Revenue Cycle Management Operations Manager

• Perform quality assurance reviews and revenue cycle audits to ensure that revenue is appropriately captured and adhere to all compliance policies and procedures.
• Manage a growing team of revenue cycle management staff to oversee the Revenue Cycle Management of the company.
• Work with Leadership to help develop new automated processes to create efficiencies within the department.
• Billing claims submission through clearinghouse and directly to school systems and other customers (such as Early Intervention programs).
• Manage all client co-pay billing, tracking and follow-up.
• Manage and report on AR Days.
• Participate in Company month-end closing procedures.
• Establish departmental controls and ensure that deadlines are met.
• Oversee and coordinate the day-to-day operations of the revenue cycle team as it pertains to billing and collections.
• Research and resolve inquiries involving billing discrepancies, client account status, adjustments, etc.
• Trouble shooting of daily functions with intention of resolution prior to escalation to help desk tickets for all billing processes, EMR functionality, and third-party portals used for billing and claims follow up.
• Collaborate with leadership concerning revenue, payers and vendors.
• Ensure payer rejections and denials are worked and resubmitted for timely adjudication.
• Understand, coordinate, and submit receivable write off requests to COO for review and processing.
• Prepare weekly and quarterly reports to be shared with Leadership regarding day to day obstacles in operations, progress, and trends within process to be reviewed and proactively changed.
• Collaborates with VP on interviewing, hiring, evaluations and discipline up to and including promotions and termination.
• Coach, motivate, develop and provide resources and tools to the team.
• Sets quarterly goals for department in line with goals set by the Leadership Team.
• Complete work as described in Billing Specialist job description as needed (direct billing responsibilities).

• 5+ years of medical billing experience. Experience within ABA or a specialty field preferred.
• Associate Degree in Accounting/Finance Management is plus, but not required.
• Strong communication and presentation skills
• Previous medical billing and EMR experience required.
• Proficient in Microsoft Office Suite, and other data collection programs specific to our industry.
• Confident communication skills for fielding calls on behalf of the agency and its representatives.
• Excellent written communication skills for professional emails and various reporting methods.

• Detail-oriented & highly organized
• Communicative & collaborative
• Committed to purposeful care
• Ambition to grow with the company

Helping Hands Family