Manager, Revenue Cycle #605563

Job Description

Position Summary

The Revenue Cycle Manager is responsible for managing the revenue cycle for Campus Health Services. This individual is responsible for managing day-to-day billing operations within CHS. With the Associate Vice President and Director of Operations, this individual is responsible for managing the student health insurance. This position requires strong leadership skills with the ability to prioritize, plan, and assist the Director of Operations.

Responsibilities and Duties

• Manages overall medical billing operations.
• Ensuring accurate claim submission and performing account reconciliations.
• Oversees aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements.
• Oversees private payer health insurance claims filing, collection, and reimbursement schedules.
• Ensure compliance with all federal and state regulations.
• Reviews and analyzes customer accounts, identifies trends and issues, and recommends solutions.
• Works collaboratively with the IT team to ensure systems integrity for billing and accounting functions.
• Responsible for maintaining payer credentialing for all providers as well as CAQH database.
• Identifies and implements strategies to improve internal and customer processes.
• Manages the Student Health Insurance plan including enrollment, capitation payments, marketing, data analysis, and communication to the student constituents.
• Monitors fee schedules and insurance denials in order to ensure fully allowed reimbursement.
• Responsible for researching, developing, writing, and updating billing policies, procedures, methods, and guidelines.
• Assists with answering phones, cashiering, closing & completion of daily sales receipts & related daily journal entry.
• Additional duties as assigned.

Minimum Qualifications

• Bachelor’s degree in Business Administration, Accounting, or related field.
• 2-4 years of related revenue cycle experience.
• 1-2 years of management or supervisory experience.
• Any equivalent combination of related education, experience, and training.

Preferred Qualifications

• Certified Medical Coder (CMC).
• Familiarity with PeopleSoft Financials.
• Three to five years’ experience with medical billing, front-office operations, payer and insurance expertise, physician practice management and healthcare business processes.
• Three to five years’ experience with policies and procedures related to medical billing and reimbursement.

Please see nau.jobs for full job descriptions and details on how to apply online!  NAU is an Equal Opportunity/Affirmative Action Institution. Women, minorities, veterans and individuals with disabilities are encouraged to apply.