Primary Function

The Manager Facility Revenue Cycle will oversee day to day operations of the facility Accounts Receivable including: Billing and Collections, Patient Insurance, Data Processing, and Integrity of Patients. Will oversee assigned functions of business operations to ensure maximization of cash flow while improving patient, physician and other customer relations. This includes personnel as well as task supervision.

Specifications

Bachelor’s Degree required with a combination of education and experience. Five years’ experience in facility billing with at least three years management experience in a billing office. Demonstrates experience and expertise with Insurance A/R systems and also efficient PC skills are necessary. Proficiency in insurance claims processing as well as CPT and ICD-9 coding skills required. Must be able to demonstrate success in yielding significant results. Must have excellent communication skills, demonstrate the ability to work in a team environment and must be able to effectively lead teams in common work processes established goals.

Application of Knowledge and Skill

1. Responsible for ensuring CNE hospitals adhere to Federal and State and local regulations related to patient billing and collections.
2. Manages and directs the responsibilities of the third party liability team by providing leadership and serving as a resource to evaluate and identify strategies for problem solving.
3. Develop and maintain specific training materials for all Accounts Receivable workflows.
4. Works in conjunction with the Supervisory Leadership to implement collection objectives.
5. Maintain strict confidentiality in all dealings related to patients, physicians, accounts, fellow employees and CNE business operations.
6. Accesses patient medical records as required to provide appropriate information for billing resolutions.
7. Assist in report generation for Facility VPF’s and Finance.
8. Identifies opportunities for improvement in the CNE A/R through collaboration with the CNE Revenue Cycle executive management team.
9. Ensures accurate and timely billing, collections, and payment posting for third party patient claims for the CNE hospitals.
10. Performs other related duties as assigned or directed.