Location
Remote | United States
Job description
Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with independence and dignity at home. Our team supports 66,000 clients monthly with the help of 49,000 compassionate caregivers across 12 states. We’re focused on serving people and the communities we are part of.
Job Summary:
Overall responsibility for the Revenue Cycle Management function within the entire RCM team. Directs the activities of an assigned team, resolves moderately complex problems and is accountable for the accuracy and timeliness of data generated by this function. Primary responsibilities include managing and directly overseeing billing, collections, A/R denial management and cash posting for all branch locations in assigned markets. Position reports to the RCM Senior Manager, who leads Revenue Cycle Management receivables within assigned markets.
As a People Leader:
- You lead with empathy, vulnerability, and honesty.
- Must have a love of learning.
- Endless curiosity and an enthusiasm for continuous improvement
- Team-first mindset
- Empower and inspire full time associates through coaching.
- Hold others to high standard.
- Knows how and when to celebrate success.
Essential Duties/Responsibilities:
- Direct growing team of RCM Specialists that specialize in billing, accounts receivable collections & account maintenance. Supervise assigned personnel, mentoring, and coaching to achieve highest level of competency of staff. Ensure departmental goals are met by providing daily guidance to staff to ensure work is done efficiently and timely.
- Identify deficiencies and work to improve them through collaboration within the team and with other departments.
- Ensure client billing data is accurately entered into the system, including payor information and service charges.
- S ubmit claims to payors in accordance with payor requirements and agency policy.
- Supervise claim rejection and denial process by maintaining complete and accurate accounts receivable records to ensure claims are submitted and paid in full.
- Analyze daily remittance reports and reconciling the approved payments. Must be able to: Identify missing or pending invoices or remittances. Create an aging report for follow up with payers. Maintain accurate billing analysis reports and communicating implications promptly to the appropriate parties. Review all write off, refund and takeback requests. Communicate with contracted payers for resolution of issues and submission of exception requests, disputes, and appeals.
- Create SOP documentation and process maps, updating with any process changes.
- Develop reporting tools to track key performance indicators to monitor and manage overall performance. Present KPI’s to leadership team regularly.
- Set department goals, measuring performance at regular intervals to track, monitor, and coach to ensure standards are met and maintained.
- Partner in the creation, refinement and management of new business lines and/or processes.
- Actively contribute to and/or lead company-wide Revenue Cycle Management related activates and visioning. Support the planning of strategic direction and future state of the organization as it relates to revenue cycle management operations.
Required Skills and Abilities:
- Think analytically with the ability to perform root cause analysis, prepare and implement action plans, and lead improvement initiatives.
- Ability to provide coaching and performance management.
- Analytic and persistent; able to get to the root of problems. Self-motivated; reliable; strong attention to details; maintains confidentiality; complies with all policies and procedures.
- Demonstrates maturity and the ability to function as a team member; good communication skills.
- Able to supervise staff and coach them to improve functioning and overall agency services. Organized, assertive, mature, approachable and open-minded. Willing to take initiative. Identifies and progresses toward meeting personal and professional goals.
- Able to deal with stress and conflict appropriately.
- Demonstrate ability to work effectively at both granular and big-picture levels.
- Strong communication skills, oral and written.
- Advanced computer skills, including the use of Microsoft Office applications (e.g. Word, Excel)
- Ability to generate and utilize Microsoft Excel advanced formulas, pivot tables, power queries and advanced charting required.
Education and Experience:
- Bachelor’s degree and/or five (5) + years of revenue cycle experience.
- Prior healthcare revenue cycle management/billing experience is required.
- Knowledge of Home Care service technology, Long Term Care Insurance, Medicaid and Medicare is preferred.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.
Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.
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