Manager of Revenue Cycle
Chicago, IL, United States
Position Summary: The Manager of Revenue Cycle is responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial assistance, and guarantors, as well as insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, proper coding, credentialing, customer services relative to revenue cycle, and training and development relative to revenue cycle staff.
Duties and Responsibilities
Hire, train, supervise, and evaluate all staff in the Billing Department.
Enrollment and credentialing of all provider types at all PrimeCare locations and with all insurance carriers, including Medicaid and Medicare.
Assist in preparation of UDS reports.
Prepare monthly statistics, as requested.
Develop and foster relationships with insurance carriers.
Updates PrimeCare’s Fee schedule on an annual basis.
Required Skills or Abilities Proficient in Microsoft Office products and familiarity with utilizing an Electronic Health Record (EHR).
Proven ability to communicate and foster effective working relationships.
Ability to plan, organize, and prioritize workloads with minimum direction.
Qualifications, Knowledge, Experience, or Licensure Bachelor’s degree in business administration, accounting, or finance strongly preferred.
5-7 years of experience in outpatient clinics, particularly with federally qualified health centers (FQHCs).
Prior experience with Medicaid, Medicare, financial assistance, carrier credentialing, and commercial insurance plans required.
Prior experience with Athena strongly preferred.
Benefits 27 days of PTO each year, accrued each pay period
3 personal days
1 floating holiday
7 paid holidays
Medical/Dental/Vision coverage available the 1st of the month following 30 days
Company-paid life, short-term disability, and long-term disability coverage
Discretionary 403(b) match and profit sharing after meeting service requirements
Flexible spending accounts
Accident & critical illness coverage
Pet insurance
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