Revenue Cycle Manager
Chicago, IL, United States
The Revenue Cycle Manager (RCM) , reporting to the Senior VP of Revenue Cycle Management (RCM), acts as a strategic leader for all revenue cycle functions and activities with the goal of optimizing revenue. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations.
The RCM is accountable for ensuring the coordination of operations, procedures, and best practices for billing, collections and follow up, and denials management for the assigned practices and specialty service lines. Specific functional areas of oversight include payment posting; EDI claims and statement submission; AR follow up for insurance and self-pay; and collections workflows. The director works closely with registration, coding and clinical areas to optimize revenue collection while ensuring a seamless billing experience for patients.
Responsibilities
Directs all activities for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience and ensuring compliance.
Leads a team of revenue cycle managers, supervisors and team members ensuring efficient and compliance in all areas of revue cycle, while optimizing collections.
Works closely with IT department to optimize the use of technology to automate revenue cycle functions
Performs RCA (Root Cause Analysis) to resolve problems affecting the revenue cycle and develop solutions to implement.
Monitors and develop key performance indicators
Develops and maintains appropriate internal controls in the Patient Accounts department
Ensures compliance with USAVC policies and procedures, health plan requirements, and federal and state laws and regulations
Additional duties as assigned
Position Requirements Bachelor's Degree required ; Masters preferred in a related field
Minimum of 8 years progressively responsible revenue cycle experience is required
Minimum of 4 years prior revenue cycle experience in a physician-driven Patient Accounts department is required
Proven success in achieving revenue cycle efficiencies and improving cash
Track record of employee development
Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws
Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing
Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables)
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.
Full-Time/Part-Time Full-Time Pay Rate Starting at $85,000
About the Organization USA Clinics Group, a renowned healthcare organization specializing in vein treatment, was founded with a clear vision and a commitment to improving the lives of individuals struggling with venous issues. Our founders shared a common goal: to provide accessible, affordable, and high-quality vein treatment to those in need.
With over 168 vein clinic locations from coast-to-coast, we've become the largest network of vein treatment centers in the America. Our experienced vascular surgeons treat patients for a variety of venous diseases and symptoms from a comfortable outpatient setting.
Most of our patients experience discomfort from venous insufficiency, which affects 20 percent of the adult population. This common condition prevents blood in the lower extremities from circulating properly and causes it to pool in the legs.
Many people know that venous insufficiency can cause varicose veins, but it can also create other unpleasant symptoms in the legs such as heaviness, itchiness, swelling, leg cramps, and even ulcers. If left untreated, the condition can negatively impact a person's health and quality of life. We provide all our patients with compassionate care and long-lasting symptom relief.
At USA Clinics Group, we are a patient-focused organization. Our experienced physicians and team members are understanding and empathetic when it comes to listening to your individual needs. Our main goal is to work with our patients to develop a care plan they feel comfortable with.
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.
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