Revenue Cycle Manager - TRH
Hawkinsville, GA 31036
3/17/2025
Position Description
Responsible for overall functions of the Business office, supervising staff, monitoring productivity and reports to insure timely and accurate reimbursement.
Job Duties:
- Provides oversight and accountability to the Business Office, Registration, Data Processing, Financial Counseling, Denials Management and Precertification department.
- Assists the Revenue Cycle Director
- Reviews electronic claims workflow for current and pending claims
- Reviews denial management for discrepancies and inefficiencies
- Monitors reports for accuracy and timeliness of billed claims and follow-up
- Monitors and reviews patient outstanding balances, collections and bad-debts
- Reviews remittance advices; determines problems causing rejections and denials
- Ensures that the pre-cert department is obtaining prior authorizations or approvals in a timely manner
- Communicates with third party payers in regards to claims processing difficulties or new processing procedures
- Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
- Maintains an effective and efficient workload for each hospital biller
Education:
- High School Diploma or Equivalent
- Bachelor’s Degree in related field is preferred – experience in lieu of education may be substituted
Training/Experience:
- 2 years supervisory experiences required
- 3 years Billing/AR – Denial Management with hospital and/or professional claims which demonstrates attainment of the required requisite job knowledge and abilities.
Skills/Qualifications:
- Proficient in Microsoft Office products, specifically Excel
- Proven leadership skills and ability to gain cooperation and support from a diverse body of individuals
- Highly dependable in both production and attendance
- Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions.
- Exceptional organization, problem solving, and time management skills with an attention to detail
- Excellent verbal and written business communication skills sufficient to clearly document issues and effectively communicate.
- Promote the mission, vision, and values of Taylor Regional Hospital.
- Maintain confidentiality of all patient, medical, financial, and legal information.
- Represent the organization in a positive & professional manner.
- Ability to handle difficult situations involving patients, physicians, staff and others in a positive and professional manner.
- Comply with all organization policies and standards
- Consistently demonstrate the value of team concept.
- Understands and abides by OSHA, HIPAA and CLIA standards
- Understanding of HIPAA regulations and proven ability to ensure confidentiality with respect to sensitive information
Type: Full-time