• Insurance Revenue Cycle Manager

    Job Locations US-AZ-Phoenix
    Posted Date 1 week ago(8/8/2018 3:17 PM)
    Job ID
    2018-1418
    # of Openings
    1
    Department
    Admin
  • Overview

    The Insurance Revenue Cycle Manager is a seasoned professional who will identify, document, create and implement all steps associated with TASC’s public and private payer base reimbursement processes, as well as, manage account receivable activities. This position will identify resource gaps, and train a team of existing employees who have minimal revenue cycle or account receivable experience. This position will report to the Chief Program Officer.

    TASC, Inc. offers competitive salary, excellent health-care benefits package, Paid Time Off (PTO), paid holidays, telemedicine and so much more!

    Responsibilities

    • Full responsibility of private insurance, Medicare/Medicaid and RHBA related revenue cycle project management and completion.
    • Assess TASC revenue cycle gaps related to public and private insurance payments.
    • Create and document TASC specific revenue cycle workflow for Chief Program Officer and Chief Financial Officer review and approval.
    • Create forms and reports associated with successful revenue cycle management.
    • Provide comprehensive training to agency clinical staff and key administrators regarding mental health and substance abuse payer billing and claims process; from credentialing to collections for mental health and substance abuse specifically.
    • Ensure agency staff are versed in DSM, ICD, HCPC, and CPT codes relevant to provider specialty.
    • Ensure services are documented and processed through the agency’s chosen EHR system. This will be accomplished by working closely with key staff in Clinical, Information Technology, and Finance Departments.
    • Ensure timely billing of services and subsequent collection of monies due to TASC.
    • Responsible for posting payments and EOB follow up.
    • Monitor, report, and resolve A/R Key Performance Indicator (KPI) deviations.
    • Make recommendations to improve quality of invoicing/billing and collection procedures.
    • Position will be responsible for supervising billing staff.
    • Additional duties as assigned.

    EEO Statement

    QUALIFICATIONS

    1. Bachelor’s Degree with a Certificate in Medical Billing and Coding preferred.
    2. Managerial experience required.
    3. Minimum of five (5) years experience working in a mental health or medical office setting, handling claims, appeals, and denials.
    4. Must have working knowledge of Commercial Insurance, Medicare, and Medicaid.
    5. Must understand the various claim forms, UBs, CMS 1500, and HCFA 1500.
    6. Must be able to utilize various web applications, software, and dual screens.
    7. Expert level knowledge of revenue cycle, claims payment laws, and associated medical terminology.
    8. Must have direct experience with service billing set up and testing
    9. Must have experience credentialing with private insurance companies; experience with credentialing with RHBAs, or similar entities, a plus.
    10. Must be able to obtain a Level One fingerprint clearance.
    11. Must pass urinalysis screening, TB Testing and pass all necessary background checks
    12. Must be authorized to work for any employer in the U.S.

     

    WORKING CONDITIONS/PHYSICAL REQUIREMENTS

     

     

    • Must be able to lift from floor to waist up to 20 pounds.
    • Must be able to read, write, and communicate fluently in English.
    • Must have good writing and verbal communication skills.
    • Must possess the ability to utilize visual and auditory senses to complete all job duties as assigned.
    • Must be able to work in a typical office and healthcare environment.
    • Must be self-directed and able to complete tasks autonomously.

     

    COMPETENCIES FOR THE INSURANCE REVENUE CYCLE MANAGER

     

    Communication: Clearly conveys and receives information through a variety of media to individuals or groups in a manner that engages the audience, helps them understand and retain the message and invites response and feedback. Effectively manages unit meetings to communicate organizational values and employ learning opportunities while able to quickly “think on their feet.” Keeps others informed as appropriate. Demonstrates good written, oral, presentation and listening skills.

               

    Cultural Competence: Cultivates opportunities through diverse people; respects and relates well to people from varied backgrounds, understands diverse worldviews, and is sensitive to group differences; sees diversity as an opportunity, challenges bias and intolerance.

               

    Team Leadership: Communicates a vision and inspires motivation, positively and enthusiastically engages with peers and direct-reports in team process to solve problems, works to find a win/win resolution of differences, is aware of how management style impacts staff productivity and development, modifies personal leadership style to meet situational requirements and helps team stay focused on major goals while managing within a context of multiple directives.

     

    Ethical Leadership: Acts and understands importance of adherence to laws, regulations and policies that governs one’s work and/or geographical area, demonstrates good moral character by conveying care for others, being honest, fair and acting with integrity, follows the ethic codes of one’s profession and the organization, conveys importance of improving lives and the community, and behaves in a manner that is respectful, positive and avoids doing harm.

     

    Manages Work: Shows ability to plan, schedule, and direct work of self and others; balances task requirements and individual abilities; organizes materials to accomplish tasks; sets challenging yet achievable goals for self and others.

     

    Quality Orientation: Monitors and checks work to meet quality standards; demonstrates a high level of care and thoroughness; checks work to ensure completeness and accuracy.

     

    Professional/Technical Knowledge and Skills: Possesses acquires and maintains the professional/technical expertise required to do the job effectively and to create staff/client/customer solutions. Technical/professional expertise is demonstrated through problem solving, applying professional judgement, and competent performance.

     

    TASC, Inc. is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: TASC, Inc. is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements and individual qualifications; without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, sexual orientation, gender identity and/or expression, or any other status protected by law.

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