Revenue Cycle Manager

Company: Indian Health Service
Location: Dowagiac
Posted on: August 6, 2022

Job Description:

Summary:For further information and how to apply, contact directly: Priscilla Gatties Director of Health Services Department of Health Services (269) 462-4403 desk (269) 783-9102 cellPokgnek Bodwadmik POKAGON BAND OF POTAWATOMI www.PokagonBand-nsn.govPokagon Band of Potawatomi is searching for a full-time Revenue Cycle Manager for their multi-disciplinary Tribal Health Clinic in Dowagiac, MI. The Revenue Cycle Manager will support and participate with leadership in facilitating processes, systems, and procedures to ensure compliance and necessary changes in the tribal healthcare environment that impact revenues. They will optimize the healthcare revenue cycle process, including registration, health information management, charge capture, charge posting and remit, denials, statements, and payor credentialing. As a member of the team, you can expect: Competitive compensation package commensurate upon experience Benefits package valued at an additional $30,000 annually. Outstanding medical, dental, and vision plans (low cost), PTO (up to 4 weeks accrued in the first year), 15 paid holidays, defined pension plan, 401k, life insurance, disability, and various discount programs. Professional Development - Allowance provided each year towards training and continue education. Experienced Support - Pokagon Health Services has served the Native American community in Southwest Michigan for a number of years and has a robust leadership team with many years of experience to support operations. New facility - Pokagon Health Services was built in 2014 and expanded to almost double its size in 2019. The facility houses a pharmacy, primary care clinic, dental clinic, behavioral health clinic as well as an administration wing. An on site wellness center is available to all employees. Relocation fees - competitive with area practices.Duties:Essential Functions: Provide the overall direction, coordination, evaluation, coaching, and development of staff.This includes interviewing, hiring, orienting, and training employees; planning, assigning, and directing work; providing timely feedback, appraising performance, and providing professional development opportunities; and rewarding and disciplining employees.Proactively address and resolve staff concerns and explore and implement methods and procedures for improving departmental workflow and service to Tribal Citizens. Directly oversee Medical and Occupational Health billing and processes; provide support for Dental and Pharmacy billing as well as all other revenue generating components of the Department of Health Services. Ensure compliance with Medicare, Medicaid, and insurance carrier guidelines related to documentation and coding. Interpret Explanation of Benefits (EOBs) and analyze billing components. Monitor submitted claims, unpaid claims, initiate tracers and ensure that rejected claims are resubmitted as necessary. Provide technical assistance to providers and staff on billing, coding, credentialing, and payor guidelines to maximize revenue capture. Manage revenue cycle and develop process flow improvements for all related functions from front-end to back-end. Work directly with government and commercial carriers to ensure appropriate payments, timely payments, and understanding of current payment policies. Review and analyze the fee schedule and implement updates based on changes in the reimbursement environment and other relevant factors. Track, analyze and report healthcare revenue cycle key performance indicators. Communicate performance measures and expectations to all employees involved in revenue cycle activity, provide feedback and support, and ensure proper training and tools for employees to perform work duties effectively. Drive improvement initiatives in billing strategies, minimize bad debt, manage claim denials and accounts receivables, and conduct internal audits. Monitor and enforce internal financial policies and procedures for the department and participate in budget formulation and monitoring and provide annual budget revenue assumptions. Monitor budget expenditures and recommend changes to the Director of Health Services. Assist department supervisors in grant budget formulation and provide oversight to the tracking of grant revenues and expenses. Assist Department Director in liaising with local, state, and federal departments to leverage Tribal healthcare billing and grant resources and policies.Qualifications:Requirements: Bachelor's degree in finance/accounting, healthcare management, business administration or related field from an accredited institution whose program of study has been recognized by the Council for Higher Education Accreditation or the United States Department of Education, plus two (2) years revenue cycle management experience or a combination of years of education and revenue cycle management experience to equal no less than six (6) years. Supervisory experience preferred. Knowledge of current ICD, third-party billing practices and healthcare compliance guidelines and regulatory standards required. Excellent presentation, communication, and interpersonal skills; and the ability to speak effectively before groups of employees and respond to questions. Proficiency with MS office applications is required and knowledge of EPIC, Computer RX, Eaglesoft and Fuse preferred. Experience working in Tribal Healthcare preferred.Work Type:Permanent, FullAnnouncement #:Revenue Cycle ManagerWho May Apply?US Citizens

Keywords: Indian Health Service, South Bend , Revenue Cycle Manager, Accounting, Auditing , Dowagiac, Indiana