Job Description

This important position is accountable and responsible for overseeing the company revenue cycle operations and maintaining client relationships. The scope of responsibility includes but is not limited to coding, insurance and patient billings, collections, cash management, Accounts Receivable management, and management of the revenue cycle staff. The Revenue Cycle Manager may be required to participate in special projects and committees at the direction of the Senior Consultant or CEO. 

Responsibilities:

• Daily supervision of the Revenue Cycle personnel and delegation of duties to ensure the efficient operation of the Revenue Cycle.
• Oversees the coding of procedures performed in the surgery center. The Revenue Cycle Manager is responsible for ensuring that the company's coding practices are in compliance with HCFA/Medicare and other third-party payor regulations.
• Oversees the proper and accurate posting of payments and adjustments to patient accounts. The Revenue Cycle Manager is responsible for conducting monthly EOB audits to ensure proper and accurate postings.
• Manages the verification of medical benefits for all patients scheduled at the surgery centers. The Revenue Cycle Manager will ensure the timely and accurate verification of patients’ medical benefits.
• Manages all information needed for the collection of patient payments at the time of service as determined at the time of verification of benefits. The Revenue Cycle Manager is responsible for ensuring maximum realization of revenue at or prior to the time of service.
• Management of the Accounts Receivables.
• Ensuring the proper methods of receiving, recording, and depositing of patient and other receipts. The Revenue Cycle Manager will be responsible for enforcing the internal controls required for cash management.
• Reviewing staff timecards for the timely and accurate processing of payroll.
• Responsible for processing and reconciling the month-end reports, for ensuring the completeness of billings and payments, and for forwarding the month-end reports to the facility administrators, Senior Consultant, CEO, and other persons assigned by the facility.

Qualifications & Experience:

• Bachelor’s degree in business management with a concentration in accounting or finance is preferred.
• Experience in medical office or ambulatory surgery billing and collection procedures required.
• Requires extensive knowledge of Medicare and local payer coding and collection guidelines as they pertain to a medical office or ambulatory surgery center environment.
• A minimum of three years of Revenue Cycle experience in a medical office or ambulatory healthcare setting is required.
• Experience in Accounts Receivable required.
• Experience in payroll preferred.
• Two years of supervisory experience in a medical office or ambulatory surgery center is preferred.

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