Revenue Cycle Manager
Company: Alluvion Health
Location: Great Falls
Posted on: May 21, 2023
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Job Description:
Position Title: Revenue Cycle Manager
Department: Revenue Cycle
Supervisor: Vice President of Finance and Operations
Supervisory Responsibilities: Billing/Coding, Medical Records
FLSA Status: Exempt
Summary:
The Revenue Cycle Manager, under the direction of the VP of Finance
and Operations, provides leadership to ensure an efficient and
effective revenue cycle. Oversees Billing/Coding and Health
Information Management departments to ensure effective and
efficient billing processes, efficient coding, and billing
processes. Works to identify revenue cycle metrics to track quality
and performance. Develops policies and procedures in accordance
with organizational objectives to ensure effective revenue cycle
processes.
Generates weekly, monthly quarterly, and annual reports in support
of audits, cost reports, grant needs, revenue integrity and other
management needs. The Revenue Cycle Manager identifies
opportunities and needs relating to fiscal and operational
functions and develops and implements the necessary and appropriate
processes and programs to ensure an effective revenue cycle and
positive and consistent cash flow for the organization.
This position also has broad responsibility in the general
management, administration and implementation of ongoing activities
related to the Fluence program and will make policy development
recommendations related to financial and banking regulations and
compliance requirements. The work is performed in accordance with
established standards and practices of the medical profession,
state, and federal law and Alluvion Health policies and procedures.
This position requires regular travel.
All employees will exhibit the following behavioral traits:
Integrity and Trust
Individual is widely trusted and can present information and
discuss situations in an appropriate and helpful manner, keeps
confidences, admits mistakes, does not misrepresent him/herself for
personal gain. Is respectful in action and communication with
clients, patients, and staff.
Mission Integration
Adheres to the organization's mission during times of ease or
challenge, is dedicated to the expectations and requirements of the
mission and vision, acts in line with the values identified by
Alluvion Health.
Team Relations
Understands and supports the team approach and integrated model of
Alluvion Health. Is seen as a collaborator, cooperative and
supportive of his/her coworkers, practices what he/she preaches.
Can be candid with peers and fosters open dialogue. Creates a
feeling of belonging on the team and holds self and team
accountable to those behaviors.
Essential Job Responsibilities:
Work with project partners to develop financial education program
protocols and procedure;
Provide routine and on demand analysis of revenues, payer mix,
procedure mix, patient mix and financial projections;
Policy and procedure development, standardization, interpretation,
implementation, and management;
Trend analysis of contract guidelines and state of the industry as
it relates to business goals;
Identify Revenue Cycle metric improvements that translate to more
efficient process opportunities;
Revenue Cycle Team Strategic Leadership: Sliding Fee Discount
Program management, Patient Access, HIM, Coding, Business Office
Denial Management, Bad Debt management;
Coordination of action-oriented activities around best practice
metrics and cash acceleration;
Development of staff to ensure high quality service and care for
patients, physicians, and internal clients;
Influential oversight and motivational staff management for
exceptional problem solving at all points in the process;
Business Management: Annual Cost Reporting, Charge Master Audits,
Revenue Integrity, Coding Audits, POS improvements;
Develops and executes Fluence training program for all staff
on-site and at partner agencies;
Works with CDFI partner to develop loan program, financial reports,
and financial information necessary for the Fluence program;
In conjunction with leadership, seeks to improve and implement the
strategic plan for finance and operations;
Ensures compliance with all state and federal financial
regulations;
Works collaboratively with the Executive Team, Medical Director,
Dental Director, and Clinic Manager(s) to oversee daily operations
of the program in conjunction with appropriate staff;
Works directly with patients to complete intake, assessments and
applications as appropriate for participation in the Fluence
program;17. Works collaboratively with Alluvion Health's Leadership
Team to ensure compliance with Health Resources and Services
Administration Section 330 Grant Funding (HRSA) requirements and
reporting; including Uniform Data System (UDS), budget period
renewals, audits, Federal Financial Report (FFR) and any other
submissions required for compliance;
Provides leadership, training and guidance to patient advocates,
care managers and other staff in support of programs and revenue
cycle;
In conjunction with the VP of Finance and Operations, provides
financial and operational reports for Alluvion Health regarding the
activities of the Fluence program;
Provides training and orientation to new staff within the first
week of hire regarding the Fluence program;
Works closely with the Executive Team, Medical Director, Dental
Director, and Clinic Manager to ensure alignment with Alluvion
Health's goals and objectives;
Prepares monthly dashboard reports regarding progress and
performance of revenue cycle metrics for presentation during
Alluvion Health's monthly Quality and Finance Committee
Meetings;
Oversees routine duties that provide efficient management of
revenue cycle operations on a daily, monthly, and annual basis;
Performs duties with accuracy and punctuality;
Utilizes data and reports to formulate and implement changes in
operations to respond to the health care needs of the
community;
Assists in preparing grants to expand funding opportunities;
In partnership with the Executive Team, explores and implements
opportunities to expand services to reach a wider demographic while
meeting the HRSA requirements and maintaining financial
solvency;
Leads meetings, trainings, committees, and work groups as
needed;
Responsible for completing various special projects/events, which
may require reviewing and analyzing information, identifying
problems, recommending solutions, and writing reports.
Performs a variety of other duties as assigned, which may include
but are not limited to: directing or participating in special
projects and events, conducting research, representing Alluvion
Health at meetings and conferences, and attending continuing
education and training events.
Knowledge, Skills, and Abilities:
Knowledge and understanding of:
State of Montana's budgeting, accounting policies and
regulations;
Principles and procedures of governmental accounting and
budgeting;
Federal grant regulations pertaining to Community Health Care
Centers;
Credit builder loan products;
Financial education and training practices;
Safety policies, procedures, and practices.
Skills in:
Increasing efficiency of collections while maintaining excellent
customer service;
Implementing quality improvement measures that result in measurable
impacts on accounts receivable;
Information management technology/HIT;
Working independently and being initiative-taking while performing
job requirements;
Time management and organization;
Computer use to manage data to meet essential job requirements;
Intermediate to advanced skills in Microsoft Excel, Word, Outlook,
Windows, Internet;
Customer service.
Ability to:
Perform computations accurately and quickly;
Prepare well-organized and accurate spreadsheets;
Proficiently operate a computer to complete required job
duties;
Be detail oriented;
Observe established lines of authority;
Follow verbal and written instructions;
Maintain confidentiality and compliance with HIPAA privacy and
security rules;
Adhere to HIPAA standards for protection of health information and
adhere to strict
standards of confidentiality;
Communicate in a professional and effective manner with others both
orally and in writing;
Demonstrate punctuality and observe work hours;
Identify problems that adversely affect the organization and its
functions and offer
positive suggestions for improvements;
Exercise sound judgment and decision-making skills within
established standards, policies, and procedures;
Accept responsibility and be self-motivated;
Interact with the public or other employees in a professional,
respectful, and courteous manner;
Interact with challenging individuals and display sound judgment
under stressful situations;
Deal with frequent change, delays and or unexpected events;
Work independently and plan projects;
Learn and operate Alluvion Health's Electronic Health Records.
Education/Training/Qualifications:
Education/Training:
Bachelor's Degree in finance, business, accounting, or closely
related field with two (2) years of experience in a health care
financial environment;
Or any equivalent combination of experience and education relevant
to the position totaling four (4) years that include experience in
program development.
Certifications:
Must possess a valid driver's license issued by the State of
Montana.
Language Skills:
Fluent in the English language. Ability to read, analyze, and
interpret the most complex documents. Ability to respond
effectively to the most sensitive inquiries or complaints.
Physical Requirements: . click apply for full job details
Keywords: Alluvion Health, Great Falls , Revenue Cycle Manager, Executive , Great Falls, Montana
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