CATHOLIC HOSPICE INC.

REVENUE CYCLE MANAGER

WORKING REMOTE

MONDAY TO FRIDAY 8AM TO 5PM

MIAMI LAKES, FLORIDA

Summary & Objective

The Revenue Cycle Manager position establishes effective claims management processes and controls to ensure the accuracy and timeliness of claim submissions, collections efforts and payment distribution in compliance with all regulations for the business lines assigned. Additionally, this position will proactively identify, develop and execute critical process improvement initiatives to drive best practice performance and favorably impact accounts receivable, cash acceleration and net revenue.

Essential Functions

• Organizes and directs all activities to ensure control and management of patient accounts receivable, which includes charge capture, claims production, claims scrubbing, billing, collections, customer service, denial management, cash posting, and follow-up on collection services.
• Develops, coaches and mentors’ staff as it relates to A/R management, system utilization and other related issues to build and retain high caliber performers.
• Remain organized while successfully managing and engaging multiple projects simultaneously and ensuring quality goals are met.
• Implement accountability and maintain high standards for the team.
• Participate in the preparation and completion of monthly A/R close functions in adherence with timelines established.
• Responsible for analysis and system maintenance for all functions within the EMR that impact the management and operation of the organization’s revenue cycle.
• Works in conjunction with the management team to provide strategic direction and assist in the implementation of said strategies to improve revenue cycle processes and overall organizational performance.
• Recommend and implement innovations and efficiencies to maximize cash flow.
• Works directly with operations to identify and correct issues impacting clinical, operational and revenue information that impacts the billing and collection process.
• Oversight for the maintenance of database for item master, payers, plans, physicians and contracts which significantly impact the revenue cycle.
• Oversight for assisting in identifying and trending reimbursement variances resulting from payer errors; payer contract interpretation differences and/or system corrections.
• Responsible for the preparation of reports based upon auditing of all account types to ensure departmental policies and procedures are followed.
• Assists in trouble shooting problem solutions for EMR that affect revenue cycle.
• Responsible for coordination and assisting in system upgrade projects and communicating departmental and A/R impact to management.
• Liaison between Revenue Management and select vendors, facilitating account placements, reconciliations and monitoring vendor performance.

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Other Requirements

• Special projects as assigned by VP of Revenue Management or other members of management team.
• Participates in daily, weekly and/or monthly meetings as required or requested.
• Serve as an information resource to management, furnishing requested information and/or providing referral source as needed.
• Maintain all required licenses, certifications and mandatory skill updates.
• Comply with all policies, local, state and federal laws and regulations.
• Perform other duties as assigned.

Supervisory Responsibility

• May serve as an interim department leader depending on need.

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.

Disclaimer

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

EEOC Statement

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

PM19

Knowledge & Experience Requirements

• Advanced degree, certificate or relevant experience in Finance, or Accounting preferred.
• 5 to 7 years’ experience required preferably in hospice or home health revenue cycle management
• Experience in successfully supervising and contributing to a team environment of 5 or more team members.
• Must have strong computer skills in healthcare revenue cycle EMR software and Microsoft Office products
• Must be able to read, write and understand the English language.