Role Summary:

The Revenue Cycle Manager is responsible for Overseeing and managing the operations of the billing department. Working with the CFO, this role is leads and directs the billing and collection initiatives for both Oregon Urology Institute and Oregon SurgiCenter.

Key Responsibilities and Duties:

• Overseeing and managing the operations of the billing department
• Planning and directing patient insurance documentation, workload coding, billing and data processing to ensure accurate billing and efficient account collection
• Analyzing billing and claims for accuracy and completeness, submitting claims to proper insurance entities and working with denials teams to follow up on discrepancies. Working with insurance companies and clients to collect outstanding balances.
• Auditing current procedures to monitor and improve efficiency of billing operations
• Ensuring that billing operations are conducted in compliance with federal, state and payer regulations, guidelines and requirements. Communicate changes as necessary to leadership team and implement any processes changes, as needed.
• Ensuring procedural requirements are followed and ethical standards for the follow-up of overdue accounts are maintained
• Supervising staff and daily operations of the billing and collections team
• Managing accounts receivable and filing of patient claims
• Ensuring that coding, billing and collections are accurate
• Working with insurance companies and clients to collect all balances

Minimum Qualifications:

• 5+ years knowledge of the healthcare revenue-cycle environment and a strong understanding of medical billing principles are required for this position.
• Experience in revenue-cycle system implementation, configuration, and assessment and knowledge of medical records information systems are important to the role, along with knowledge of medical terminology.
• Medical billing managers and supervisors should have the ability to interpret, analyze and evaluate data and to conduct research to formulate plans and solutions.
• Knowledge of the medical coding, billing, follow-up and collection processes, and of medical records information systems, medical terminology, CPT and ICD-10, is required.
• Healthcare organizations look for those who can handle confidential and sensitive information with discretion and collaborate with administrators, physicians and peers.

Preferred Qualifications:

• An ability to develop, analyze, implement and monitor productivity levels and quality-improvement strategies, as well as the ability to communicate effectively with administrators, physicians and peers.
• A Bachelor's or Associate's degree in business administration, healthcare administration, finance or accounting is preferred
• CPC certification is preferred.

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