Revenue Cycle Project Manager

Position Title: Revenue Cycle Project Manager- Full Time

Position Overview: Revenue Cycle Manager will collaborate directly with Patient Financial Services staff to ensure quality and efficiency of certain elements of claims processing and charge capture. They will also monitor. the timely and accurate charge posting of all types to the billing system to ensure correct and timely reporting of receivables in accordance with McKenzie Health’s policies, practices, and procedures. Position will support the HIM Manager with detailed account flow analysis and work standard review, especially as they relate to quality and production of work.

Key Responsibilities:

• Ensure charges are flowing promptly and properly through the system.
• Track, trend, and analyze unbilled reports and troubleshoot root causes.
• Collaborate with relevant staff, providers, and managers to correct identified issues and help train on proper process. This interaction could be electronic, over the phone, or in-person. In-person interaction and training are preferred.
• Knowledge of the revenue cycle from different perspectives (both by job and Epic access) and ability to work through obstacles using good people skills.
• Maintain up-to-date knowledge of regulatory changes affecting charging practices.
• Review and support awareness of entry from all departments to ensure prompt and exact charges.
• Works work queues as assigned.
• Keep up to date on charge code and bundling requirements.
• Analyze balancing report daily to ensure exact posting, and charges within departments.
• Work with outside departments, specifically process improvement and the business office, to find areas needing improvement in the revenue cycle.
• Maintain knowledge of admission criteria, check admissions daily, and train providers and clinical staff on correct criteria.
• Function as a provider and staff liaison between the clinical and financial sides of the system
• Always Abide with HIPAA and McKenzie Health guidelines.
• Other duties as assigned.

Physical Requirements:

• Perform each duty proficiently. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
• The employee must be able to sit for extended periods of time; to talk and hear; to type, file and sort papers. Specific vision abilities required by this job include close vision and prolonged use of a computer screen.
• This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will have to follow any other job-related instructions and perform other job-related duties requested by their supervisor.
• Requirements are representative of minimal levels of knowledge, skills, and/or abilities. To perform this job successfully, the incumbent will have the abilities or aptitudes to perform each duty proficiently.

Required Skills and Abilities:

• Must meet deadlines and manage competing demands.
•   Must have knowledge of insurance payment processing.
•   Ability to perform routine mathematical calculations.
•   Ability to keep confidentiality.
•   Ability to support accuracy.
•   Excellent verbal, written and interpersonal communication skills.
•   Proficient with Windows, MS Office, Excel, Outlook, and internet Explorer
•   Demonstrates an independent work initiative, sound judgment, and strong work ethic.
•   Works cooperatively in a team atmosphere.
•   Ability to manage multiple tasks simultaneously and be detailed oriented.
•   Must be able to communicate clearly with patients, staff, managers both verbally and in writing.
•   Proficiency with Microsoft Office suite, including Word and Excel.
•   Shows objectivity and openness to others’ views; gives and welcomes feedback.
•   Employees must show basic computer skills.

Education and Experience:

• Bachelor's Degree in business preferred.
• Five years' experience in healthcare PFS and a Supervisory role needed.
• Healthcare billing or follow up knowledge, coding knowledge, patient access knowledge, and fee schedule knowledge needed.
• Advance computer skills
• Advanced leadership skills

McKenzie Health is an equal opportunity employer and does not discriminate against any applicant or employee on the basis of age, color, sex, disability, national origin, race, religion, or veteran status.