Manager - Revenue Cycle (76214)

At CrescentCare, we bring caregivers and the community together as partners in health and wellness for all. Our experience builds on more than 40 years of impact. In 2014, we became a Federally Qualified Health Center to offer an expanded range of health and wellness services for anyone and everyone who is seeking healthcare services in Greater New Orleans and Southeastern Louisiana.

Our Mission

Strengthening our entire community through whole-person healthcare and education.

Position Summary

This position is responsible for managing all aspects of the revenue cycle functions for CrescentCare a Federally Qualified Health Center.  These functions include, but are not limited to, claims submissions, managing denials and rejections, coding services, payment recording, credentialing services and collections.  This position is responsible for ensuring compliance with insurance billing and coding standards (Medicare, Medicaid, Private) and the American Association of Professional Coders (AAPC) standards.  The Revenue Cycle Manager is the lead team member responsible for patient financial services including counseling and collections.  This role manages the billing components of the electronic medical record software including interactions with the clearinghouse.  The position requires implementing procedures and workflows within the billing and credentialing functions to maximize efficiencies and collections.  This role ensures compliance with payer contracts and federal, state and HIPAA privacy and security regulations.  The Revenue Cycle Manager is an integral part of the Finance department leadership team and works closely with the CFO in the implementation of revenue cycle strategy and goals.

Key Duties and Responsibilities

• Managing and supervising the daily operations of the revenue cycle team
• Ensuring all billing and collection procedures adhere to legal and health insurance policies
• Developing strategies to improve and optimize the revenue cycle process
• Managing the patient financial services
• Responsible for appeals management
• Responsible for payer enrollments with the clearinghouse
• Preparing and presenting reports on the status of accounts and collections
• Overseeing the credentialing functions including payer relationships
• Maintaining up-to-date knowledge of coding, billing and regulatory standards
• Ensuring patient confidentiality and data privacy in compliance with relevant laws 

Qualifications

Education & Work Experience

• 5 years of healthcare Revenue Cycle experience
• Bachelor’s degree in finance, health management or similar degree required or additional 2 years of experience in healthcare finance with one of the following certifications:
  • Certified Revenue Cycle Representative (CRCR)
  • Certified Revenue Cycle Executive (CRCE)
  • Certified Professional in Healthcare Information and Management Systems (CPHIMS)
•  2 – 3 years of supervisory experience is required
• eClinical Works knowledge is preferred
• Federal Qualified Health Center (FQHC) billing experience is preferred

Other (licensure, certifications)

•  Certificate in medical billing and coding or both preferred. 

ESSENTIAL PHYSICAL REQUIREMENTS 

• Extended periods of sitting required.
• Work is primarily office based
• Some travel may be required

We believe the investment we make in our employees is among the most important. Our compensation package includes:

• Comprehensive medical and prescription drug coverage options
• Health Savings Account (HSA)
• Employer-paid Dental
• Employer-paid life insurance & AD&D
• Employer-paid Wellness Program
• Employer-paid Employee Assistance Program
• Employer-sponsored vision insurance
• Employer-sponsored short-term disability insurance
• Vacation time (accrue 10 days in first 12 months)
• Sick time (accrue 8 days in first 12 months)
• Eleven (11) paid holidays
• 401(k) retirement plan with employer match beginning in employee’s second year