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Revenue Cycle Manager/Director

Introduction

At averhealth, our mission is to reclaim lives, reunite families, and strengthen communities by creating and providing the smartest, most innovative solutions for substance use disorder treatment and recovery.  We seamlessly integrate every element of our customers’ testing needs including collections, laboratory services, results reporting, and every step in between. By joining averhealth, you will become part of a friendly and fast-growing organization with an important purpose. averhealth has a direct impact on someone’s road to recovery.  

Position Summary

averhealth is seeking a successful Revenue Cycle Manager or Director to manage all activities and workflows between contract to cash. This is an opportunity to develop and implement a formal RCM group within a growing, dynamic healthcare organization

The ideal candidate will have prior experience in revenue cycle operations for a healthcare entity as a practitioner and a leader.

Essential Duties and Responsibilities

  • Ensure revenue is appropriately posted, billed and collected monthly.
  • Design workflows and systems that inspire clean claims.
  • Develop effective claims production plans that maximize team performance.
  • Develop and lead RCM operational process improvements.
  • Maintains accurate records and timely updates for contract conversion/implementation and correspondence with customers and payers.
  • Gathers, prepares and inputs data for financial/departmental reports.
  • Partners with the business development and operations teams to ensure contracting and billing aligns with service delivery.
  • Assesses department performance via data analysis and direct engagement and promptly determines and implements next actions to achieve optimal performance.
  • Researches and implements technology and tools that will maximize efficiency, speed, and organization
  • Communicates promptly and proactively with payers, averhealth team members, clinicians, patients and other stakeholders

Qualifications

  • Bachelor degree and 4-6 years of healthcare revenue cycle operations experience required
  • 3 years of leadership or supervisory experience
  • Direct experience with revenue cycles and processes for all payer types (e.g., self-pay, invoice, third party payer)

Knowledge, Skills, and Abilities

  • Detailed understanding of the revenue cycle process including third-party requirements, Medicare/Medicaid regulations, and electronic filing of claims
  • Deep knowledge of revenue cycle and accounts receivable management solutions, including payment cycles, key trends, and critical success criteria
  • Familiarity with clearinghouse providers
  • Experience with denial management and appeals processes
  • Demonstrated ability to develop and/ or contribute to the development of process standards and standard operating procedures (SOPs)
  • Demonstrated ability to identify performance issues, assess root cause and develop successful action plans for improvement
  • Strong managerial competency with proven track record of developing high-performing teams
  • Ability to work in a fast-paced, service oriented environment
  • Excellent time management/prioritization skills
  • Excellent communication, interpersonal skills and ability to demonstrate emotional intelligence
  • Ability to multi-task and work with a sense of urgency

Compensation and Benefits

  • Salary commensurate with experience
  • Annual performance bonus
  • Health, dental, and vision insurance
  • 401(k) with company match
  • Paid time off
  • Paid holidays
  • Paid community service hours
  • Company-paid life and disability insurance
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