Revenue Cycle Manager (FT) - Remote

Revenue Cycle Manager (Full-Time) - Remote We look forward to finding new team members with the commitment and talent to help us provide excellent care for our patients as the best quality, value and choice in the region. At Ohio Valley Surgical Hospital, our mission is to Elevate the Standard of Health Care in Our Community, and our core values guide the way we fulfill our mission. In service to each patient, we value quality, compassion, and care you can trust. Manages and is accountable for all aspects of the revenue cycle and centralized business operations for the hospital. Sets priorities for and directs activities of referral processing, pre-registration, payer eligibility, EHR, insurance verification/authorization, billing, collections, and denial management. Administers the development of processes for patient access, patient experience, and revenue integrity. Provides all duties in a manner which promotes team cohesiveness and reflects the goals, values, and mission of Ohio Valley Surgical Hospital. Promotes high quality patient care through the analysis, review, and evaluation of practices within the hospital revenue cycle. This position reports to the CFO. Travel required to the Springfield office location a minimum of 1x per month for in-person meetings. RESPONSIBILITIES:

• Provides leadership and refinement for new hire orientation/cross training practices for all departments related to the revenue cycle.
• Continually evaluates employee performance. Provides leadership and mentoring for employee growth/skill building.
• Develops and continually updates policies and procedures for the hospital revenue cycle to maximize revenue and increase patient access.
• Continually refines revenue strategies in order to ensure effective cash flow.
• Directs and expedites clinician credentialing within payer requirements.
• Oversees and provides leadership for charge master and revenue accumulation processes, procedures, and systems.
• Review returned accounts from the internal billing department and provide direction for appropriate collection resolution.
• Directs the implementation and refinement of denial management activities.
• Plans, organizes, directs, and evaluates all aspects of the revenue cycle from referral processing, pre-registration, payer eligibility, scheduling, insurance verification, insurance authorization, through billing, collections, and denial management.
• Assist with payor credentialing and payor contracting.
• Perform other duties as assigned.

QUALIFICATIONS:

• A minimum of five (5) years’ experience managing revenue cycle operations in a healthcare setting.
• Thorough knowledge of healthcare billing, finance, and corporate compliance.
• Demonstrated expertise in end-to-end revenue cycle (Patient Access, Point of Service Collections, PFS, and Denials Management).
• Strong and effective interpersonal skills, including oral and written, with the ability to lead and manage others.
• Time management skills to handle multiple, competing demands and priorities, and work effectively under pressure.
• Knowledge of Microsoft Office (Word, Excel, and PowerPoint).
• Quick learning style with the ability to ask discerning questions.
• Sense of urgency and ability to quickly adapt to changes in priorities.
• Collaborative team style and open communication, including with other departments and sites.
• Self-directing organized and has the ability to reason objectively.
• Must be able to work independently as well as in a group functioning in a multitask environment.
• Excellent analysis and problem-solving skills.
• Demonstrated commitment to organizational mission with a “whatever it takes” attitude to get the job done.
• Effective written and verbal communication skills.
• Credible and trustworthy.
• Information-management skills and ability to interpret, communicate, and present data.
• BS-MBA preferred, CPA, OR CHFP.
• Must have history of EMR revenue cycle experience in a hospital setting.

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