Facility Revenue Manager, Ambulatory Surgery Centers

Posted 15hrs ago

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Job Description

Revenue Manager for Patient Revenue Management Organization overseeing charge capture and coding processes. Leading reporting and staff performance monitoring efforts in a healthcare setting.

Responsibilities:

  • Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, or other PRMO functions within the assigned clinical area.
  • Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections.
  • Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for the assigned clinical area.
  • Review and recommend changes/updates to the department's charge master(s) to maintain fees at levels that maximize reimbursement.
  • Review and recommend changes to the department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT/HCPCS and ICD-10 updates.
  • Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement.
  • Work with financial analysts, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues.
  • Act as a liaison to management and staff in the designated clinical area, Patient Revenue Management Organization (PRMO); Duke University Health System (DUHS); Duke Health Integrated Practice; and third-party payers on revenue cycle activities for assigned areas.
  • Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area.

Requirements:

  • Bachelor’s degree required.
  • Master’s degree preferred.
  • At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity/Revenue Management is required.
  • Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative), or BSN RN preferred.
  • Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with Hospital leadership.
  • Strong oral and written communication skills.
  • Excellent problem solving, analytical, and technical troubleshooting skills.
  • Prioritization skills and ability to manage multiple projects concurrently.
  • Ability to work on a flexible schedule.
  • Strong research and documentation skills.
  • Ability to work independently.
  • Intermediate to expert in Microsoft Excel, PowerPoint, Teams, Word, Visio and Outlook.

Benefits:

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Professional development opportunities