Revenue Cycle Manager

Vitra Health is hiring, and we believe that our team is the key to our success. That is why we are looking for a Revenue Cycle Manager to join our team. If you're a passionate, caring, motivated professional who is looking to make a difference in your community, we encourage you to apply today!

The Revenue Cycle Manager  manages all activities, processes, and functions of Revenue Cycle Operations for Vitra in accordance with state and federal regulatory mandates and best practices. In addition, the position is responsible for tracking, monitoring and maintaining all key revenue cycle metrics and proactively identifies revenue and process opportunities.

Perks and Benefits:

• Health Insurance with a 75% employer contribution!
• Dental and Vision Benefits
• Supplemental Benefits including Life, Accident, Critical Illness and Disability Insurance.
• 401K with a company match
• Generous Paid-Time-Off
• Competitive pay rate
• Unique one-on-one care environment
• Supportive team structure and company culture with a focus on work/life balance
• Wellness Benefits
• Tuition Reimbursement 

Essential Functions:

•  Ensures accurate billing, timely collections, and compliance with regulatory requirements to optimize revenue generation.
  
• Monitors accounts receivable aging reports and follow up on outstanding balances.
  
•  Investigates and appeal denied claims to maximize reimbursement.
  
• Maintain up-to-date knowledge of billing regulations and compliance standards.
  
• Generates financial reports related to revenue cycle performance.
  
•  Identifies opportunities for process improvement to enhance revenue cycle efficiency.
  
•  Monitor billing performance metrics, analyze trends, and identify areas for improvement in revenue cycle processes.
  
• Supervises and monitors revenue cycle staff to ensure that claims and reauthorizations are processed accurately and in a timely manner
  
• Managing the billing cycle to ensure all claims are billed accurately and on time
  
• Implements policies shifts to reduce errors and improve patient outcomes
  
• Works closely with compliance to ensure billing practices are aligned with state and federal laws
  
• Scrutinizes and creates reports to identify trend and process gaps.
  
• Identifies and resolves issues with individual insurance companies' accounts receivables, and preparation and presentation of monthly reconciliation.
  
• Maintains knowledge of State and Federal billing regulations, CPT and ICD9 codes, and provides supervision and guidance to revenue cycle accordingly.
  
•  Closes system revenue and accrual within five working days after month end.
  
• Responds to, and provides guidance to, address inquiries and requests from clients and third-party payers and resolves/follow-ups with policies.
  
• Provides supervision and training of staff and software and knowledge of regulations concerning their areas of responsibility.
  
• Meets weekly with staff to foster communication on issues, ongoing training, and problem solving.
  
• Provides guidance and management to staff on issues related to maximizing revenue and services provided, and to support accurate documentation and data collection reflecting services.
  
• Participates in meetings with management, supervisors, and other departments to represent client account activities.
  
•  Interviews, selects, makes recommendations and important personnel actions and procedures related to patient accounts staff, and evaluates staff on an annual basis.
  
• Serves as a liaison with the operations team.
  
• Ensures revenue cycle team maintains denial management and rules building to ensure accounts are processed timely and accurately.
  
• Monitors the payment reconciliation process with the accounting department for accuracy and compliance.
  
• Sets up the reporting system for data controls to identify and correct operational issues.
  
• Maximizes the electronic collection process for patient accounts over 60 days (about 2 months); and,
  
• Interacts with Vitra departments and outside vendors and payer representatives to address account resolution barriers.
  
• Supervises month end revenue cycle processes.
  
• Monitors the billing staff activity, accounts receivables, and denials.
  
• Maintains and shares current knowledge of billing regulations.
  
• Responds to and facilitates staff response inquiries and requests from clients and third-party payers.
  
• Reviews or supervises review of accounts with staff and reviews write-offs with Controller.
  
•  In collaboration with finance leadership, supports negotiations with payers and development of contracting strategies.
  
• Supports, develops, and engages with Leaders in their various functional areas throughout the organization to optimize revenue operations in their departments.
• Serve as a brand ambassador for Vitra reflecting our vision, mission, and values. 
• Show a genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members. 
• Mentors and supports team members. 
• Other duties, responsibilities and opportunities as needed. 

Competencies Required:

• Patient accounting or business services department in a health care related field
• Data processing and billing systems as they relate to health service financial accounting and billing
• Principles of patient relations and customer service
• Principles and practices of continuous quality improvement
• Requires the ability to develop policies, procedures and processes
• Ability to analyze data and interpret statistics; to create a variety of narrative, statistical, and reports, including trend analysis; to identify and resolve problems; and to interpret guidelines and regulations
• Basic methods and procedures of financial record keeping
• Standard accounting procedures in relation to billing, collections, and health center revenue cycle
• Federal, State, and private health insurance programs, billing, eligibility standards, and coding
• Emerging trends regarding clinical, educational, and technological developments in the health care industry
• Principles and practices of organization, administration, personnel management, labor relations, cost center management, and budgeting; and,
• Principles and practices of conducting and responding to internal and external fiscal audits

Education, Experience, and Licensure Requirements:

• A minimum of three (3) years of full-time or its equivalent experience in an administrative, managerial, or supervisory position with direct responsibility for delivery of patient business services, patient accounting services, insurance billing services, collection services or patient financial counseling services in a health care services organization.
• Bachelor's degree in finance, business administration, healthcare administration, or related field Preferred (Or equivalent Work Experience)
  
• Proven experience in healthcare billing
  
• Sound knowledge of health insurance providers
  
• Strong interpersonal and organizational skills
  
• Excellent customer service skills as well as problem-solving skills
  
• The ability to work in a fast-paced environment
• Proficiency in analyzing financial data, identifying trends, and implementing strategies for revenue enhancement and process improvement.
  
• Thorough understanding of healthcare regulations, compliance standards, and their application in billing practices.
  
• Ability to identify billing issues, propose solutions, and implement changes to improve revenue cycle efficiency.

Physical and Environmental Demands:

Works in a clean well-lit environment with fluctuating temperatures in close proximity to others. Requires substantial periods of repetitive work utilizing a computer, headset, monitor, keyboard, and mouse. Requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual, hearing acuity and manual dexterity to operate equipment.

Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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