Revenue Cycle Manager

Overview: Full time salaried position available

Responsible for overseeing daily billing activities of the agency. This includes supervision of staff, ensuring timely billing of services, collection of aging accounts, and analyzing and resolving billing issues. Will be expected to act as the main liaison in representing the billing department to external stakeholders and internal customers.

Essential Position Responsibilities:

• Manage Agency Billing staff, overseeing billing processes, collections, payment application and Countryside Office Manager and staff.

• Will be accountable for CS Office Manager meeting deadlines, ensuring effective clinic flow, professionalism, excellent customer service, pre-authorization (intake process) and effective and efficient consumer files to eliminate non-value activities and write-offs.

• Assists in the development and monitoring of performance expectations for the department. Participates in development, education and cross training staff.

• Ensures charges are billed timely, accurately, and are consistent with services rendered. Oversees billing staff for entry of Guarantors for both the Agency and Counseling Center.

• Helps to review EOBs to analyze reimbursement and identify denial trends.

• Ensures follow up on unpaid claims by billing staff either via phone or written correspondence, and requests for additional information are delivered timely. Monitors the resolution of billing discrepancies for patients and insurance carriers.

• Monitors aged accounts receivable reports and ensures that necessary procedures are in place to collect the receivable.

• Responsible for monthly reporting of Accounts Receivable Days. Runs monthly write off code reports and creates spreadsheet per write off code and department. This is reported and given to department directors at the billing meeting.

• Maintains CT One billing matrix, including procedure codes, service types and super bill maintenance. Responsible for setting up any new charge codes.

• Functions as a liaison for the agency on all billing issues to external stakeholders and partners. Point of contact and liaison for billing issues with MHA staff.

• Monitors and initiates special projects.

• Monitors CT One, COMCARE, and Insurance Company issues and seeks resolution.

Other Position Expectations:

• Maintains acceptable overall attendance record, to include department staff meetings, agency meetings, and trainings as required. Ensures appropriate notification to supervisor for absences and ensures that work is covered. Flexible in work schedule when needed.

• Exhibits appropriate level of technical knowledge for the position.

• Produces quantity of work necessary to meet job requirements.

• Works well with a team, keeps others informed of information needed. Treats others with respect, maintaining a spirit of cooperation.

• Maintains effective and professional verbal and written interactions with peers, customers, supervisors and other staff. Uses diplomacy and tact in dealing with difficult situations or people. Demonstrates effective listening skills. Is receptive to constructive feedback.

• Demonstrates the ability and willingness to handle new assignments, changes in procedures and business requirements. Identifies what needs to be done and takes appropriate action.

• Completes assigned work, meets deadlines without reminders/follow-up from supervisor or others.

• Performs work conscientiously with a high degree of accuracy.

Requirements:

Expected to have a High School diploma or equivalent, with accounting college coursework preferred. Business or Accounting degree preferred. Five plus years of behavioral health insurance experience preferred, or medical billing, collections in a healthcare environment. Supervisory or leadership experience preferred. Must have Medical terminology and coding experience, proficiency in filing and collecting insurance claims in a healthcare environment. Must be able to maintain strict confidentiality of sensitive information. Also need proficiency in Electronic Medical Records and Microsoft Office applications including Excel, and Word.

PHYSICAL REQUIREMENTS:

• Sitting for extended periods of time

• Typing/data entry/ten-key for extended periods of time

• Lifting/carrying up to 30 pounds

• Bending/stooping

  All the above duties and responsibilities are considered essential job functions subject to reasonable accommodation. All job requirements listed indicate the minimum level of knowledge, skills and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as a detailed statement of duties, responsibilities or requirements. Employees may be required to perform any other job-related instructions as requested by their supervisors, subject to reasonable accommodation.

COVID

MHA requires employees to be fully vaccinated for COVID 19 as we fall under the Centers for Medicare & Medicaid Services (CMS) for medicare and medicaid. Religious and medical exemptions will be considered.

EEO Race, Color, National Origin, Religion, Sex, Sexual Orientation, Gender Identity, Veteran, Disabled