Revenue Cycle Manager - Terry Reilly Health Services

At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team.

We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for low-cost healthcare.

GENERAL RESPONSIBILITIES

Responsible for organizing and making strategic decisions about the credit and collections department, coding, and maximizing reimbursement. Establishes and maintains departmental policies and procedures, leveraging modern billing software and EHR systems to optimize revenue cycle management.

ESSENTIAL DUTIES

Billing and Collections Management:

1. Oversee day-to-day operations and planning of the billing and collections department.
2. Ensure billing work queues are processed and resolved within an average of 3 business days.
3. Utilize data analytics to improve billing processes and reimbursement rates.
4. Address client charging and billing issues unresolved by staff.

Staff Management:

1. Hire, supervise, and develop billing and collections staff.
2. Foster a collaborative and high-performance team culture.
3. Manage team performance through ongoing feedback, documented SMART goals, and KPI measurement.

Coordination with Collection Agencies:

1. Act as liaison with collection agencies, ensuring regular performance reviews and data sharing.
2. Implement refinements and efficiencies to ensure smooth information flow to/from third-party vendors and manage past due accounts within company policy timing parameters.

Consultation with Director of Revenue Cycle:

1. Provide strategic planning and regular reporting on KPIs.
2. Co-develop, implement, and evolve an accounts receivable management framework to maintain A/R balance and aging within acceptable boundaries.

Data Analysis and Reporting:

1. Use advanced data analytics tools to monitor and report on revenue cycle metrics.
2. Identify trends and implement corrective actions.
3. Ensure compliance with the Medicare "Bad Debt" write-off policy and provide necessary documentation for the annual Medicare Cost FQHC Report.
4. Prepare the quarterly FQHC "Credit Balance" report.
5. Produce and present monthly revenue cycle presentations for department leaders, explaining drivers of overall accounts receivable balance, cash flows, and key performance indicator fluctuations.

Training and Development:

1. Develop and implement ongoing training programs using e-learning platforms.

Policy and Procedure Development:

1. Regularly review and update policies to ensure compliance with regulations.

Liaison with Other Departments:

1. Collaborate with other departments to streamline billing processes and improve patient satisfaction.
2. Manage and drive the agenda for the bi-weekly revenue cycle forum, bringing together patient financial services and clinical operations to optimize revenue cycle efficiency and drive cash flow.

MINIMUM QUALIFICATIONS

1. 5 years of Healthcare billing and collection experience.
2. Proven direct team management experience and skills.
3. Advanced competency with modern EHR and billing software.
4. Strong writing and verbal communication skills.
5. Familiarity with insurance industry regulations and procedures.
6. Demonstrated success managing cross-functional, interdisciplinary partnerships.

PREFERRED QUALIFICATIONS

1. Bilingual writing and oral skills in Spanish and English.
2. Certified Revenue Cycle Professional (CRCP) or Certified Healthcare Financial Professional (CHFP).

Terry Reilly Health Services is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.