Job description

Position: Revenue Cycle Manager
Reports to: Managing Senior Accountant
Department: Finance
Exempt: [X] Yes [ ] No
Job Summary:

The BRMC Revenue Cycle Manager?s (RCM) responsibility is to ensure all claims are processed and paid. The RCM works with the outsourced billing office to manage claims processing. He/she will manage the claim from the time of scheduling until payment is received. RCM is responsible to ensure BRMC is capturing all possible patient revenue.
Essential Job Duties and Functions:

• Manages the Insurance Eligibility Specialists (IES) whose responsibilities are to ensure insurance is valid and determines coverage and benefits.

• Assists in the recruitment process of staff which includes the interviewing and selection of candidates.

• Responsible for the orientation and on-going training of staff.

• Responsible for conducting evaluations of staff which includes but not limited to developing performance improvement plans, coaching, disciplinary actions and terminating of employees.

• Complete company annual evaluations of staff on a timely basis.

• Delegates or changes work assignments for the efficiency and effectiveness of the department.

• Works with the contracted billing agency on billing and collections concerns.

• Works with providers to complete encounters etc. for timely billing.

• Identifies and reviews delinquent accounts, aging period and payment sources.

• Performs collection actions including contacting patients by telephone, in person and by mail. Insurance companies are contacted as necessary to assist patients and BRMC.

• Evaluates patient?s ability to pay based on BRMC policies and establishes payment plans and promissory notes as appropriate.

• Answers inquiries and correspondence from patients and insurance companies.

• Assigns accounts to collections agency.

• Dismisses patients from practice per Board approved policies.

• Identifies and resolves patient billing complaints. Researches credit balances.

• Monitors the contracted billing agency?s performance as per the contract.

• Monitors volume of charge and collection postings on a monthly basis.

• Submit AR analysis reports on a monthly basis.

• Monitors AR by insurance classes and calculates allowance for doubtful account percentages.

• Monitors the complete revenue cycle and tracks percentage of denials.

• Responsible for ensuring the timeliness of processing and correction of rejected claims.

• Evaluate revenue cycle procedures and implement changes where necessary for efficiency and assurance of claims payment.

• Implement and execute policies and procedures involving the revenue cycle.

• Participates in educational activities.

• Maintains strictest confidentiality and adheres to all HIPPA regulations.

• Perform any other duties as assigned.

Job Type: Full-time

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