Seward Community Health Center is seeking a full-time Revenue Cycle Manager (RCM) for our small community health center located in beautiful Seward, Alaska. This is an on-site position; we are not considering remote candidates.
The salary range for this position is $75,000-95,000/year, depending on experience and certifications.
Seward, Alaska is a majestic, quaint town located 120 miles south of Anchorage and is surrounded by beautiful snow-capped mountains in the center of Kenai Fjords National Park. Seward offers year-round opportunities for outdoor activities including skiing, kayaking, fishing, hiking, biking, boating, wildlife viewing, and so much more. If you enjoy adventuring up mountains, between glaciers and in waters, or sightseeing, going on wildlife tours or bird watching, Seward is the place for you!
Check out the following link for more information about living and working in Seward: www.sewardhealthcenter.org/careers
About Seward Community Health Center:
SCHC is a federally qualified health center. We welcome anyone in need of quality, affordable healthcare by providing integrated, patient-centered primary care for a variety of illnesses and conditions for the entire family. SCHC is the leading provider of healthcare services in the Eastern Kenai Peninsula, with passionate, dedicated staff who work daily to help increase access to services for our community members. We are seeking to hire additional staff who will add to our ability to make our community and SCHC a better place to live and work.
Benefits designed to encourage self-care and give staff the ability to explore this beautiful state:
Health insurance with medical, dental, and vision benefits for both staff and dependents
Short- and long-term disability insurance paid by employer
Term life insurance paid by employer
3% employer contribution to a 401(k) retirement plan
80 hours of paid holidays
Paid leave accrued biweekly (up to 6 weeks/year)
JOB PURPOSE
The RCM develops, plans, organizes and implements current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s receivables. In cooperation with the Clinic Manager, they also manage day-to-day activities of the organization as they relate to revenue cycle functions including front desk, billing, collections, accounts receivables and financial planning for patients.
DUTIES AND RESPONSIBILITIES
The following examples of duties and accountabilities illustrate the general range of tasks but are not intended to define the limits of the required duties.
Billing / Coding Management
Develop, implement and oversee patient registration, coding, billing, credit and collections, patient accounts receivable and financial assistance policies and procedures.
Develop, implement and oversee patient registration, billing and collection procedures to ensure timeliness, accuracy and compliance with federal, state and local law
Monitors effectiveness of department activities, ensuring that outstanding patient accounts, accounts receivable, and bad debt are within targets.
Manage the configuration of electronic billing system to ensure system integrity and proper functioning for effective and efficient billing and collection processes; Collaborate with technical support teams for updates and improvements.
Develop, implement and oversee procedures to ensure coding accuracy
Ensure the timely submission of all claims for payment to third party payers.
Develop, implement and oversee procedures for the review, appeal and resubmission of all
claim denials.
Develop, implement and oversee procedures for the posting of all third-party payments received
and the reconciliation of identified differences including timely refund of account overpayments.
Analyze claims data and suggest/implement procedures to maximize revenue collections
Maintain fee schedules for all service areas and provides a routine review of fees, recommended revisions and new services
Conduct quality assurance and accuracy audits of patient accounts.
Coordinate and manage practitioner insurance empanelment and patient empanelment for health plans.
Provides technical expertise to ensure accurate billing researching and staying informed of regulatory, compliance, and best practices for Federally Qualified Health Center (FQHC) billing.
Oversee financial assistance, discount, and other enrollment programs, including SCHC Sliding Fee Discount Program.
Revenue Management
Compiles and prepares reports for management to analyze trends and make recommendations including reports for development and management of revenue budget and forecasting processes.
Performs oversight and analysis of insurance contract participation, evaluation, and enrollments.
Maintain and manage all applicable registrations and periodic reporting for CMS (Medicare and
Medicaid).
Ensure timely preparation and distribution of month-end revenue management reports and statistical, financial, billing or auditing reports, as requested.
Responsible for the preparation of periodic cost reports (Medicaid/Medicare), UDS reports, other external compliance reports, annual audits, and other projects and analyses, as assigned
Creates and maintains strategic partnerships using superior leadership and management skills with internal and external audiences
Staff Management
Hires, orients, trains, supervises, monitors, and evaluates staff, including maintaining adequate level of staffing and ensuring all duties are being completed according to center policies and procedures.
Develops strategic plans, policies, and workflows for the Revenue Cycle team ensuring that goals and objectives of the team are properly defined and clearly established.
Negotiates, monitors, and supervises performance on all billing contracted services and vendors.
Provide support and training to practitioners to ensure accurate, timely filing of claims.
Outlines, defines, and streamlines the various revenue cycle functional activities and assignments
QUALIFICATIONS
Bachelor’s degree in business administration, health administration, or other related field required. Masters preferred. Comparable education and experience will be considered.
Minimum of 7 years of billing/coding experience using electronic health systems. Epic preferred.
Minimum of 5 years of experience in health care management such as but not limited to clinic management, patient management, billing and accounts receivables. FQHC experience preferred.
Strong background in financial management and knowledge of federal and state laws and requirements relating to healthcare management.
Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring, and situational assessment skills and with proven track record in building and developing high performing teams.
DIRECT REPORTS
Front Desk, Billing/Coding, & Enrollment staff