Revenue Cycle Manager

Elite Sports Medicine + Orthopedics is looking to hire a Revenue Cycle Manager. The Revenue Cycle Manager must have an in-depth knowledge and understanding of the business operations and decision support systems in a successful fast paced practice. The Revenue Cycle Manager should have a proven ability to lead a team as well as being able to take responsibility for the overall performance of the revenue cycle within the practice.

The Revenue Cycle Manager job will include responsibility for the revenue cycle department’s performance. 

Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time team members including: Three Medical Plans Options, Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and retirement pan including employer match, safe harbor, and profit-sharing components.

MINIMUM ESSENTIAL JOB REQUIREMENTS

• Responsible for Departmental Payroll and Time Off Approval, Employee Management and Discipline
• Set priorities and goals and allocate resources appropriately for goal attainment
• Prioritize and handle requests from Director of RC, CFO, CEO and CEO Proxies and Physicians as needed
• Ensure process integrator by overseeing daily and monthly balancing process
• Select, Hire, Orient, Train, Educate, Coach and Supervise Billing and Revenue Cycle Team
• Serve as Primary Contact for complicated and difficult patient billing matters
• Supervise the selection of and inventory of supplies needed to run efficiently such as claim forms, envelopes, storage boxes, etc.
• Manage the preparation of all document storage both on-site and off-site with processes that will enable efficient retrieval as needed
• Ensure timely and accurate departmental reporting as requested
• Manage the Revenue Cycle Back-end Collection process, including staff resources allocation
• Ensure daily and monthly balancing
• Update and maintain working revised insurance plans spreadsheet and send to the appropriate parties monthly or as changes occur
• Review the appeal and denials spreadsheet weekly to insure follow up and address any outliers with the responsible party
• Participate in Management Meetings as direct

​​​​​​​KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS

• At least ten (10) years of related medical job experience required, preferably in orthopedics
• At least five (5) years’ experience in the field of medical business management
• Comfortable using email and interacting various applications
• Knowledge and experience of Billing and Coding procedures
• Strong knowledge of CPT and ICD-10-CM coding and modifier usage
• General understanding of clearinghouse processes and claims management
• Orthopedic claims experience is preferred
• Working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
• Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process
• Knowledge of MS Office Suite including Word, Outlook and Excel
• Strong analytical and reporting skills
• Knowledge of Excel is preferred
• Ability to work standard office equipment (fax, copier, telephone and other devices) and demonstrate proficient use of billing and schedule applications within the software
• Excellent written and verbal communication abilities
• Strong attention to detail and goal-oriented
• Neat, professional appearance
• Numerical and computational skills are necessary to make arithmetic calculations when dealing with patient payments, compiling reports and balancing daily activities
• Excellent clerical and organizational skills are essential to filling correspondence and records as well as to organize daily activities
• Ability to function well in a team environment and desire to continuous improvement

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.