellent time management skills and ability to prioritize work. Qualifications To perform this job successfully, an individual must be able to perform each essential job function satisfactorily. The requirements listed are representative of the basic knowledge, skills, and/or abilities required. Reasonable accommodation may be made for individuals with disabilities to perform the essential functions. The individual in this role must display the highest level of integrity and confidentiality. The individual should have effective communication skills, attention to detail and organization, and flexibility and adaptability. The individual will also maintain knowledge of trends in their area of responsibility. Physical Demands: The physical demands described here are general representations of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made for individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, reach with hands and arms, talk, and hear. The employee frequently is required to use hands to touch and handle objects. The employee frequently stands or walks. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made for individuals with disabilities to perform the essential functions. Remote work is on a case-by-case basis and must be approved by the supervisor. Office setting, with sustained use of a computer. The noise level in the work environment is minimal to moderate. Individuals should maintain personal and professional competency and work to create an environment of courtesy, respect, inclusion, and positivity in all interactions both internal and external to the organization. FLSA Status: Salaried, Full-time, Exempt Leader: Chief Financial Officer Salary: $75-77k B enefits: 150 hours of PTO in the first year followed by 195 hours per year moving forward. 12 paid holidays Medical coverage options include a PPO plan or a HDHP. Dental & Vision plans Health Saving Account or Flexible Spending Account Dependent Care Flexible Spending Account Employee Assistance Program 403b Retirement Account with 5% matching and 100% vesting after 90 days Life Insurance @ 2 times the annual salary Voluntary Life Insurance Plan including spouse and child coverage options Short- & Long-Term Disability Plans Premium Subscription to the CALM APP which assists with anxiety, stress & other mental health challenges Professional Development Opportunities Tuition Assistance Annual performance review that includes an annual performance-based salary increase Protecting our team members, clients, volunteers, and community partners is an integral part of how we ensure our continued work with the clients we serve. As a condition of employment, Damien Center requires team members to be vaccinated against influenza and receive a tuberculosis skin test (or chest x-ray) annually, and to be vaccinated against COVID-19 (including all boosters), barring an approved religious or medical exemption. Damien Center is an Equal Opportunity Employer Damien Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, family status, ethnicity, national origin, age, disability, marital status, amnesty, status as a covered veteran, other legally protected status, or genetic (including family medical history) information.Damien Center complies with applicable federal laws and with all state and local laws governing non-discrimination in employment in every location in which Damien Center has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Please apply at www.damien.org/job-opportunities This position description does not constitute a contract of employment or guarantee of any terms or conditions of employment. Damien Center employees are employed on an at-will basis. Nothing in this position description restricts Damien Center's right to assign or reassign duties and responsibilities to this position at any time.
Company:
Damien Center
Posted:
November 12 on HireCentric
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More About this Listing: Revenue Cycle Manager
Revenue Cycle Manager is a Executive Manager Job at Damien Center located in Indianapolis IN. Find other listings like Revenue Cycle Manager by searching Oodle for Executive Manager Jobs.
Revenue Cycle Manager is a Executive Manager Job at Damien Center located in Indianapolis IN. Find other listings like Revenue Cycle Manager by searching Oodle for Executive Manager Jobs.