Overview
The
Revenue Cycle Management Operations Manager directly contributes to our mission of making autism services personal by timely and accurately billing the services we provide, collecting revenue, and working with families to make sure they feel supported throughout the revenue cycle process. This team member will also be directly responsible for helping build the foundation of our internal billing office.
Specific Responsibilities
- Perform quality assurance reviews and revenue cycle audits to ensure that revenue is appropriately captured and adhere to all compliance policies and procedures.
- Manage a growing team of revenue cycle management staff to oversee the Revenue Cycle Management of the company.
- Work with Leadership to help develop new automated processes to create efficiencies within the department.
- Billing claims submission through clearinghouse and directly to school systems and other customers (such as Early Intervention programs).
- Manage all client co-pay billing, tracking and follow-up.
- Manage and report on AR Days.
- Participate in Company month-end closing procedures.
- Establish departmental controls and ensure that deadlines are met.
- Oversee and coordinate the day-to-day operations of the revenue cycle team as it pertains to billing and collections.
- Research and resolve inquiries involving billing discrepancies, client account status, adjustments, etc.
- Trouble shooting of daily functions with intention of resolution prior to escalation to help desk tickets for all billing processes, EMR functionality, and third-party portals used for billing and claims follow up.
- Collaborate with leadership concerning revenue, payers and vendors.
- Ensure payer rejections and denials are worked and resubmitted for timely adjudication.
- Understand, coordinate, and submit receivable write off requests to COO for review and processing.
- Prepare weekly and quarterly reports to be shared with Leadership regarding day to day obstacles in operations, progress, and trends within process to be reviewed and proactively changed.
- Collaborates with VP on interviewing, hiring, evaluations and discipline up to and including promotions and termination.
- Coach, motivate, develop and provide resources and tools to the team.
- Sets quarterly goals for department in line with goals set by the Leadership Team.
- Complete work as described in Billing Specialist job description as needed (direct billing responsibilities).
Skills And Competencies
- 5+ years of medical billing experience.
- 3 years of management experience preferred.
- Experience within ABA or a specialty field preferred.
- Associate Degree in Accounting/Finance Management is plus, but not required.
- Strong communication and presentation skills
- Previous medical billing and EMR experience required.
- Proficient in Microsoft Office Suite, and other data collection programs specific to our industry.
- Confident communication skills for fielding calls on behalf of the agency and its representatives.
- Excellent written communication skills for professional emails and various reporting methods.
Personality: A successful Team Member will be…
- Detail-oriented & highly organized
- Communicative & collaborative
- Committed to purposeful care
- Ambition to grow with the company
About Helping Hands Family
Helping Hands Family (“HHF”) is an organization that provides Applied Behavior Analysis (ABA) services for individuals with Autism Spectrum Disorder (ASD). Our supportive, inclusive culture helps every individual reach their highest potential.
Helping Hands Family is dedicated to a supportive, inclusive culture. From growing our team to the client treatment plans, we have committed to celebrating differences and helping everyone reach their highest potential. HHF is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.
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