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    Revenue Cycle Manager, Medical Billing - Richardson, United States - The Warren Center

    The Warren Center
    The Warren Center Richardson, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Summary

    The Revenue Cycle Manager supports the overall mission of The Warren Center by overseeing the development, implementation, management and reporting of the medical billing and revenue cycle management functions.

    Essential Duties and Responsibilities

    To perform this job successfully, an individual must be able to perform the following satisfactorily. Other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    • Provides leadership and administrative direction to the revenue cycle function
    • Reviews and ensures standardized billing department policies and procedures are maintained and that operations comply with SOP's to maximum collections and maintain regulatory compliance, acting as a liaison among Accounting, Billing, Operations and Clinical staff
    • Review, analyzes and interprets financial data to monitor progress toward established goals, identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results
    • Develop and implement internal employee and business metrics in order to refine processes and improve efficiencies
    • Liaison with ProviderSoft medical billing system and third–party vendor to solve database issues as they arise
    • Oversee communication with operations team to ensure efficient processes are understood and implemented in accordance with policies and procedures, and denial reports are provided, and root causes are resolved
    • Responsible for accurate and timely billing, data e for accurate and timely billing, data entry, charge corrections, adjustments and Denial management
    • Oversees the management of the EDI functions as they relate to electronic claims submission, denial management, and related systems for scope of business
    • Review reimbursement levels to determine when changes take place and keep abreast of changes in the industry that will impact charging patterns and reimbursement levels
    • Responsible for the organizational structure required to maximize results and control costs
    • Ensure compliance with relevant regulations, standards and directives from regulatory agencies and third-party payors including enrollment, contracting and credentialing of providers
    • Maintain appropriate internal control safeguards over financial records and collection of cash
    • Monitor aged accounts and verify appropriate collections procedures are being followed
    • Regularly provide upper management with revenue cycle status including reports, metrics and presentations
    • Contracting and credentialing
    • Resolve escalated reimbursement issues with third–party payors and systems for optimal management of accounts receivable
    • Responsible for understanding and following all rules in the reimbursement guide as identified by HHSC and the division for early childhood intervention services
    • Perform other duties as assigned

    Education and Experience

    Education

    • Required: Bachelor's degree in business or systems management, or equivalent experience with medical billing

    Experience

    • Required: Minimum five (5) years working with revenue cycle management
    • Preferred: Management of data systems, business processes, and supervision of data end user

    Additional Technical Skills, Traits and Knowledge

    To perform this job successfully, an individual must be able to perform each qualification satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

    • High energy and passion for The Warren Center's mission is essential
    • Ability to manage a team of dynamic individuals
    • Self-starter who takes initiative with the ability to follow through
    • Ability to effectively work both independently and collaboratively with a wide range of staff, Board leadership, volunteers, external professionals, and families
    • Strong interpersonal skills with an energy and enthusiasm to build and sustain relationships with those within and outside of The Warren Center
    • Strong written and oral communication skills
    • Flexible, creative, and dependable
    • Strong organizational and time management skills with exceptional attention to detail
    • Strong analytical skills
    • Thorough knowledge of Windows and Microsoft Office Suite: including Word, Excel, PowerPoint, Outlook, OneDrive, and Teams

    Environment

    The physical requirements and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

    • Frequently required to use hands to finger, handle, or feel, and use keyboard as well as see, talk or hear
    • Occasionally required to stand and move around for work
    • Moderate stress level
    • Long periods of sitting
    • The noise level in the work environment is usually moderate

    Equal Opportunity Employer

    The Warren Center is an Equal Opportunity Employer and we believe in an inclusive culture for all. The Warren Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    Company DescriptionAt The Warren Center, our mission is to advocate, serve and empower children and families impacted by developmental delays and disabilities.

    We help children to reach their developmental goals through individualized therapy-based care and equip parents through monthly education workshops and support groups so they can be a confident advocate for their child.

    1. Early Childhood Intervention (ECI): Serving over 1,000 each month, this program provides evaluations and personalized therapy sessions to children from birth to three years of age and includes occupational and physical therapy, speech and language therapy, feeding and nutrition therapy, developmental therapy, and transition assistance to additional services.

    2. The Warren Center Clinic Therapy Services: This program served 163 children last fiscal year. We enroll children aged three to five, and continue to serve them as they get older. Our licensed speech-language pathologists, occupational therapist and physical therapist focus on communication, social, sensory, and motor/ coordination skills utilizing our sensory gym, outdoor therapy yard, motor room, small therapy rooms and group classroom.

    3. We also help parents whose children are in a program with family education and support services which include monthly education workshops, respite care and support groups – plus guidance to other needed services and resources.

    The Warren Center ECI program has a service area of 48 zip codes including Addison, Carrollton, Coppell, Farmers Branch, Garland, Irving, Lake Highlands, Lakewood, North Dallas, Park Cities, Richardson, Rowlett, Sachse, and Wylie. We have three office locations in Richardson, Garland, and Carrollton. We make referrals to any family who needs help regardless of their city of residence.

    Our Clinic Therapy Services and Family Education & Support Services is open to the entire DFW Metroplex and is not dependent on location.

    Company Description

    At The Warren Center, our mission is to advocate, serve and empower children and families impacted by developmental delays and disabilities.\r
    \r
    We help children to reach their developmental goals through individualized therapy-based care and equip parents through monthly education workshops and support groups so they can be a confident advocate for their child.\r
    \r
    1. Early Childhood Intervention (ECI): Serving over 1,000 each month, this program provides evaluations and personalized therapy sessions to children from birth to three years of age and includes occupational and physical therapy, speech and language therapy, feeding and nutrition therapy, developmental therapy, and transition assistance to additional services.\r
    \r
    2. The Warren Center Clinic Therapy Services: This program served 163 children last fiscal year. We enroll children aged three to five, and continue to serve them as they get older. Our licensed speech-language pathologists, occupational therapist and physical therapist focus on communication, social, sensory, and motor/ coordination skills utilizing our sensory gym, outdoor therapy yard, motor room, small therapy rooms and group classroom.\r
    \r
    3. We also help parents whose children are in a program with family education and support services which include monthly education workshops, respite care and support groups – plus guidance to other needed services and resources.\r
    \r
    The Warren Center ECI program has a service area of 48 zip codes including Addison, Carrollton, Coppell, Farmers Branch, Garland, Irving, Lake Highlands, Lakewood, North Dallas, Park Cities, Richardson, Rowlett, Sachse, and Wylie. We have three office locations in Richardson, Garland, and Carrollton. We make referrals to any family who needs help regardless of their city of residence.\r
    \r
    Our Clinic Therapy Services and Family Education & Support Services is open to the entire DFW Metroplex and is not dependent on location.
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