- Are you a revenue cycle wizard who can turn complex billing challenges into financial success stories?
- Are you ready to lead a team that makes a difference in community healthcare while optimizing financial performance?
- Can you transform healthcare revenue cycles from chaos to compliance with your expert touch?
- Are you passionate about healthcare innovation and want to make a real impact in a mission-driven organization?
If you answered
YES to these questions, then explore the Revenue Cycle Manager opportunity with the Damien Center!Damien Center empowers communities and persons affected by HIV/AIDS in the state of Indiana by being a leading resource, provider, and advocate for comprehensive HIV/AIDS care, prevention, education, and related services. Damien Center, Damien Cares and Damien Pharmacy provide client-centered social services focused on care coordination, clinical and pharmacy services, mental health, housing, and nutrition to the Indianapolis community.
Position Summary:The Revenue Cycle Manager will oversee the revenue cycle for Damien Center, including medical, behavioral health, dental and pharmacy services. This role will ensure efficient billing and collections processes, optimize revenue generation, and enhance overall financial performance while maintaining compliance with regulations and standards. The Manager will demonstrate a strong attention to detail with the ability to work with management, staff, vendors, and clients to accomplish the strategic goals of Damien Center.
Duties and Responsibilities:- Oversight includes all activities of the Revenue Cycle Department including coding/charge entry, pre-certification, accounts receivable, and payment posting.
- Oversees the credentialing, provider enrollment and directory maintenance with contracted payors.
- Maintains a working relationship with the Patient Access team to ensure that all activities around Registration and Financial Counseling support the Revenue Cycle.
- Provides feedback to providers to help identify training and process improvement opportunities to both maximize and ensure revenue integrity compliance.
- Oversees the timely creation and submission of claims by providers.
- Monitors and reports Accounts Receivable (AR) benchmarks/performance metrics and recommends and implements plans of action to address deficiencies.
- Oversees AR follow-up and monitors trends of unpaid or denied claims with the appropriate payor.
- Monitors pre-approved non-contractual adjustments/write-offs to ensure they are applied appropriately.
- Works with EHR support vendor on Electronic Interchange (EDI) issues and system upgrades to maximize practice management system utilization.
- Maintains and complies with up-to-date knowledge on best billing and coding practices, and regulatory requirements.
- Reviews contracted rates verses allowed reimbursements and identifies deficiencies.
- Updates chargemaster annually in collaboration with supervisor.
- Monitors/reviews all incoming records request related to third party chart reviews
- Oversees, mentors and develops revenue cycle staff, including identifying training needs.
- Communicate with patients via phone, email or letter to assist in resolution of complaints or concerns
- Oversee financial assistance programs including the Health Center's sliding fee scale, the Ryan White sliding fee scale, and the charity/financial hardship program.
- Proactively identifies inefficiencies in workflows, processes, and recommends changes
- Coordinates annual billing & coding audits & training with contracted group to ensure that providers and billing & coding staff are successful and leads corrective action plans as necessary.
- Ensures adherence to the health center's established policies & procedures, Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), Health Resources and Services Administration (HRSA), Ryan White HIV/AIDS Program (RWHAP), and payor contract requirements.
- Assists in exploring and implementing new reimbursement models or services lines as it relates to revenue cycle.
Qualifications:- Bachelor's degree in Finance, Accounting, Health Administration or a related field required.
- Minimum of 5 years of experience in revenue cycle management, preferably in an FQHC, FQHC-LAL, community health center or similar environment.
- Certification in healthcare revenue cycle management is required or must be obtained within the first year.
- Strong knowledge of billing processes, as well as sliding fee scale administration.
- Proficiency in electronic health record systems required, knowledge of eClinicalWorks highly desired.
- Knowledge of 340B and buy-and-bill clinic-administered drugs highly desired.
- Managerial experience required.
Salary & Benefits:- FLSA Status: Salaried, Full-time, Exempt
- Salary: $75,000-$77,000
- 150 hours of PTO in the first year followed by 195 hours per year moving forward.
- 12 paid holidays
- Medical coverage options include a PPO plan or a HDHP.
- Dental & Vision plans
- Health Saving Account or Flexible Spending Account
- Dependent Care Flexible Spending Account
- Employee Assistance Program
- 403b Retirement Account with 5% matching and 100% vesting after 90 days
- Life Insurance @ 2 times the annual salary
- Voluntary Life Insurance Plan including spouse and child coverage options
- Short- & Long-Term Disability Plans
- Premium Subscription to the CALM APP which assists with anxiety, stress & other mental health challenges
- Professional Development Opportunities
- Tuition Assistance
- Annual performance review that includes an annual performance-based salary increase
Job Type: Full-timePay: $75,000.00 - $77,000.00 per yearBenefits:
- Continuing education credits
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance