Revenue Cycle Manager - Hybrid - Must Reside in Colorado
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We are recruiting for a mission-driven Revenue Cycle Manager - Hybrid - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey. Our Values Respect | Belonging | Accountability | Transparency Department Billing and Collections Job Summary The Revenue Cycle Manager of Hospital and Physician Business Services (HPBS)manages the day to day operations that contributes to the capture, resolution, and collection of revenue. This position is responsible for managing the day to day activities of the organization as they relate to revenue cycle functions which include;but are not limited to billing, insurance follow up, denial management, collections, cash posting, customer service, charge entry/corrections, supervision of vendors, accounts receivables and overall management of Denver Health's receivables. This position will work with the Director of Hospital and Physician Business Services on revenue cycle performance to meet strategic goals, provide analytical analysis and keep he/she informed of pertinent issues as they arise. Analytical, verbal and written communication skills are required to create written guidelines, policies, and procedures to develop metrics based on industry standards and measure improvement against those metrics. Manages accounts receivable days to an industry best practice benchmark. Develops strategic plans and programs for the revenue cycle unit and ensures that goals and objectives of the unit are properly defined and clearly established. Monitors timeliness and effectiveness of department activities, ensuring that outstanding insurance accounts receivables, patient accounts and bad debt are on target to meet monthly/yearly Key Performance Indicators. Delineates, defines, and streamlines its variousfunctional activities, therebyensureits effectivenessinmaximizing theutilization of both asset and people resources. Oversees personnel by selecting talented, competent, conscientious supervisors and other employees. Development of supervisors and other department personnel. Adheres to, and implements the philosophy of ensuring that prospective employee standards are aligned with Denver Health's core values. Coordinates communication between patient access, medical records, UM, coding, EHS and other departments as necessary. Essential Functions : Maximizes collections by implementing revenue cycle strategies and reducing accounts receivable da ys as well as improving other metrics in a compliant manner. Reduces denials using the denial managementsystem and working with direct reports. (15%) Develops, defines, and tracks key performance indicators for measuring performance including AR days, cash collections, customer service, abandonment rate and other applicable metrics. (15%) Develops, implements and maintains compliance to policies and procedures aimed at ensuring compliance with all applicable rules and regulations. (10%) Sets clear expectations for direct/indirect reports by developing job specific customer service expectations and behaviors for each position supervised; clearly communicates expectations to each direct/indirect report and establishes the expectations as job requirements and performance evaluation components; delegates responsibility/authority whenever possible. (10%) Develops, implements and maintains robust quality assurance and training programs. (10%) Troubleshoots daily problems as they occur and provides information and reports in a timely manner. (10%) Selects, recruits and retains the most talented and skilled candidates. Recognizes personnel, coaches and develops direct/indirect reports. (10%) Sets forth the expectation for the department that customer service is a top priority. (10%) Participates and contributes in the LEAN and "Getting it Right" initiatives at Denver Health. Participates on RIEs and other LEAN events. (10%) Education : Bachelor's Degree Required Work Experience : 1-3 years supervisory or lead experience Required and 7-9 years Revenue Cycle experience Required Knowledge, Skills and Abilities : Strong knowledge of hospital and physician billing and compliance related to payer specific guidelines. Strong background in financial management and knowledgeable of federal/state laws and requirements relating to healthcare management. Strong analytical skills and adept in interpreting strategic vision into an operational model. Flexible and adaptable to change and capable of guiding direct reports in initiating various management initiatives. An effective communicator at all levels in the organization, with strong oral, written and persuasive skills. Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills and with proven track record in building and developing high performing teams. Superior judgment, negotiation and de
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