Finance and Accounting Job In Palm Springs, Florida
Manager, Revenue Cycle ManagementNext Steps... Apply Now
General Statement of Job
The Manager of Revenue Cycle is responsible for planning, supervising and coordinating medical billing and coding for Health Care District services. This position will oversee the development and implementation of monthly AR reports, policies and processes to reduce inefficiencies and maximize revenue by improving the medical billing, coding and collection functions. The Manager of Revenue Cycle is a key member of the Health Care District management team which includes conducting problem analysis and recommending solutions.
Specific Duties and Responsibilities
Develops and leads a customer service-oriented team in the achievement of objectives.
Responsible for managing and supporting all aspects for the Billing Operations, including management and oversight of third party billing for the medical billing employees, ensuring efficient workflow and high productivity while managing all routine activities.
Develops reports and procedures for the billing area, as well as systems for coordinating the management of the billing and coding functions. Develops and monitors processes for account management and customer service for all clients, including reports, complaints, etc.
Prepares regular and ad hoc reports related to revenue performance.
Provides feedback to the various revenue cycle managers to maximize performance of front-end and back-end processes. Indentifies, coordinates, collects and ensures the availability of data related to health care institutions and health care utilization within the surrounding markets, as it relates to revenue performance. Assists in the preparation and distribution of regular reports from internal and external data sources used for planning by senior leadership and other personal and administrative staff.
Prepares various reports, surveys and special projects as requested by management or for miscellaneous requesting agencies in accordance with departmental procedures.
Works with third-party payers to assure appropriate payment for District programs.
Collaborate with technical experts and business units to determine the best possible revenue cycle reporting mechanisms.
Supervises and coordinates activities of assigned staff including quality performance audits, coding compliance monitoring to ensure proper billing of claims to Medicaid, Medicare, Healthy Palm Beaches, and other third-party insurances.
Supervises the creation of billing records and the electronic transmittal of the claim file, the creation of the printed claim, auditing and recording of payments, adjustments and write-offs, researching and re-billing denied claims, and ensuring monthly reports are prepared and distributed timely and utilized for maximization of revenue receipts.
Supervises production of patient statements and monitors the collection of patient balances.
Monitor and monthly aged trial balance reports and make recommendations for allowances and write offs.
Maintains service descriptions and procedure codes (CPT), local codes, and diagnosis codes (ICD-9/ICD-10) in the charge master.
Attends required meetings and participates on committees as requested. Participates in professional development activities and maintains professional affiliations to keep current in health care industry and trends.
Leads staff in the resolution of problems relating to patient financial services.
Ensures charge posting staff is trained on ongoing use of the EMR (for information retrieval) based on charge posting access and needs.
Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.
Bachelor's degree in Accounting, Finance, or related field required. Master’s degree in the same fields preferred. Equivalent combination of education and experience may substitute for minimum requirements.
Three (3) to five (5) years of experience managing medical billing and/or coding staff required. Equivalent combination of experience may substitute for minimum education requirements.
Certified Professional Coder (CPC) or other medical coding certifications preferred.
The Health Care District is an Equal Employment Opportunity Employer and maintains a Drug Free Workplace. Veterans preferred. Qualified individuals with disabilities who require an accommodation to participate in the application process or candidates with other questions should contact Human Resources.
Dedicated to the Health of the Community The Health Care District of Palm Beach County is an integrated public health system established in 1988 as a special taxing district that is an equal opportunity employer of approximately 1,000 employees. The Health Care District's mission is to ensure access to a comprehensive health care system and the delivery of quality services for the residents of Palm Beach County. The Health Care District provides challenging and fulfilling employment opportunities through its health coverage programs for uninsured residents, a nationally recognized Trauma System, adult and pediatric services at the four C. L. Brumback Primary Care Clinics, a School Health program which staffs registered nurses in nearly 170 public schools, a pharmacy operation, a long-term skilled nursing and rehabilitation center, and its acute care hospital, Lakeside Medical Center, in rural western Palm Beach County.