Revenue Cycle Manager - Community Healthcare Center

Revenue Cycle Manager

Community Healthcare Center is seeking a full-time detail-oriented Revenue Cycle Manager. The perfect candidate will direct and oversee the overall policies, objectives, and initiatives of an organization’s revenue cycle activities. They will review, design, and implement processes surrounding onboarding, billing, third-party payer relationships, compliance, collections, and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized. They will track metrics to develop sound revenue cycle analysis and reporting. They will manage relations with payers and providers to endeavor to insure proper revenue capture and a low level of denials.

The Revenue Cycle Manager’s duties and responsibilities are:

  • Assists management with workflow and work distribution; monitoring and maintaining compliance and performance standards by ensuring production and quality standards are met.
  • Assists with development and implementation of department and project action plans.
  • Directs daily Revenue Cycle operations, including but not limited to training, cash posting, billing, reverification of benefits, etc.
  • Train, mentor and resolve revenue cycle process related questions for team.
  • Ensure the quality of each team members claim resolution activity.
  • Advises of performance deficiencies; makes recommendations for retraining of employees.
  • Assists in identifying and coordinating process improvement opportunities within the organization.
  • Updates management with system and procedural issues which require analysis and resolution and compiles production reports for work group.
  • Works with coders, practice managers and other staff as needed to resolve errors and release corrected claims.
  • Monitors assignments in the electronic billing system to assure resolution of errors and edits.
  • Processes billing interfaces and/or interface edits; identifies and resolves problems as they arise; reviews and corrects claim edits and denials to ensure proper payment for services rendered.
  • Researches and distributes correspondence from insurance carriers and ensures resolution for claims.
  • Investigate patient account questions, etc.; assists Coders, Posters, Contracting, Front desk and Practice Managers as needed.
  • Completes special projects that may require defining problems, determining work sequence and summarizing findings.
  • Identifies problems and inconsistencies with federal, state, and private payer claims, and patient charges utilizing various reports; research problems, summarizes findings and makes recommendations.

At least 8 years of experience to include extensive knowledge of contracting and onboarding processes for physicians and other health professionals with at least six years directly related to medical claims/revenue cycle processes is preferred. A higher degree from an accredited institution may be substituted for experience on a year-for-year basis, up to two years.  Five plus years of managerial experience preferred.

Must maintain HIPAA/HITECH compliance and ensure confidentiality of any Private Health Information (PHI) or Electronic Private Health Information (ePHI).

Bilingual strongly preferred, but not required. Competitive salary and benefits package.

Please apply online here.

"Instead of the tense feeling people normally get when they go to the dentist I was more relaxed. It was great to not have to sit and wait. It was a pleasant experience."

- Dental Patient

Mission

To provide access to high quality, respectful and patient-centered primary and preventive healthcare services for everyone.

Vision

Community Healthcare Center will eliminate health disparities and inequities in our community by being the provider of choice for primary medical, dental and behavioral healthcare services.

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Community Healthcare Center offers trusted Dental Care for Kids. We welcome Medicaid, CHIP, and most insurances. New patient children’s dental appointments are available. Please call (940)766-6306 to schedule an appointment for your child. chcwf.com ... See MoreSee Less

Community Healthcare Center offers trusted Dental Care for Kids. We welcome Medicaid, CHIP, and most insurances. New patient children’s dental appointments are available. Please call (940)766-6306 to schedule an appointment for your child. chcwf.com

Community Healthcare Center offers trusted pediatric medical care for your kids. Community Healthcare Center's Pediatric Clinics are available in Wichita Falls and Vernon, Texas. New pediatric patient appointments are available.

We welcome Medicaid, most STAR plans, CHIP, and most insurances.

For more information or to schedule a pediatric appointment, please call (940)766-6306. chcwf.com
... See MoreSee Less

Community Healthcare Center offers trusted pediatric medical care for your kids. Community Healthcare Centers Pediatric Clinics are available in Wichita Falls and Vernon, Texas. New pediatric patient appointments are available. 

We welcome Medicaid, most STAR plans, CHIP, and most insurances. 

For more information or to schedule a pediatric appointment, please call (940)766-6306. chcwf.com

Community Healthcare Center is seeking a full-time Registered Nurse Home Visitor to join our growing team with our Nurse-Family Partnership® Program. Nurse-Family Partnership® is a nurse-led, evidence-based home visitation program proven to significantly improve the health, well-being, and economic self-sufficiency for children and their families. Nurse-Family Partnership® matches each first-time mothers-to-be with a registered nurse who visits her in her home during and after pregnancy. The visits continue after the birth of her baby until the child turns two years old. Please go to www.chcwf.com and click on the careers link to apply. ... See MoreSee Less

Community Healthcare Center is seeking a full-time Registered Nurse Home Visitor to join our growing team with our Nurse-Family Partnership® Program. Nurse-Family Partnership® is a nurse-led, evidence-based home visitation program proven to significantly improve the health, well-being, and economic self-sufficiency for children and their families. Nurse-Family Partnership® matches each first-time mothers-to-be with a registered nurse who visits her in her home during and after pregnancy. The visits continue after the birth of her baby until the child turns two years old. Please go to www.chcwf.com and click on the careers link to apply.
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