* * * * Job Description * * * *
SEES Group, LLC
DEPARTMENT: Revenue Cycle
FLSA STATUS: Exempt
DATE PREPARED: March 16, 2021
DATE REVISED: March 2021
The Revenue Cycle Accounts Management supports SEES Groups goals, values and philosophy by exhibiting the following behaviors: excellence, quality service, commitment and accountability. As a member of the SEES Leadership team, performance includes demonstration of the following accountabilities: communication, teamwork and job knowledge.
The Revenue Cycle Accounts Receivable Manager directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Reviews, designs, and implements processes surrounding admissions, pricing, billing, third party payer relationships, compliance, collections and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized.
ESSENTIAL FUNCTIONS include the following:
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Manages relations with payers and providers to generate high reimbursement rates and a low level of denials.
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Responsible for directing and coordinating the insurance collections to maximize cash flow while improving patient, physician, and other customer relations.
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Develops initial and on-going training programs to support the revenue cycle accounts receivable functions.
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Develops and monitors revenue cycle accounts receivable benchmarks/performance metrics and recommends plans of action to address deficiencies.
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Develops monthly reporting for key metrics and indicators of performance
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Monitors performance of revenue cycle accounts receivable functions while recommending plans of action to address deficiencies.
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Reviews current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
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Monitors performance for the collection of delinquent accounts ensuring third-party payers are contacted.
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Maintains contacts with medical records and other corporate departments to obtain and analyze additional patient information to document and process billings.
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Research, monitor, and provide education and implement payer regulations and guidelines related to revenue management activities.
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Responsible for keeping current on changes in insurance coding
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Ability to troubleshoot and analyze data from all Practice Management Systems
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Collaborates with clinical, accounting and fellow revenue cycle leadership to troubleshoot and resolve issues.
- Responsible for revenue cycle reporting as assigned
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Supports training new and existing team members for all practice management systems
- Performs other duties as assigned
Manages and oversees accounts receivable department employees. Carries out supervisory responsibilities in accordance with the organizations policies and applicable laws. Participates in the interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Detailed knowledge of physician practice management, physician contracting, and revenue cycle management.
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Demonstrated skills to manage in a multiple facility environment, with the ability to hire and develop effective managers.
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Ability to analyze and interpret complex data while working in an organization with various key stake holders.
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Ability to prepare and research comprehensive reports and ability to communicate them clearly.
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Knowledge of healthcare administration and practice philosophy, policies and operating procedures.
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Knowledge of governmental regulations and reimbursement requirements.
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Skill in exercising initiative, judgment, problem solving, decision-making. Good computer skills including advanced used of standard office programs
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Ability to speak, read, and write in English
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Ability to effectively communicate both orally and in writing
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Ability to operate standard office equipment
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Ability to concentrate, think, and learn
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Ability to hear, see, sit, stoop, kneel, crouch, reach, lift, push, and pull.
Bachelors degree in Business Administration or Finance is preferred; a minimum of five (5) years revenue cycle management experience is preferred; previous leadership experience is required; and/or equivalent education or experience in job related activities is required.
Position is in an office setting that involves everyday risks or discomforts requiring normal safety precautions.
Never
Intermittent
Frequent
Continuous
Endurance:
Sitting 6+ hours
X
Climbing/Stooping/Kneeling: Occasionally
Physically able to bend, stoop, and climb.
X
Lifting/Pulling/Pushing:
Physically able to lift, pull, and push up to 20 lbs.
X
Fingering/Grasping/Feeling:
Must have full use of hands to perform tasks.
X
Vision:
Physically able to see up close, at a distance, work long hours in front of a computer.
My signature indicates that I have read and thoroughly understand the essential functions of the position.
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