Job Description

Position Summary:

At Strive! Physical Therapy every team member has a critical role to play in the success of our patients and our company. As a Revenue Cycle Manager your performance is key to our ability to collect payment and revenue from all patient services and insurance claims. While you are stationed at the billing department, you will be making an impact on every patient’s care experience. Live the Strive! Values in every interaction, every day

The Revenue Cycle Manager oversees all aspects of the billing & collections process and is responsible for the performance of in-house collections staff. Provides applicable training to departmental and front desk staff. Maintain accurate and timely billing, data entry, rate determination, insurance contracts, charge corrections, payment entry, adjustments, invoice/denial corrections and other activities performed by the team. Ensures collection of receivables from all third-party payers and patients. Ensures credentialing for all payer sources is up-to-date, accurate and completed timely. Will oversee cash collection processes. Oversee the relationship with our electronic medical record & billing vendor.

Professional Requirements:

1. Provide day-to-day leadership within the department, including advice, guidance, direction, and authorization to achieve the financial goals and objectives of the organization.

2. Design, develop and implement a strategic plan that focuses on financial performance and market and business development in collaboration with the Finance Director and manages and directs the department toward the goals of collection of revenue. Includes effective measures that raise the revenue and collection from services provided.

3. Create and maintain proper operational controls, administrative and reporting procedures, and systems to meet and exceed the financial goals of the organization included in the company’s plan.

4. Motivate and lead a high-performance team, and provide mentoring as needed.

5. Cultivate positive relationships with and maintain an environment of collaboration and cooperation at all levels of the organization, including the staff and patients.

6. Ensure that all activities and operations are carried out in compliance with local, state, and federal regulations, Joint Commission standards, and all laws governing healthcare operations.

Specific areas of responsibility include revenue cycle training, credentialing, registration, claims management, billing, collections, patient insurance, data processing, integrity of patient accounts, accounts receivable management, practice management system file maintenance, and third-party revenue cycle vendors.

Qualifications:

• A minimum of 3 years healthcare in medical billing management experience, and/or
• 3 years of office experience in medical billing / collections (required)
• Knowledge of Explanation of Benefits (EOB’s) and understanding of copays, coinsurance, deductibles and denial codes required.
• Proficient customer service skills. Working knowledge of MS Office and databases.
• BA in business administration, business management (preferred)

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