Revenue Cycle Manager

Job Overview

Your Responsibilities

As a Revenue Cycle Manager you are responsible for oversight and direction of revenue cycle activities within Hillcrest Family Services. This role ensures that Hillcrest Family Services maximizes revenue, improves cash flow, and maintains compliance with regulations and standards. In addiction: 

• Supervises and oversees all outgoing billing (CMS-1500 forms), invoices and statements for submission to appropriate client, agency, or insurance company or send data information electronically for payment. Ensures proper protocols are followed for submission of billable services to individuals, government programs and commercial insurance carriers.
• Oversees compilation of spreadsheets and reports summarizing billing information for tracking various issues for distribution within and outside the agency. Analyzes and evaluates activity and reports on a continual basis to diagnose potential revenue cycle issues. Disseminates performance data to leadership at all Hillcrest Programs on a regular basis. Works with leadership directly to enhance reporting capabilities and determine areas to improve overall Revenue Cycle activities within the organization.
• Supervises and oversees the preparation of client accounts for collections activity if account is deemed outstanding and no attempt has been made to pay. Reviews and approves uncollectable, write-off of 3rd party balances and adjustments for general ledger. Prepare write-offs, adjustments and refunds for review and processing. Obtains authorization from CFO prior to moving balances to bad debt.
• Stays current with changing technology, including software programs. Stays informed about changes to Medicare, Medicaid, and other payers.
• Utilizes the electronic health system (EHR) to research, analyze, and report on ways to maximize revenue, and ensure continual revenue cycle process improvement.
• Supervise the entire revenue cycle process from client registration to final payment.
• Develop and implement policies and procedures to ensure efficient and effective revenue cycle operations.
• Ensure accurate and timely billing and coding of client services. Stay updated with coding regulations and changes, including ICD-10, CPT, and HCPCS codes.
• Ensure compliance with federal, state, and local regulations, including HIPAA and other healthcare laws.
• Conduct regular audits of billing and coding practices to maintain compliance and accuracy.
• Implement corrective actions based on audit findings and regulatory updates.
• Analyze financial data to identify trends, variances, and areas for cost reduction or revenue enhancement. Collaborate with the finance department to ensure accurate financial reporting and reconciliation.
• Lead and manage the Revenue Cycle team, providing guidance, training, and performance evaluations.
• Foster a positive and productive work environment that encourages teamwork and professional growth.
• Ensure data integrity and security with revenue cycle systems.
• Other duties as assigned.

 

What You Need

• High school diploma or equivalent required.
• 1-3 years of supervisory/management experience required.
• Electronic billing or Electronic Medical Record ‘EMR’ experience a must. Past experience in health care revenue cycle/billing activities with at least two years’ experience in accounting and accounts receivable procedures or related skills is required.
• Knowledge of CPT and ICD coding required.

 

What Makes You Stand Out

• Two year technical degree in computer skills and or accounting degree 
• Bachelor’s degree (B.A.) from four-year college or university preferred.
• Knowledge of CPT and ICD coding required, Certified Medical Coder preferred.
• Experience working for or with Managed Care Organizations preferred.
• Past experience in a non-profit mental health center environment is highly desirable.

 

Competitive compensation and benefits package including:

• Health insurance (up to 79% employer paid)
• Dental insurance
• Vision insurance
• 401(k) with profit sharing and employer match 
• Paid time off (accrue up to 80 hours during first year of employment; increases based on tenure with agency)
• 10 paid holidays
• 80 hours sick time
• 2 wellness days
• Staff development and training
• Public Service Loan Forgiveness (PSLF) eligibility for federal student loans
• Employer paid CEU's through Relias
• PerkSpot- employee discount program
• Employee assistance program
• Advancement opportunities

 

About The Organization

Hillcrest Family Services is a non-profit organization that assists adults and children in need of help. Every day, Hillcrest builds confidence in hundreds of people and families. Were a place where compassion is commonplace. Where our passion soars and faith restores.

 

**COVID-19 Vaccination Not Required**