Revenue Cycle Manager, Billing

Summary

Join Surgical Notes RCM as the Manager, Revenue Cycle-Billing and oversee, enhance, and maintain a high-functioning revenue cycle process. You will manage a team of Medical Collectors/Accounts Receivable Representatives, ensuring revenue and metric goals are met. This role requires expertise in various insurance carriers and the ability to resolve billing issues. You will report key performance indicators (KPIs) and work independently to resolve problems. The position demands strong communication, organizational, and problem-solving skills within a fast-paced environment. The ideal candidate will possess extensive experience in ASC revenue cycle management and billing.

Requirements

• High school diploma or equivalent
• 3 years of experience in ASC, Hospital management, or with other healthcare provider revenue cycle operations
• 3 years of management experience in revenue cycle managing either people or projects
• 3 years of experience in billing
• Knowledge of ICD-10, CPT code, EOBs, financial reports, state and payer specific rules
• Understanding of HIPAA regulations
• Working knowledge of all major payers including Workers’ Compensation and Auto
• Ability to work under pressure while successfully meeting deadlines
• A positive, open and friendly attitude to colleagues and clients
• Excellent organization, time management, and prioritization skills required
• Superior customer service and professionalism
• Research capabilities when confronted with an issue
• Advanced Microsoft Excel skills
• Proficient Microsoft Outlook skills
• Proficient Microsoft Word skills
• Ability to work independently and as part of a team
• Strong attention to detail and speed while working within tight deadlines
• Exceptional ability to follow oral and written instructions
• A high degree of flexibility and professionalism
• Excellent organizational skills
• Outstanding communications skills; both verbal and written

Responsibilities

• Provide optimal customer service to both our clients and internal team
• Track and communicate billing kpis
• Meet tight deadlines
• Demonstrate a high level of commitment to customer service in responding to the needs of internal and external parties or departments
• Review billing for clients by reviewing and resolving billing queries, confirming the billing team resolved the answers to previous days’ queries, QA for problematic/high priority cases for charges entered, HST hard post transactions, submission of posted charges via Waystar, paper/Waystar, paper/non Waystar, and Fax
• Manage Waystar rejections and fix COB errors
• Ensure billing rules are kept current and followed
• Reconcile unbilled cases against PAS on a minimum of a weekly basis
• Complete end of month duties
• Review the unbilled report by sharing the client unbilled report weekly and review the unbilled report daily for discrepancies or issues
• Responsible for the forward to billing queue weekly
• Maintaining regular open communication with coding department
• Maintain communication and escalate issues as needed to Senior Manager
• Other responsibilities as assigned

Preferred Qualifications

• Associate's Degree in Healthcare Management, Business Management or related field
• Experience working in the majority of the following Practice Management Systems: Amkai, HST, SIS, Advantx, Vision, EPIC Resolute, etc
• Experience with Accounts Receivable in an ASC
• Strong Microsoft Office skills in Excel, Outlook, and Teams

Benefits

• Eligible for Benefits
• Remote: The minimum bandwidth requirements are 10 Mbps upload and 50 Mbps download speeds. The recommended bandwidth requirements are 20 Mbps upload and 100 Mbps download speeds