Revenue Cycle Manager Collections

Round Table Medical Consultants Llc; Houston (TX); Sur place; USD 85 000 - 120 000; Plein temps

Avantages offerts par ce poste

Health benefits

Medical plan

Dental plan

Vision plan

HSA options

FSA options

Life insurance

Long-term disability

401(k) with company match

Paid Time Off

Paid Holidays

Employee discounts

Résumé du poste

Round Table Medical Consultants Llc in Houston seeks a Revenue Cycle Manager – Collections to lead the billing and collections team, drive reimbursement processes, and ensure timely cash flow.

The role requires 8+ years in billing, revenue cycle or finance, knowledge of ICD-10, CPT, DRG, and payer negotiations; degree preferred. You will mentor staff, monitor performance, and coordinate with coding, posting, and patient collections.

Qualifications

• 8+ years of experience in Billing Management, Revenue Cycle, and/or Finance.
• Knowledge of insurance reimbursement processes for in-network and out-of-network claims.
• Understanding of ICD-10, CPT, DRG, and Revenue codes.
• HIPAA guidelines/regulations familiarity is expected.

Responsabilités

• Coordinate the efforts of the Collections team to meet department goals.
• Provide day-to-day oversight, training, and performance management of billing and collections.
• Monitor follow-up activity, establish targets, and ensure timely processing of claims.

Connaissances

Leadership

Billing management

Revenue cycle

Finance experience

Insurance knowledge

ICD-10/CPT/DRG knowledge

Communication

Formation

Associate's degree

Bachelor's degree

Description du poste

The Revenue Cycle Manager –Collections is expected to provide executional leadership while supporting the billing and collections team. This key position manages reimbursement transactions and assists in providing day-to-day oversight, training, and performance management of all billing and collections functions. The Revenue Cycle Manager is expected to exemplify outstanding communication, integrity, responsiveness, and a customer service approach.Associate's or Bachelor’s degree preferred.Minimum of 8+ years of experience in Billing Management, Revenue Cycle, and/or Finance, including hospital billing.Knowledge of the insurance reimbursement process for both in-network and out-of-network claims.NSA/IDR/TDI, third-party negotiations experienceUnderstanding of medical ICD-10 codes, CPT, DRG codes, and Revenue codes.Knowledge and understanding of Insurance Explanation of Benefits.Able to work with minimal direction and oversight.Self-starter who can work well independently or as part of the team.Ability to effectively prioritize and manage multiple daily/weekly/monthly tasks.Have the capacity to relate to people in a manner to win confidence and establish rapport.JOB RESPONSIBILITIES/DUTIESCoordinate efforts of your assigned Collections team, independently and as a team with other Managers and leadership to achieve collection and other goals set for the department.Be personally responsible for the success and/or failures of your team but also empower the Medical Collections team to take the same responsibility.Monitor Collections follow-up activity and hold team members accountable to establish targets and thresholds.Direct work efforts of all team members.Provide assistance in the transition and management of all tasks allocated to the back office and resolve any issues affecting Collections.General Collections management and upstream reporting on the health of A/R.Meet defined goals for production, quality, and overall performance.Develop reporting to proactively monitor A/R to identify and resolve issues affecting collections. Track, identify, and resolve barriers to ensure timely and accurate processing of all facility and physician claims.Coordinate with Coding, Payment Posting, and Patient Collections as necessary to ensure any barriers areresolved or assistance provided as necessary.Monitor, understand, and communicate to the Director of Operations trends by payer, facility, and year, including but not limited to:o Productiono Denialso No activityo Collection Rateo Overturned claimsAnalyze trends impacting collections and take appropriate action to realign the team and revise policies.Audit each team member to ensure that all proper workflows and follow-up are being adhered to and update as necessary. Any areas of improvement will be identified immediately and addressed with the team member.Review and update medical record documentation as necessary to aid in collections workflow. Provide detailed reports to senior leadership to outline and address any areas of improvement needed to aid in timely collection of A/R.Supervise Collections personnel, which includes work allocation, training, and problem resolution.Provide, oversee, and/or coordinate the provision of training for new and existing collection team members.Keeps updated on all collection and insurance benefit changes for insurance carriers.Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, member satisfaction and attendance.Perform other miscellaneous job-related duties as assigned.Full-Time Benefit Perks:Health benefits start on the first of the month after hireMedical, dental, and vision plans with sliding-scale premiums100% coverage for preventive health servicesHSA and FSA options availableCompany-paid life insurance and long-term disability401(k) with contributions starting after 30 days100% match on the first 4%Full vesting after 3 yearsAccess to exclusive employee discounts on travel, fitness, shopping, and morePaid Time OffPaid HolidayJoin us and make a significant impact on our company’s success in reaching our target audience and driving business growth.