Revenue Cycle Manager
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Waukegan, IL 60079
Revenue Cycle Manager
Do you want a career where you can truly make a difference?The Lake County Health Department and Community Health Centeris one of the largest human service providers in Lake County. We live our mission each day, promoting the health and well-being of all who live, work, and play in Lake County. If you are passionate about giving back and ready to be a part of an innovative team, we are looking for you!
About the Role:
The Revenue Cycle Manager performs a lead managerial role in the Finance and Healthcare Operations functions with the purpose of enhancing healthcare revenue cycle outcomes. Manage a staff of six medical billing specialist that focus on the agency accounts receivable balances and rejections from the managed care companies and third-party commercial insurance companies. The position will review, analyze, develop and provide management oversight of key aspects of the healthcare revenue cycle. Perform research and analysis related to reimbursement; maintain current knowledge in the areas of third-party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations. Knowledgeable of each line of business in order to recommend comprehensive, informed business decisions through data analysis. This includes working with directors, managers, providers, teams, programs and the organization to facilitate and increase agency revenue. Knowledgeable in all financial software systems used by LCHD/CHC focusing on the healthcare revenue cycle. Strong management skills, coordination ability, problem-solving skills, high level analytical ability and critical thinking skills are needed to perform this role successfully.
Location: 3010 Grand Ave, Waukegan, IL
Hours: Monday-Friday (8:00am-5:00pm)
FLSA STATUS: Exempt
Skills and Experience
+ Conducts needs analysis to identify revenue gaps across the agency.
+ Coordinate teams working on major, complex performance improvement efforts that affect multiple facility and clinical practice revenue cycle protocols throughout the agency.
+ Manage a staff of six Medical Billing Specialist responsible for resolving payment issues with third party insurance companies.
+ Perform research and analysis related to reimbursement; maintain current knowledge in the areas of third-party billing, reimbursement schedules and methodologies, coding, payer contracts, billing and payment rules and regulations in order to facilitate third party payer contract negotiations.
+ Analyzes and reviews data generated by numerous systems to validate data accuracy, performance management and for revenue cycle trends.
+ Analyze data for specific trends by insurance payer, accounts receivable aging, payer rejections, and write offs.
+ Examines historical revenue cycle transactions and make accurate and reliable recommendations for management, example compile all data needed for the purpose of calculating insurance company settlements.
+ Notify the appropriate staff to correct data integrity issues that are discovered through data analysis efforts.
+ Ability to translate revenue trends and analysis to Program Operational managers as needed.
+ Provides direction, technical assistance, and coordination as needed to assist in resolving payment issues with the MCO’s.
+ Clear and concise communication skills in to order to facilitate payer calls to resolve payment issues.
+ Analyzes a variety of statistical and management dashboard data regarding service utilization trends and program productivity.
+ Provides trend analysis information to Finance/Business Manager or Directors of Finance and Healthcare Operations to aid in making financial, operational and/or training recommendations.
+ Develop and deliver organized, concise yet thorough, communications to management, regarding proposed changes, deficiencies, developments, and opportunities affecting the Agency and the Central Billing Office.
+ Responsible for interfacing with Health Informatics, Healthcare Operations, Finance/Business Offices, and Program Coordinators/Leaders and providing data analysis as requested.
Education, Qualifications, and Certification:
+ Requires a bachelor’s degree in Healthcare Management or Administration, Business, Finance or related field required with minimum five years of progressively responsible medical billing and healthcare business operations experience. Medical Billing and Coding certificate or RHIT certification is preferred.
+ A minimum of five (5) years of supervisory experience in a healthcare finance/business office with a medical billing practice is required. Knowledge or specialization in Medical or Behavioral Health Services is preferred along with government payers.
+ Experience and documented ability in the areas of financial analysis using information from an Electronic Practice Management Systems and Electronic Health Records system.
+ Experience and understanding of medical coding such as CPT and HCPC’s codes is required.
+ Proficiency in Excel, MS Word, PowerPoint is required.
About the Perks:
Lake County offers a competitive salary and benefit package with performance-based incentive plans. We also offer flexible working hours, and a comprehensive wellness and training program. Visit theHealth Departmentpage to get additional information on why you should work for us.
If you would like to learn more about our community impact and to see some of our employees in action, please review this shortvideo.
Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.
The Lake County Health Department and Community Health Center is an Equal Opportunity Employer.
Waukegan, Illinois, United States
Applications will be accepted
Position is subject to close at any time.