Job description
The Revenue Cycle Manager is the primary leader responsible for the timely and accurate processing of all third-party insurance encounters, including charge entry, billing, and payment processing This position supervises and coordinates activities of 15-20 Revenue Cycle team members engaged in calculating, processing, posting, verifying, and maintaining billing data and payments. This position has the oversight and responsibility for maintaining the integrity of all information flowing into the accounts receivable records and for performing all leadership duties in support of their assigned teams.
Essential Duties and Responsibilities include the following. Other duties may be assigned as determined by Omni Management.
· Ensure timely and accurate charge capture and billing for all OOMC locations including all surgical and clinic procedures.
· Coordinate with Coding and Compliance to ensure all applicable coding guidelines, policies and best practices are being followed.
· Oversees accounts receivable operations ensuring the timely processing of payments and the related reconciliation of deposits to posting in the EHR/PMS.
· Develops and maintans appropriate internal controls for the safeguarding of cash.
· Monitors and manages contractual adjustments and other write-offs.
· Work closely with the team supervisors and leads to train, schedule, assign, and review work of team members. Develop productivity and quality measures and work with team leadership to implement regular assessments for all team members.
· Actively displays a dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
· Develop and implement policies and procedures related to insurance billing, payment processing and other accounts receivable activities.
· Ensure the team has clear and accurate desk references, process documents and other tools that allow for efficient and compliant revenue cycle management processes.
· Monitor, respond to, and communicate changes in billing requirements, regulations, and reimbursement rates.
· Build strong work relationships with clinic, central business office and other OOMC leadership to ensure the smooth flow of information between and among OOMC departments.
· Provide support, guidance, training, and expectations that develop strong teams, drive positive interactions and support team members career development.
· Identify and resolve problems and inconsistencies and suggest appropriate corrective procedures.
· Communicate and coordinate 3rd party insurance billing and accounts receivable management policies, practices and procedures with department and company managers, officials, clients, customers, and the public as appropriate.
· Regularly provides upper management with revenue cycle status including reports, metrics, and presentations.
Supervisory Responsibilities
Directly supervises 15-20 team members in the OOMC Revenue Cycle Management – Billing Department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Job Type: Full-time
Contract type:
- Permanent
Weekly day range:
- Monday to Friday
Work setting:
- Remote
License/Certification:
- Insurance Producer License (Preferred)
- Life Insurance License (Preferred)
Work Location: Remote
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