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

    The Warren Center
    The Warren Center Richardson, United States

    3 weeks 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 SOPs 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 thirdparty 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 thirdparty 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:
    Bachelors 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 Centers 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 Description

    At 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.



    • 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.
    • 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.
    • 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.

    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.

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