Spvr - Rev Cycle Regional- Must have HB, PB and Denials experience

Carle Health; Normal (IL); On-site; USD 33,000 - 56,000; Full time

Job summary

Carle Health is seeking a Manager of Revenue Cycle Regional AR to lead the daily operations of a regional AR team. You will supervise staff, drive productivity, and ensure accurate and timely accounts receivable management across portfolios.

The role requires strong knowledge of the revenue cycle, proficiency with Epic, Meditech and Mediquant, and collaboration with cross-functional teams to meet budgets and service goals.

Qualifications

• Associate's degree in a related field required.
• Experience in the revenue cycle required.

Responsibilities

• Oversee daily department flow and staffing to maintain productivity and quality.
• Proficient with Epic, Meditech, and Mediquant in portfolio management.
• Understand CPT, ICD, HCPCS, and payer rules; collaborate with Manager on operations.
• Assist in budgeting and staff scheduling; review time cards and leave requests.
• Mentor staff and ensure training and compliance with policies.
• Analyze financial data to monitor performance and establish department benchmarks.
• Coordinate with internal teams and system analysts to address performance enhancements.
• Lead meetings with staff and drive enterprise-wide initiatives.
• Ensure quality assurance/compliance and timely collection of receivables.
• Support process improvements and best practices across revenue cycle.

Skills

Leadership

Staff management

Budgeting

Communication

Revenue cycle knowledge

System knowledge

Education

Associate's degree

Tools

Epic

Meditech

Mediquant

Kronos

Job description

Overview

Reports to the Manager of Revenue Cycle Regional AR. Is accountable and responsible for the daily operations and all staff who are assigned to area of supervision within Revenue Cycle Regional AR and oversight of associated portfolios. Provides leadership, recommendations, administrative support and direction in the management of the accounts receivable for their specific region. Analyzes the business office operations to ensure effective and efficient revenue cycle management. Accountable for personnel related duties that include interviewing, job performance evaluations, disciplinary actions, payroll reporting, and enforcing required rules and regulations. Assists in management of resources to meet budgetary, productivity, quality and customer service requirements. Manages resources to ensure timely follow up and collection of outstanding receivables.

Qualifications

Certifications: , Education: Experience In Lieu of Education; Associate's Degree: Related Field, Work Experience: Revenue cycle

Responsibilities

• Oversee daily department flow, ensures appropriate staffing and optimal productivity and quality levels of the staff compared against pre-determined performance standards to facilitate effective accounts receivable management.
• Maintains ongoing knowledge of all job functions performed in the areas being supervised as well as maintains a thorough working knowledge of all of the systems utilized to perform the work in the areas being supervised. Proficient within associated system applications for assigned portfolios, including but not limited to Epic, Meditech, and Mediquant.
• Maintains working knowledge of CPT, ICD, HCPCS code sets as well as HIPAA transactions code sets and payer rules and regulations. Works in conjunction with Manager to ensure effective clinical and financial operations through partnership with other internal departments.
• In collaboration with the Manager of Revenue Cycle Regional AR, provides input and follows annual budget for department. Creates and manages staff schedules, completes time card review and approval and manages paid leave requests from staff.
• Ensures staff members are adequately trained and are competent to perform all required job tasks. Communicates effectively with internal and external customers.
• Maintains appropriate internal controls and safeguards over revenue cycle activities. Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures. Initiates and completes staff performance evaluations and annual reviews.
• Acts as a resource and mentor to others.
• Supports Manager by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department. Kronos/time keeping responsibilities for all staff.
• Serves as a first point of contact for system analysts for issues related to system performance and enhancements across Revenue Cycle.
• In collaboration with Manager, conducts regularly scheduled meetings with staff, facilitates and collaborates on initiatives with department, enterprise wide and with external entities. In addition, assists employees in solving work related matters.
• Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding with staff and completion of all reports needed to have meaningful and productive monthly meetings with supervisor.
• Handle quality assurance/compliance matters and escalated account issues as required and expected per policy and Code of Conduct.
• Participates in appropriate continuing education or certification activities. Ensures outstanding accounts receivable performance by maximizing cash, minimizing bad debts and preventing aging of the portfolio beyond the acceptable time frame. Prepares and analyzes management summary reports and communicates findings to the appropriate parties including comprehensive end of month analysis on associated business lines. Creates, updates, maintains all departmental policies and procedures to ensure best practices are enforced and adhered to.
• Collaborates with internal management teams in order to identify best practice and process flows within associated business lines.
• Partner with Accounting and Systems as necessary to ensure accurate tracking, capturing, and reporting of revenue for assigned portfolios. Identifies opportunities for system enhancements and assists with the implementation (in conjunction with Revenue Cycle Systems) and the monitoring of the process once completed.
• All other duties as assigned.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $24.28per hour - $40.55per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.