Job Description

Revenue Cycle Manager

OrthoAlaska, an integrated group of orthopedic, podiatry, rheumatology and primary care providers, seeks a highly skilled, dedicated, and professional individual to join our rapidly growing and dynamic team as the on-site Revenue Cycle Manager at our Anchorage, Alaska office.

The Revenue Cycle Manager is an exempt position reporting directly to the Director of Revenue Cycle Management.

The position requires the individual to have a positive, personal rapport with RCM leadership and its staff. This individual is responsible for reporting progress and benchmark indicators to the Director of Revenue Cycle Management on a monthly basis and is responsible for the day-to-day operations of all Revenue Cycle Department processes.

At OrthoAlaska, employees enjoy work-life balance, competitive salaries, and comprehensive medical, dental, FSA or HSA, life, and disability insurance, as well as profit sharing, 401(k), and paid time off starting at three (3) weeks per year.

Ideal Attributes

• Strong interpersonal communication skills (phone, written, verbal)
• Strong servant leadership skills
• Ongoing technical education in RCM processes and systems
• Strong leadership skills to help motivate employees and help grow a team environment

Essential Job Responsibilities

• Support OrthoAlaska mission and values by exhibiting the core organizational behaviors
• Work closely with RCM Director to assure expectations for the department are met
• Develop and update new employee training guides
• Maintain reasonable volume of unapplied credits and timely refunds from DOS
• Responsible for the success of the department by weekly or bi-weekly one-on-one meetings with staff members
• Manage staff overtime
• Demonstrate competency in working in teams and the ability to effectively communicate at all levels
• Participate in the hiring process for the billing department and ensure new employees are trained, developed and are contributing members of the team
• Meet with RCM Director monthly to collaborate as well as review month-end reports, and all other items, concerns as needed
• Enforce company credit and collection policies, making recommendations for improvement as needed
• Responsible for the development and leadership of assigned team members, including quarterly reviews (QCC), ensuring staff are given regular feedback
• Plan and direct departments within RCM to ensure accurate patient billing and efficient account collection by overseeing:
• Timely claims submission
• Payment posting by ensuring the postings are accurate and closed within 48 hours of payment receipt
• Pre-authorizations and provider notifications and ensuring they are timely, and documentation is accurate
• Coding and auditing to ensure processes are in line for accurate coding
• AR follow-up department, ensuring outstanding AR is followed up on a timely basis with proper appeals to expedite payment of claims
• Financial counselors, responsible for face-to-face communication with patients when questions arise regarding balances owed

Knowledge and Skill Requirements

• Strong knowledge of NextGen billing system (both EHR and EPM).
• Strong knowledge of revenue and employee management
• Strong knowledge of billing and coding rules for health care
• Strong knowledge of healthcare payer contract compliance concepts and standards
• Proven experience in billing, coding, fee schedule evaluation, and regulatory compliance
• Knowledge of CMS guidelines for DME billing
• Intermediate-level skills with Microsoft Excel
• Ability to navigate payer websites and interpret payer fee schedules
• Ability to manage hybrid staff working in multiple states as well as on-site

Required Qualifications

• Minimum of five (5) years medical office management and leadership experience that includes Revenue Cycle Management processes
• Experience with medical coding
• Familiarity with Drug Code Units and ASP calculations
• Bachelor degree in health care management or business; experience may substitute for degree when combined with Associate Degree relevant to management or equivalent

Core Competencies

- Synergy: Through collaboration & continuation improvement

- Empathy: Through compassion & patient-centered care

- Integrity: Through trust & ethical accountability

- Optimization: Through operational efficiency

The mission of OrthoAlaska is to deliver extraordinary, individualized healthcare to all Alaskans and visitors, restoring their health and function following injury or illness and maximizing their ability to fully engage in all life has to offer. Currently, we have offices in Anchorage, Wasilla, Eagle River, Kodiak, Soldotna and Seward.

Employees enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk-in, rheumatology clinics, podiatry clinics, primary care clinics, an imaging center, athletic training and physical, occupational and massage therapy.

OrthoAlaska values quality, patient-centered care, personal fulfillment through continuous improvement, team development, and community service. We welcome applicants who embrace our same core values and possess a daily renewed attitude of excellence.

OrthoAlaska is proud to provide equal employment opportunities to all applicants and employees without regard to race, color, ancestry, national origin, sex, sexual orientation, gender identity, marital status, religion, age, pregnancy, protected veteran status, disability, or other protected categories.

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