Revenue Cycle Manager

Fuller Hospital; Attleboro (MA); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Student Loan Repayment

Tuition Reimbursement

PTO 26 days + rollover

Medical, Dental, Vision plans

401(K) with company match

Job summary

Fuller Hospital, a 109-bed private psychiatric facility in South Attleboro, MA, seeks a Revenue Cycle Manager to lead patient billing and collection activities and drive reimbursement while maintaining confidentiality across the department.

The role supervises the hospital's Business Office, collaborates with Intake, UR, and Medical Records, and reports to the CFO. Bachelor's degree in finance/accounting and 5+ years in healthcare billing are required.

Qualifications

• Education: Bachelor's degree in finance, accounting or related field.
• Experience: 5 years of healthcare billing, accounts receivable, and collections experience; 1+ years in revenue cycle management; healthcare experience preferred.
• Specialized Skills: hands-on management, knowledge of revenue cycle stages, analytical and financial management skills, attention to detail, problem solving.

Responsibilities

• Bill Medicare claims and perform standard daily billing tasks.
• Monitor claim denials and ensure timely entry on denial logs; ensure regular staff follow up on denied claims.
• Analyze AR aging and obtain staff updates on all past due accounts weekly.
• Review and direct staff on self-pay, credit balances, unbilled charges, and other account groups.
• Assist staff with resolving complex claim rejections.
• Lead monthly insurance calls on outstanding problem claims and maintain claim logs.
• Oversee daily insurance verification and cash posting processes.
• Prepare for and oversee third-party payor audits and reports.
• Maintain reports and logs for CFO month-end close.
• Prepare weekly AR reports and attend weekly AR meetings.

Skills

Hands-on management

Revenue cycle knowledge

Analytical skills

Problem solving

People management

Education

Bachelor's degree in finance or accounting

Job description

Responsibilities

Revenue Cycle Manager Opportunity - Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Inpatient units are designed to treat adults with general psychiatric or intellectual disabilities, as well as adolescents with general psychiatric issues. Patients with co-occurring psychiatric and substance abuse disorders can be treated on most units. Fuller Hospital also provides a less intensive Partial Hospitalization Program (PHP) to patients with psychiatric and co-occurring psychiatric and substance abuse disorders.

The Revenue Cycle Manager supervises and coordinates the overall management of patient billing and collection. This position efficiently and effectively manages the Business Office operations to provide maximum reimbursement for the hospital while maintaining the highest level of confidentiality department wide.

Responsibilities

• Bill Medicare claims and perform standard daily billing tasks
• Monitor claim denials and ensure timely entry on the denial logs; ensure regular staff follow up on denied claims
• Analyze AR Aging and obtain staff updates on all past due accounts weekly
• Review and direct staff on working self-pay, credit balances, unbilled charges, and other account groups
• Assist staff with resolving complex claim rejections
• Analyze contractual adjustments for accuracy and approve prior to posting
• Lead monthly insurance calls on outstanding problem claims and maintain claim logs
• Oversee accurate and timely completion of daily insurance verification and cash posting processes
• Obtain single case agreements and assist staff with denial appeals
• Prepare for and oversee any third-party payor audits and complete any third-party reports
• Maintain reports and logs requested by the CFO for the month end close
• Prepare weekly AR reports and attend weekly AR meetings.
• Collaborate with Intake, UR and Medical records department as needed to accommodate financial policies
• Communicate new issues or trends to CFO promptly
• Respond to inquiries from management and staff promptly
• Update changes in contracted rates timely in the Contract Matrix system per communications from the corporate contracting department
• Maintain close familiarity with payer contracts, rates, billing codes and guidelines
• Review and approve write offs as appropriate; ensure all necessary documentation is provided
• Monitor and implement business office policies and procedures as requested by the CFO
• Monitor productivity, coordinate, and audit daily business office staff activities
• Manage and develop business office staff
• Use staff feedback and findings to implement process improvements
• Administer annual performance reviews, and performance improvement plans and disciplinary actions, as needed
• Complete one-time projects as assigned by CFO

Benefit Highlights

• Student Loan Repayment - $200 per month
• Tuition Reimbursement - $5,000 per year
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off (26 days per year + roll over)
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Supervision for Licensure
• More information is available on our Benefits Guest Website:benefits.uhsguest.com

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom.www.uhs.com.

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Qualifications

Requirements

• Education: Bachelor's degree in finance, accounting or related field
• Experience: 5 years of healthcare billing, accounts receivable, and collections experience required; 1 or more years of experience in revenue cycle management required; Healthcare experience preferred
• Specialized Skills:
  • Highly hands-on, working manager position
  • Deep knowledge of all stages of revenue cycle, preferably in the Healthcare field
  • Analytical and financial management skills; proficiency with common office software
  • High attention to detail, disciplined and methodical approach to processes
  • Strong ability to problem solve and adapt to change

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.