Revenue Cycle Manager
Gillette, WY
Full Time
Manager/Supervisor
About:
Hoskinson Health & Wellness Clinic is a newly founded team-based physician-led, comprehensive health and wellness clinic in the beautiful area of Gillette, Wyoming. Our company was created to provide prospective healthcare resources to the community and meet the needs of our patient base.
Company Mission and Philosophy:
Hoskinson Health & Wellness Clinic is owned by physicians who have teamed together to help end discrepancies they have seen for decades in the healthcare space. Our mission is to help patients truly live better, healthier lives by providing comprehensive care through a variety of specialists and support services. HH&WC has an integrated regenerative & longevity philosophy that functions hand-in-hand with treatment planning, preventive care, and team collaboration on patient cases. We believe that patients are more than their diagnoses and deserve access to the best education and resources we can provide. To ensure this mission is met, we focus on integrating highly effective technology, encourage collaboration among the team, and take lower patient volumes to allow patients more time with our staff.
Job Overview:
The Revenue Cycle Manager is responsible for overseeing and optimizing all aspects of the revenue cycle process, from patient registration through billing and collections. This role involves managing staff, ensuring compliance with regulations, and implementing strategies to enhance revenue flow and operational efficiency.
Supervises:
3-5 Billing and Coding Employees
Supervisory Responsibilities:
- Supervise and mentor the team, fostering professional development and collaboration.
- Identify training needs and facilitate professional development opportunities for the team.
- Conduct regular performance evaluations, set objectives, and provide feedback to team members to foster professional growth.
- Delegate tasks and responsibilities to ensure efficient workflow and timely completion of billing, coding, and other revenue cycle activities.
- Ensure that all team members adhere to company policies, department standards, and regulatory requirements.
- Work with other departments to support initiatives and ensure alignment with organizational goals.
- Serve as a mentor to junior staff, helping them develop their skills and advance their careers.
- Address and resolve any interpersonal or performance-related issues within the team.
- Facilitate open communication within the team and ensure that important information is shared with relevant stakeholders.
Duties/ Responsibilities:
- Oversee and manage entire revenue cycle including billing, coding, collections, and denial management
- Manage relationships with external vendors for practice management software and clearinghouse vendor
- Communicate professionally with various payers
- Manage, develop, and mentor all revenue department staff, including billers and coders and RCM/Admissions Supervisor
- Oversee the admission process and manage the admissions team
- Responsible for management and maintenance of billing and practice management software platform
- Provide up to date education for clinical, billing, and coding staff on coding trends
- Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies
- Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements
- Manage and update the charge master based on the current CMS fee schedule and negotiated contracts
- Conduct monthly analysis of Medicare/Medicaid/Third Party Payers
- Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors
- Responsible for the generation and management of revenue, admissions, and credentialing metric reports
- Review and resolve issues related to claim generation and rejected/denied billings
- Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information
- Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations
- Maintains appropriate internal controls over accounts receivable, RCM process
- Monitors accounts sent for collection and reimbursements from insurance companies other third-party payers
- Reviews, monitors, and evaluates third party reimbursement and researches variances
- Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payors)
- All other duties as assigned
Education/Certifications/Licenses
- Bachelor’s degree in Finance, Healthcare Administration, Business Administration, or a related field; Master’s degree preferred.
- 5+ years of experience in revenue cycle management, preferably in a healthcare setting.
- Proven experience in managing teams and driving process improvements.
Required Skills/Abilities
- Strong knowledge of healthcare billing and coding regulations (e.g., ICD, CPT).
- Proficient in revenue cycle management software and electronic health record (EHR) systems.
- Excellent analytical and problem-solving skills.
- Detail-oriented with strong organizational abilities.
- Ability to work collaboratively with diverse teams and stakeholders.
- Strong leadership and communication skills.
Physical Requirements
- Ability to sit for long periods of time 8-10hrs.
Working Environment
- Primarily work in an office setting with some travel to and from different business locations
- Standard business hours, though flexibility is often required to accommodate schedules and deadlines.
- Use of video conferencing tools for virtual meetings and presentations with clients and team members.
- Health Insurance: Company pays 100% of your health insurance premiums, which includes a low-deductible health plan through Cigna, Vision, and Dental.
- Additional Insurance: $50 employer monthly allotment for Disability, Life insurances, Cancer coverage, Accident policies, and more through a supplemental company.
- Retirement: Up to 8% match for retirement, no waiting period!
- Vacation & leave: Generous vacation and sick leave with accrual and carry-over opportunities.
- Continuing or Additional Education: HH&WC will assist in the professional development of all employees with HR approval.
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