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    Revenue Cycle Manager - Buffalo, United States - Harmonia Collaborative Care

    Harmonia Collaborative Care
    Harmonia Collaborative Care Buffalo, United States

    4 weeks ago

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    Description

    Job Description

    Job Description

    This position is on site only, no remote work will be considered.

    Looking for one of WNY's Best Places to Work?Join Harmonia Collaborative Carelife. with. balance.Some things you can look forward to at Harmonia:$3,000 Sign-On Bonus13 Paid Holidays 2 Mental Health DaysGenerous PTOSustainable expectations for the positionWork, life, balanceWelcoming team environment

    Job summary

    The Revenue Cycle Manager will be responsible for all mental health clinic billing and overseeing of billing staff for Harmonia Collaborative Care Inc. This will include billing, accounts receivable management and assisting in credentialing needs with outside credentialing service agency.

    Job Responsibilities

    1. Coordinate with Director of Clinics that all notes are created and signed to support billing timelyProcess billing of behavioral health insurance claims and private billing of client accounts. All billing must be complete, accurate and submitted on a timely basis
    2. Achieve maximum reimbursement for services provided.
    3. Use diligence in follow-up of rejections/denials from insurance billing using Ability software as well as denial management report.
    4. Responsible to ensure client eligibility and benefits verification occurs for client services.
    5. Advocate for mental health clients in processing of health insurance claims.
    6. Provide management reporting including Accounts receivable aging; cash receipts aging; denials and write-off report; any issues/trends seen during billing or posting activities; regulation changes
    7. Keep abreast of regulation changes including attending National Council weekly billing meetings, read insurance company monthly update notices, relevant trainings
    8. Develop a relationship with billing software vendor.
    9. Optimize use of billing software; set up and address vendor tickets to manage software issues; add and remove users.
    10. Comply with all Federal and state regulations and agency policies including HIPAA and false claims laws.
    11. Other duties as assigned by supervisor.

    Compliance and Values

    All employees are expected to provide the highest level of service to Agency patients. Their work ethic is expected to reflect Harmonia's core values

    All employees are expected to obey all laws and regulations governing our Agency and to be accountable for compliance at all times.

    Skills and Abilities

    • Ability to follow direction and take independent action.
    • Ability to be proactive and take initiative.
    • Knowledge of billing regulations and processes.
    • Strong problem-solving skills and sound judgement to resolve issues and reconcile accounts.
    • Strong organizational skills and detail-oriented, exhibiting a high level of quality through attention to detail and monitoring of work.
    • Excellent verbal and written communication, as well as exceptional interpersonal communication skills.
    • Demonstrate knowledge of computer skills, including Microsoft Excel, knowledge of billing software programs. TenEleven ECR.
    • Knowledge of client service principles and practices.

    Education and Experience

    • Minimum Degree Required: Associate degree or similar combination of education and experience
    • Minimum 3 years' experience in a healthcare setting
    • Managerial experience in revenue cycle administration

    Work environment

    • Work is performed in an office setting.
    • Physical demands of position: sitting, standing, walking, typing, phone communications, face-to-face conversation.

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