Manager of Revenue Cycle & Accounts Receivable

Company: Carle Health
Location: Champaign
Posted on: January 25, 2023

Job Description:

Position Summary:





Provides leadership, oversight, administrative support and direction in the management of the accounts receivable for CFH, CPG, Hoopeston, Richland and Home Health Services. Oversees the business office operations to ensure effective and efficient revenue cycle management. Accountable for personnel related duties that include interviewing, job performance evaluations, disciplinary actions, payroll reporting, and enforcing required rules and regulations. Manages resources to meet budgetary, productivity and customer service requirements. Manages resources to ensure timely follow up and collection of outstanding receivables for all business lines.









Qualifications:




EDUCATIONAL REQUIREMENTS
Bachelors Related Field

CERTIFICATION & LICENSURE REQUIREMENTS
Foundations of Leadership certification required within the first year of employment.Epic Readiness classes, certification or proficiency in designated platform(s) within the first 18 months.

EXPERIENCE REQUIREMENTS
5 years of supervisory experience in a healthcare accounts receivable management role. Proficient in the use of Microsoft Office suite of applications including Visio. Previous Home Health or critical access hospital experience preferred. Revenue cycle systems knowledge/experience preferred.

OTHER REQUIREMENTS
Ability to lead teams and manage resources to successfully complete specific projects, goals, objectives and initiatives. Ability to analyze financial data and apply the analysis towards effective decision making. Requires strong analytical, problem resolution, customer service and oral and written communication skills. Must have the ability to multitask and adhere to work plans and timelines. Must keep up to date on all regulatory requirements. Requires knowledge of supervising and training personnel, coordinating activities of subordinates in billing and collection, third party reimbursement methods, multi-billing systems, and computer applications. Collaborates and coordinates with all third parties that have been hired to assist in the management of the accounts receivable.









Essential Functions:

• Manages the day to day operational processes for multiple lines of business to facilitate effective accounts receivable management.
• Communicates effectively with internal and external customers.
• Hires, trains, disciplines, supervises, and motivates all employees.
• Maintains appropriate internal controls, written policies and procedures and safeguards over revenue cycle activities.
• Identifies, discusses, plans and implements (with assistance from Information Technology and Systems) the applications, systems or modifications which will enhance the enterprises revenue cycle systems.
• In collaboration with the Director of Rural Health and Special Business Units PFS, prepares annual budget for department. Monitors, verifies and reconciles department expenditures on a monthly basis.
• Works closely with the clinical leadership of service areas this role is responsible for billing and the Director of Rural Health and Special Business Units PFS to ensure effective clinical and financial operations.
• Handles quality assurance/compliance matters as required and expected per policy and Code of Conduct.
• Contributes, interprets and analyzes financial data to identify and monitor performance and establish financial benchmarks for the department.
• Facilitates and collaborates on initiatives within the department, in clinical operational areas and enterprise wide.
• Performs required tasks associated with the Carle Experience.
• Maintains working knowledge of CPT, ICD and HCPCS codes sets as well as HIPAA transaction code sets.
• Works in conjunction with Accounting to ensure accurate tracking, capturing and reporting of revenue for each business line.
• Maintains working knowledge of CPT, ICD and HCPCS code sets as well as HIPAA transactions code sets.
• Participates in appropriate continuing education or certification activities.
• Creates, updates and maintains all departmental policies and procedures.
  
  
  
  
  
  
  
  
  
  We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. - For more information: human.resources@carle.com.
  
  
  
  Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Keywords: Carle Health, Champaign , Manager of Revenue Cycle & Accounts Receivable, Executive , Champaign, Illinois