Manager, Revenue Cycle

Abbott; United States; Remote; USD 99,000 - 199,000; Full time

Job summary

Abbott is hiring a Manager, Revenue Cycle for a remote role in the United States. The role leads the revenue cycle team, ensuring compliance with payer regulations and Medicare, while communicating department health to leadership.

Candidates should have extensive expertise in medical billing, payer audits, and HIPAA compliance. The position focuses on building teams, driving quality and integrity, and achieving performance metrics through effective staff development and cross-functional

Qualifications

• Bachelor's degree in healthcare administration, business or related field; or HS diploma with 4 years of relevant experience.
• 8+ years of experience in medical/healthcare billing with strong claims processing knowledge.
• 5+ years of leadership experience with ability to recruit, assess, motivate and inspire others.

Responsibilities

• Lead and manage revenue cycle team with integrity and quality.
• Monitor billing compliance with third-party payer regulations.
• Develop and maintain department priorities, procedures, and policies for Exact Sciences.
• Communicate department health to leadership via meetings, reports and presentations.
• Oversee daily AR operations and monitor client accounts receivable activity.

Skills

Leadership

Claims processing

Healthcare billing

Staff development

Education

Bachelor's degree in healthcare administration or related field

High school diploma with 4 years experience

Tools

Xifin

Epic

Billing software

Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Position Overview
The Manager, Revenue Cycle is responsible for leading the team and driving the strategies of the entirerevenue cycle process of a clinical independent lab with integrity and quality. This position requires anextensive understanding of and experience with the medical billing process, Medicare compliance, payeraudits, and the independent lab industry and personnel The Manager, Revenue Cycle is responsible forcommunicating the health of the department to leadership teams via meetings, conference calls,presentations and reports. The role also requires strong skills and experience in personnel management,leading and building teams to foster a culture grounded by the core values of integrity, teamwork,innovation, and quality.

This position is remote.

Essential Duties
include, but are not limited to, the following:

• Monitors billing compliance with all third-party payer regulations.

• Implements and assists with innovative staff education programs.

• Develops and maintains all revenue cycle department’s priorities, procedures, and policiesfor Exact Sciences.

• Determine appropriate and effective performance metrics and staff requirements for thedepartment to run with efficiency and accuracy while providing outstanding customerservice.

• Develops processes and procedures for the efficient and successful flow of interdependentinformation between the third-party billing vendor, the receivables department and ExactSciences contact center.

• Designs and execute key strategies and infrastructures to drive collection of earnedreimbursement for lab operations.

• Develops processes and policies for exception handling, appeals and denials and balancebilling.

• Monitors all client accounts receivable activity and performance and initiates appropriatecorrective measures as needed.

• Investigates denial sources, trends, resolves and appeals with cross-functional teaminvolvement.

• Ensures that customer satisfaction, via all personnel, is achieved through courteous andeffective communication, problem solving and efficient processes.

• Oversees and manages the daily performance of the revenue cycle department and all

• accounts receivable operations.

• Motivates team on month end goals and metrics. Reports on month end activity to keyleadership.

• Promotes and demonstrates a team-oriented environment that fosters effective collaborationwithin and outside of the department.

• Monitors all departmental processes to ensure compliance with performance metrics andrelays this to leadership in a timely, effective manner.

• Hires, coaches, inspires and motivates team; Implements and monitors staff productivity andservice performance metrics and reports this to leadership.

• Maintains confidentiality in compliance with HIPAA regulations and ensures that departmentremains compliant with all relevant regulations.

• Supervise staff including but not limited to organize and prioritize work, write/conductperformance reviews, train/develop, and manage work performance.

• Apply deep familiarity with payer/insurance appeals and reimbursement processes,experience working in the insurance industry and professional billing.

• Apply knowledge and familiarization with the Medicare billing regulations, compliance,andreimbursement methodologies especially in the laboratory environment.

• Apply knowledge of third-party billing service provider (i.e. Xifin, Epic) or revenue cyclemanagement software and outsourced billing organizations.

• Apply strong analytical and forecasting skills with demonstrated ability to plan workload,

• allocate tasks and scale operations to align with business priorities.

• Oversees and implements staff reporting and building key productivity and accuracy metrics.

• Apply strong organizational and problem-solving skills.

• Apply adaptable, open to change and able to work in ambiguous situations and respond tonew information and unexpected circumstances.

• Utilize strong interpersonal and teamwork skills including the ability to easily conveyconcepts and priorities as well as ability to solicit feedback and inputs.

• Utilize strong presentation skills with ability to convey information and adjust delivery asappropriate to the audience.

• Ability to inspire and motivate others and work effectively through influence and

• collaboration.

• Support and comply with the company’s Quality Management System policies andprocedures.

• Regular and reliable attendance.

• Ability to work normal schedule of Monday through Friday during normal business hours.

• Ability to work in front of a computer screen and/or perform typing for approximately 80% ofa typical working day.

Minimum Qualifications:

• Authorization to work in the United States without sponsorship.

• Bachelor’s degree in healthcare administration, business or related field; or high schooldegree/general education diploma and 4 years of relevant experience in lieu of degree.8+ years of experience working in the medical/healthcare billing area, with strong,

• demonstrated knowledge of managing claims processing.

• 5+ years of leadership experience with demonstrated ability to recruit, assess, motivate &inspire others to help business achieve success.

• Demonstrated ability to perform the Essential Duties of the position with or withoutaccommodation.

Preferred Qualifications:

• Leadership in accounts receivable or billing operations.

• Experience working in both payer billing and provider billing operations in a laboratory.

• CPC, CPM, CPCO, CPMA or similar certification.

• Membership in any of the patient accounting organizations (i.e. AHAM)

The base pay for this position is

$99,300.00 – $198,700.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Accounts Payable & Receivables, Credit & Collection, & Payroll

DIVISION:

ONCO Cancer Diagnostics

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 10 % of the Time

MEDICAL SURVEILLANCE:

No

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdfEEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf