REVENUE CYCLE MANAGER

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    "city": "Houston",
    "jobId": 245660,
    "level": "Experienced",
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    "jobShift": "Day",
    "jobTitle": "REVENUE CYCLE MANAGER",
    "location": "Eastwood Health Center 412 Telephone Rd., Houston, TX 77023 - Houston, TX 77023",
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    "description": "<p style=\"margin-left:144px; text-indent:-1.5in\"><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">The Revenue Cycle Manager (RCM) is responsible for managing and overseeing the </span></span></p>\r\n\r\n<p style=\"margin-left:144px; text-indent:-1.5in\"><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">revenue cycle activities in accordance with the organization&rsquo;s policies and procedures</span></span></p>\r\n\r\n<p style=\"margin-left:144px; text-indent:-1.5in\"><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">and ensures accurate and timely processing, collections and postings of insurance</span></span></p>\r\n\r\n<p style=\"margin-left:144px; text-indent:-1.5in\"><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">revenues. All employees are expected to identify opportunities to improve workflow, </span></span></p>\r\n\r\n<p style=\"margin-left:144px; text-indent:-1.5in\"><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">work processes and patient care and to work cooperatively to implement those </span></span></p>\r\n\r\n<p style=\"margin-left:144px; text-indent:-1.5in\"><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">improvements. </span></span></p>\r\n\r\n<p style=\"text-align:justify\">&nbsp;</p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><b>ESSENTIAL FUNCTIONS</b></span></span></p>\r\n\r\n<ul>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:-.75in -.5in -31.5pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Serve as the practice expert for all coding and billing functions and processes</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Build and maintain an efficient billing process, including creating appropriate internal policies and procedures related to coding and billing</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Work cross-functionally with all internal departments to answer questions, resolve problems and train new staff on coding and billing practices</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Oversee the operations of the billing and collections vendor, including coding, charge entry, claims submissions, payment posting, A/R follow-up and reimbursement management</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Oversee internal patient insurance documentation to ensure accurate billing and efficient account collection</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Analyze weekly, monthly and yearly related financial reports and make recommendations to the CFO for improvements</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Ensure all billing activities are consistent with protocols and in compliance with government and payer regulations</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Develop reports for the finance department for use on the state and federal grants</span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\"><span style=\"font-size:11.0pt\"><span georgia=\"\" style=\"font-family:\">Other tasks as assigned by CFO</span></span></span></span></li>\r\n</ul>\r\n\r\n<p style=\"margin-left:48px\">&nbsp;</p>\r\n\r\n<p class=\"Default\"><span style=\"font-size:12pt\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><b><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">PRIMARY ACCOUNTABILITIES </span></b></span></span></span></p>\r\n\r\n<ul>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Ensure that all revenue cycle activities meet or exceed the organization&rsquo;s financial and operational goals and are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Maximize reimbursement in a cost-effective manner that is in compliance with federal/state and payer-specific billing requirements. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Develop systems and procedures to improve the quality and efficiency of the revenue cycle function. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Collaborate effectively with appropriate departments across the organization. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Develop and maintain favorable internal relationships and partnerships with co-workers. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Ensure all actions, job performance, personal conduct and communications represent El Centro de Coraz&oacute;n in a highly professional manner at all times. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. </span></span></span></span></span></li>\r\n</ul>\r\n",
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All employees are expected to identify opportunities to improve workflow, \\r\\n\\r\\nwork processes and patient care and to work cooperatively to implement those \\r\\n\\r\\nimprovements. \\r\\n\\r\\n&nbsp;\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nESSENTIAL FUNCTIONS\\r\\n\\r\\n\\r\\n\\tServe as the practice expert for all coding and billing functions and processes\\r\\n\\tBuild and maintain an efficient billing process, including creating appropriate internal policies and procedures related to coding and billing\\r\\n\\tWork cross-functionally with all internal departments to answer questions, resolve problems and train new staff on coding and billing practices\\r\\n\\tOversee the operations of the billing and collections vendor, including coding, charge entry, claims submissions, payment posting, A/R follow-up and reimbursement management\\r\\n\\tOversee internal patient insurance documentation to ensure accurate billing and efficient account collection\\r\\n\\tAnalyze weekly, monthly and yearly related financial reports and make recommendations to the CFO for improvements\\r\\n\\tEnsure all billing activities are consistent with protocols and in compliance with government and payer regulations\\r\\n\\tDevelop reports for the finance department for use on the state and federal grants\\r\\n\\tOther tasks as assigned by CFO\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPRIMARY ACCOUNTABILITIES \\r\\n\\r\\n\\r\\n\\tEnsure that all revenue cycle activities meet or exceed the organization&rsquo;s financial and operational goals and are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices. \\r\\n\\tMaximize reimbursement in a cost-effective manner that is in compliance with federal/state and payer-specific billing requirements. \\r\\n\\tDevelop systems and procedures to improve the quality and efficiency of the revenue cycle function. \\r\\n\\tCollaborate effectively with appropriate departments across the organization. \\r\\n\\tDevelop and maintain favorable internal relationships and partnerships with co-workers. \\r\\n\\tEnsure all actions, job performance, personal conduct and communications represent El Centro de Coraz&oacute;n in a highly professional manner at all times. \\r\\n\\tUphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. \\r\\n\\r\\nQUALIFICATIONS\\r\\n\\tAssociate degree in business related field; Bachelor&rsquo;s degree preferred\\r\\n\\tCertified Professional Coder (CPC) or other medical coding certification preferred. \\r\\n\\tEPIC experience preferred.\\r\\n\\t3 to 5 years of relevant healthcare revenue or medical billing cycle experience, which includes coding. \\r\\n\\tStrong knowledge of clinical practice and revenue cycle management including third party reimbursement guidelines and procedures. \\r\\n\\tStrong knowledge of CPT and ICD coding and related regulations and guidelines. \\r\\n\\tExperience with short and long-term budgeting and forecasting. \\r\\n\\tExperience with state and federal grant management preferred.\\r\\n\\tStrong knowledge of billing and collections processes and procedures for dental, family planning, and behavioral health claims.\\r\\n\\tExperience with FQHC billing and revenue cycle activities strongly preferred.\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\n&nbsp;\\r\\n\\r\\n&nbsp;\\r\\n\",\"responsibilities\":\"The Revenue Cycle Manager (RCM) is responsible for managing and overseeing the \\r\\n\\r\\nrevenue cycle activities in accordance with the organization&rsquo;s policies and procedures\\r\\n\\r\\nand ensures accurate and timely processing, collections and postings of insurance\\r\\n\\r\\nrevenues. 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    "qualifications": "<ul>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Associate degree in business related field; Bachelor&rsquo;s degree preferred</span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Certified Professional Coder (CPC) or other medical coding certification preferred. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">EPIC experience preferred.</span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">3 to 5 years of relevant healthcare revenue or medical billing cycle experience, which includes coding. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Strong knowledge of clinical practice and revenue cycle management including third party reimbursement guidelines and procedures. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Strong knowledge of CPT and ICD coding and related regulations and guidelines. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Experience with short and long-term budgeting and forecasting. </span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Experience with state and federal grant management preferred.</span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-bottom:2px; margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Strong knowledge of billing and collections processes and procedures for dental, family planning, and behavioral health claims.</span></span></span></span></span></li>\r\n\t<li class=\"Default\" style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"tab-stops:list .5in\"><span style=\"font-family:Arial,sans-serif\"><span style=\"color:black\"><span new=\"\" roman=\"\" style=\"font-family:\" times=\"\">Experience with FQHC billing and revenue cycle activities strongly preferred.</span></span></span></span></span></li>\r\n</ul>\r\n\r\n<p class=\"Default\" style=\"margin-left:48px\">&nbsp;</p>\r\n\r\n<p style=\"margin-left:48px\">&nbsp;</p>\r\n\r\n<p class=\"Default\">&nbsp;</p>\r\n",
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