Position: Revenue Cycle Manager Reports To: Director of Finance/ Controller Schedule: Full-time days- on Site Position Location/Department: Accounting Job Summary: This position is responsible for managing the policies, objectives and initiatives of the revenue cycle activities to achieve revenue targets and to optimize the patient financial interaction along the care continuum. Implements processes for admissions, pricing, billing, third party relationships, compliance and collections to ensure that revenue cycle is effective and properly utilized.. Monitors and directs productivity and activity for Contracted 3rd Party Billing Company. Coordinates daily denial queue for each department making sure they are working timely for precise billing. Ensuring accounts have charges on them within the 3 day lag time in order to close days timely. Ensure coding is done timely to have claims billed efficiently to maximize reimbursement. Communicates reimbursement related information to appropriate individuals throughout the organization and understands the concept of a full service reimbursement department. This position will be responsible for the review, maintenance, update and subsequent implementation of the official Charge Master. Approving timecards, performance evaluations, disciplinary actions, etc. Ensures proper staffing and cross training of job responsibilities to ensure the billing process meets the expected parameters. Tracks the aging AR to ensure proper collections and account reconciliations. Manages the relationship with our private payer support vendors and ensures that proper private pay balances are maintained. Calculate or review the appropriate allowance for bad debt. Essential Duties and Responsibilities:

• Implement a system to ensure that accurate billing information is entered into the billing system
• Supervise the revenue cycle team in various duties, such as communications with insurance providers, cash posting, contract analysis, and registration
• Serve as a key consultant and authoritative resource in an area of specialization, field of concentration or discipline in the performance of highly complex analysis and issue resolution
• Development and implement technical standards, methods, policies, and processes relative to the revenue cycle
• Design, develop, and implement systems that provide financial, statistical and operational information
• Create and maintain a culture supportive of personnel by fostering individual motivation, teamwork, and high levels of performance and accountability and ensure staff retention
• Identify action plans to improve the quality of services in a cost-efficient manner and facilitate plan implementation.
• Oversee credentialing for providers.
• Participate in the insurance contracting committee.
• Provide management supervision and operational direction for assigned staff. Patient access and Patient Financial counselor reports to the revenue cycle manager
• Manage staff performance by providing regular feedback, performance reviews, and one-on-one meetings
• Oversee the hiring and training of staff
• Operate standard office equipment and use required software applications
• Perform other duties and responsibilities as assigned
• Ability to delegate assignments to employees

Have knowledge of:

• • Commercial Insurance reimbursements, Medicare Guidelines Part A & B
  • Facility and Professional Billing
  • Critical Access Hospital
  • Rural Health Clinic
  • CHAMPS
  • Direct Data Entry for Medicare
  • PS&R Reports

Education, Experience and Other Requirements:

• Bachelor\xe2\x80\x99s degree in Finance, Business Administration, Healthcare Administration, or related field.

• At least 5 years of experience RHC and Hospital Billing
• 2-3 years of relevant experience in health care reimbursement activities
• 1-3 years Supervisory experience
• Sound knowledge of health insurance providers.
• Experience with Rural Health preferred
• Proficient in all Microsoft Office applications as well as medical office software.
• Strong interpersonal and organizational skills.
• Excellent customer service skills.
• The ability to work in a fast-paced environment.