Revenue Cycle Mgr

**Job Title**: Revenue Cycle Manager Location : Philadelphia, PA Duration : 4 months Summary : The Revenue Cycle Manager is responsible for the overall billing and collection of patient revenue for ** (USD)165 M annual charges; (USD)64 M annual payments). Client provides anesthesiology and critical care services for the client and its affiliated ambulatory surgical facilities and satellite locations. He/she oversees all aspects of the billing process, including billing, coding and compliance, reimbursement, and accounts receivable. The Manager directly supervises the Claim Specialist, Credit and Refund Specialist, abstractionists/coders, and AR Supervisor in the performance of their respective job responsibilities.

The Manager is responsible to ensure accurate and timely completion of the entire revenue cycle process through setting and enforcing policies and procedures. Assuring appropriate set-up of the Epic system for anesthesia and critical care services. Maintaining current knowledge of changes in compliance standards and major policies. Analyzing data for reimbursement trends, and interfacing with internal and external leaders to resolve identified issues.

Understands and manages the denial processes. Monitors, tracks, and evaluates staff productivity and performance. Provides summary reports for executive management on a monthly basis. Proactively driving revenue cycle metrics along with being an innovator within the revenue cycle team.

Maintaining and improving revenue results. Providing strategic leadership to the department in all areas relating to receivable management, including advising leadership on payer contracting, defining strategic objectives and implementing process redesign, and developing policies and measurement tools to ensure success. Partner with the Manager of Accounts Receivable Analysis. Responsibilities : Provide direction for all areas of ** professional services billing operation, including billing and collection, coding and compliance, reimbursement and third party contract compliance, and reporting.

Develop systems and organizational structure as appropriate. Develop and monitor billing policies and procedures. Perform various financial functions under the direction of the Director of Finance, including financial data analysis, preparation of the annual revenue budget, and revenue reconciliation. Develop, coach and evaluate staff under direct supervision.

Direct the AR Supervisor in the management of all A/R staff. Perform compliance and monitoring functions, according to departmental policies. Support the Manager of Accounts Receivable Analysis in identifying trends which negatively impact AR. Maintain EPIC work-queues.

Assist with management of third party payers. Serve as primary department contact with billing colleagues throughout client. Monitor resolution of credit balances for refunds and adjustments. Proactively identify and resolve operational and system problems or issues.

Ensure compliance with orders or directives issued by governmental and regulatory agencies or third parties, including the Health Care Finance Administration, Pennsylvania Department of Welfare and other agencies. Additional Technical Requirements: Strong client orientation and previous experience working as part of a cross-functional team. Advanced knowledge of Microsoft Office Suite, especially Excel and PowerPoint. Strong capacity for data management.

Advanced experience with Excel and/or database functions. Demonstrated supervisory experience or aptitude for working with people in a leadership capacity. Ability to moderate meetings and negotiate outcomes in a professional manner. Financial experience and analytical skills.

Excellent project management skills. Excellent written and verbal communication skills. Excellent analytic, decision making and critical thinking skills. Excellent interpersonal and organization skills.

Ability to handle multiple tasks, meet deadlines and handle confidential materials. Required Education : Bachelor's Degree Required Experience : At least five (5) years of supervisory experience in medical services billing or related healthcare field. Preferred Education: Master's Degree Preferred Experience: Experience in anesthesia billing and Experience with the Epic system.