JOB TITLE: Revenue Cycle Manager
DEPARTMENT: Patient Accounts/Billing Revised Date: February 2019
FLSA STATUS: Exempt Salary
REPORT TO: Chief Financial Officer
JOB SUMMARY: Responsible for all aspects of Patient Accounts/Billing for all programs. Responsible for
monitoring, coordinating and reporting on the accounts receivable components of Cahaba Medical Care
Foundation. Provide coding assistance for all physicians, mid-levels, and nursing staff. Must understand practice
management systems (Athenahealth, FQHC reimbursement methodologies, managed care programs, billing
systems designs, and billing processes for medical, dental and mental health services. Upholds all policies and
supports the mission of Cahaba Medical Care Foundation.
SPECIFIC RESPONSIBILITIES:
■ Direct and oversee the overall policies, objectives, and initiatives of the revenue cycle activities to optimize
billing and collections.
■ Review, design, and implement processes surrounding pricing, billing, third party payer relationships,
compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and
properly utilized.
■ Track numerous metrics related to the patient engagement cycle including record coding error rates and
billing turnaround times to develop sound revenue cycle analysis and reporting.
■ Manage relations with payers and providers to generate high reimbursement rates and a low level of denials.
■ Create functional strategies and specific objectives for the sub-function and develop
budgets/policies/procedures to support the functional infrastructure.
■ Ensure consistent registration and coding processes across all sites.
■ Supply billing related detail in support of the annual budgeting process
■ Report monthly encounters by site and payor
■ Liaison between Patient Registration processes and billing to ensure optimal patient demographic detail
according to approved guidelines
■ Understand and manage the sliding fee program
■ Update annually the cost based fee schedule with full analysis for COO approval
■ Oversee Patient Accounts operations, working within established guidelines to maintain a predictable cash
flow
■ Supervise, mentor, coach, train, and evaluate Billing staff
■ Coordinate training for Billing and Reception staff to ensure compliance with federal, state and private
industry billing guidelines, and all organizational policies and procedures
■ Ensure appropriate orientation and training of staff and related functions in other departments
■ Provide for personal and professional growth of staff
■ Perform electronic billing and statement generation. Provide operational reports to executives as requested
■ Assist in the development of operational budgets and proformas.
■ Develop and maintain written departmental policies and procedures
● Attend and participate in team meetings, and any other meetings required of the role
●
QUALIFICATIONS:
■ Knowledgeable in ICD-10, CPT, and HCPCS coding; remain current with coding changes
■ Associates Degree or Bachelors Degree (preferably in Business)
■ Supervisory experience preferred
■ Effective oral and written communication skills
■ Demonstrated knowledge of laws and regulations related to Medicare, Medicaid, Workers Comp, HMO, and
managed care
■ Skilled and experienced in accounts receivable and billing
■ Up-to-date computer skills
■ Supportive and positive leadership
■ Awareness of and strict adherence to HIPAA guidelines and confidentiality principles otherwise
■ Vigilant in prioritizing and organizing to meet strict deadlines
■ Advanced analytical skills
■ Unwavering support of the Foundation’s mission, including personal and professional sensitivity to its
patients
■ Willingness to perform other tasks as needed
ESSENTIAL PHYSICAL REQUIREMENTS:
■ Sitting/Standing/Walking: Approximately 20% of the time is spent standing or moving about the clinic and
office areas. Balance of time is spent working while seated.
■ Speaking/Hearing: Clear diction and acute hearing are necessary for responding to both internal and external
customers.
■ Vision: Corrected vision close to 20/20 is necessary to review written information and electronic data on
computer screens of various sizes and fonts.
■ Stooping/Kneeling: Occasional stooping or kneeling
■ Reaching/Handling: Good manual dexterity is necessary for use of equipment.
■ Lifting/Carrying: Occasional lifting and carrying of boxed files of up to 30 pounds