Revenue Cycle Manager at Jobot
Los Angeles, CA 90037
About the Job
Leading non-profit network of community clinics
This Jobot Job is hosted by: Milan Kacar
Are you a fit? Easy Apply now by clicking the "Quick Apply" button
and sending us your resume.
Salary: $100,000 - $110,000 per year
A bit about us:
We are a network of community health centers that provides care to patients in Los Angeles.
Why join us?
Job Details
JOB SUMMARY
Maintain knowledge of, Medicare, Medi-Cal, HMO, PPO and publicly funded programs Family PACT and grants.
Communicate to Director of Patient Receivables and Billing and other colleagues to stay informed of payer and/or regulatory updates and create action plans to accommodate changes as needed.
Engage colleagues to facilitate educational and workflow/process opportunities identified by team to improve documentation, billing, and clinical operations.
Continually develop processes, policy procedures and controls to drive revenue integrity.
Analyze insurance contracts/contract requirements, and fee schedules.
Maintain positive external contacts, attending all pertinent meetings and trainings related to billing.
Create and expand procedures of Revenue Cycle Department including cross training of Revenue Cycle personnel.
Assist with the filing of Medi-Cal Reconciliation, and Medicare Cost Reports and HRSA site visits. This also includes researching discrepancies and reconciling of the prior years’ reports.
Support staff with training and communication of pertinent information affecting the team and other stakeholders.
Collaborate with Clinical Management Team on workflow and ensures that office-oriented directives and policies and procedures are implemented in a timely manner. This role has the primary responsibility of creating all necessary procedure guidelines to instruct the Billing and Clinic Support Staff on all revenue-oriented tasks.
Assist with Payer Enrollment planning, direction, control, and evaluation of the Payer Enrollment Department.
Attend administrative meetings and participate in committees as requested. Conduct special projects and studies as directed.
Assist in maintaining eClinical Works patient accounting and registration system tables for registration, patient accounting, eligibility, charge master’s maintenance, billing, claims editing, and account follow-up.
The Patient Receivables Manager oversees the day-to-day leadership and management of the collections, accounts receivables, and account resolution management.
Display independent judgement by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
Strong research and auditing skills.
Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the organization.
QUALIFICATIONS
Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.
This Jobot Job is hosted by: Milan Kacar
Are you a fit? Easy Apply now by clicking the "Quick Apply" button
and sending us your resume.
Salary: $100,000 - $110,000 per year
A bit about us:
We are a network of community health centers that provides care to patients in Los Angeles.
Why join us?
- 85% employee paid and 50% dependent paid medical.
- 401K eligibility to participate from day one and up to 3% matching after one year
- Pet Insurance
- Generous work/life balance
- 14 Paid Holidays
Job Details
JOB SUMMARY
Maintain knowledge of, Medicare, Medi-Cal, HMO, PPO and publicly funded programs Family PACT and grants.
Communicate to Director of Patient Receivables and Billing and other colleagues to stay informed of payer and/or regulatory updates and create action plans to accommodate changes as needed.
Engage colleagues to facilitate educational and workflow/process opportunities identified by team to improve documentation, billing, and clinical operations.
Continually develop processes, policy procedures and controls to drive revenue integrity.
Analyze insurance contracts/contract requirements, and fee schedules.
Maintain positive external contacts, attending all pertinent meetings and trainings related to billing.
Create and expand procedures of Revenue Cycle Department including cross training of Revenue Cycle personnel.
Assist with the filing of Medi-Cal Reconciliation, and Medicare Cost Reports and HRSA site visits. This also includes researching discrepancies and reconciling of the prior years’ reports.
Support staff with training and communication of pertinent information affecting the team and other stakeholders.
Collaborate with Clinical Management Team on workflow and ensures that office-oriented directives and policies and procedures are implemented in a timely manner. This role has the primary responsibility of creating all necessary procedure guidelines to instruct the Billing and Clinic Support Staff on all revenue-oriented tasks.
Assist with Payer Enrollment planning, direction, control, and evaluation of the Payer Enrollment Department.
Attend administrative meetings and participate in committees as requested. Conduct special projects and studies as directed.
Assist in maintaining eClinical Works patient accounting and registration system tables for registration, patient accounting, eligibility, charge master’s maintenance, billing, claims editing, and account follow-up.
The Patient Receivables Manager oversees the day-to-day leadership and management of the collections, accounts receivables, and account resolution management.
Display independent judgement by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
Strong research and auditing skills.
Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the organization.
QUALIFICATIONS
- Five (5) years of experience with revenue cycle operations management. With excellent presentation and writing skills. Advanced skills in analysis and MS Office suite.
- eClinical Works experience is preferred.
- Required bachelor’s degree in business, Finance, Accounting, Healthcare Administration or equivalent.
- Demonstrated knowledge of all Insurance companies, HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers.
- Experience with managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes.
- Experience responding to government and financial Audits is a plus.
Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.
Salary
100,000 - 110,000 /year