Revenue Cycle Manager

Summary

The Revenue Cycle Manager oversees the billing unit (Billing Leads, Medical billers/payment posting staff) and makes day-to-day decisions at Alliance Medical Center. The manager is responsible for understanding billing policies & procedures within regulatory mandates, assisting with follow-up on insurance, Medi-Cal, and Medicare claims. Assists in submissions of appeals as needed. Stays updated on all claims and their related AR statuses and issues for discussion with the director. Effectively manages claim corrections and rejections.

Some Essential Duties and Responsibilities Include:

· Provides ongoing billing leadership and support to Biller/Coder.

· Oversees Billing staff activities, which include work allocation and being available for staff needs.

· Plans, manages, and coordinates with the management team as it relates to billing and collections work loading and productivity tracking.

· Assists in the follow-up of claims and obtaining statuses using payor outreach (website & phone), clearinghouse, and EPIC.

· Understands and remains updated with current coding and billing regulations and compliance requirements.