Job Description:

Manager, Revenue Cycle

Job ID

2020-87711

Department

Faculty Practice Support - P

Site

HMH Physician Services, Inc.

Job Location

US-NJ-Hackensack

Position Type

Full Time with Benefits

Standard Hours Per Week

40

Shift

Day

Shift Hours

8:30am - 5pm

Weekend Work

No Weekends Required

On Call Work

No On-Call Required

Holiday Work

No Holidays Required

Overview

How have you impacted someone's life today? At Hackensack Meridian Health our healthcare teams are focused on changing the lives of our patients by providing the highest level of care each and every day. From our hospitals, rehab centers and occupational health teams to our long-term care centers and at-home care capabilities, our complete spectrum of services will allow you to apply your skills in multiple settings while building your career all within New Jersey's premier healthcare system.

The Revenue Cycle Manager will be responsible for essential billing activities for the professional revenue cycle for employed and contracted physician practices, the implementation of policies and procedures and the supervision of the Revenue Cycle staff. Responsible to oversee revenue cycle functions for the HMHMG professional revenue cycle, including monthly, quarterly, and fiscal billing reports; monitor reimbursement trends; investigate revenue cycle problems and formulate solutions. This position focuses on the management and execution of the projects and daily team oversight including leading system implementations and optimization related to pro-fee billing and revenue cycle; The Revenue Cycle Manager serves as the project lead in pro-fee billing and revenue cycle solutions and represents HUMG practices in all system deployment for new practices as well as upgrades, optimization and testing exercises. Emphasis is to be placed on integrating systems into the workflow processes to obtain maximum system benefits. This position also plays a key role in implementing change. The Revenue Cycle Manager, supports professional revenue cycle operations of the physician departments by providing expertise in front-end best practice operations and serving as a liaison to improve financial outcome for the practices.

Responsibilities

A day in the life of a Manager, Revenue Cycle at Hackensack Meridian Health includes:
The Revenue Cycle Manager will generate monthly financial statistical reports for the faculty and external practices. P
- Provide faculty education as it relates to revenue cycle related transactions; direct and schedule required training activities in adherence to Hackensack University Medical Group policies.
- Oversee the collection of data, data entry, and submission into Epic.
- Monitor all aspects of collections; compile and prepare reports for distribution to administration and faculty.
- Serves as a department representative and attend internal and external meetings in order to stay up-to-date on changes in all aspects of the billing and collections process.
- Update fee schedules; and manage master profiles.
- The Revenue Cycle Manager will direct and review Epic analyses, reporting, key performance indicators, and operational metrics.
- Lead/manage all revenue cycle functions related to registration and referrals, billing/coding, insurance follow up, patient statements, payment posting, credit/refund research, etc.
- This includes evaluation of technology, calculation of return on investment, project planning, implementation and management, staff education and training, and ongoing monitoring and optimization.
- The Revenue Cycle Manager will review, monitor, and assist in the explanation of monthly revenue performance against budget and benchmark criteria, prepare revenue analysis in order to maximize reimbursement and assist in the development of the annual revenue budget.
- The Revenue Cycle Manager will communicate revenue performance to the practices across HUMG and help in identifying/implementing improvement opportunities.
- An in depth knowledge of Revenue Cycle Management with the ability to analyze and interpret billing data and reports is required.
- The Revenue Cycle Manager will develop metrics and benchmarks and implement policy and procedures to effectively manage the A/R team and meet collection goals.
- To ensure maximum productivity, the Manager will prepare periodic and annual evaluation of revenue cycle staff through documentation of productivity, accomplishments and error rates.
- Conducts weekly/monthly meetings with Reimbursement Specialists to review and discuss collection efforts and performances.
- Evaluates Accounts Receivable and counsel/mentor Reimbursement Specialists on areas needing attention.
- Establishes goals for team members and monitors employee performances.
- Ensures claim submissions, claim follow up, claim resolutions, payment postings, patient statement generation are performed in timely manner to increase collections and reduce days in AR.
- Review all new Cadence, Prelude and Resolute PB functionality and work with the appropriate teams to identify/prioritize those items that should be implemented.
- Work with the Epic teams to specify/customize the requested functionality and develops the recommended workflows for the office staff and billing teams.
- Test all functionality and workflows prior to implementation.
- Work with Epic training to develop training materials and classes.
- Clearly communicate all changes to the practices and troubleshoots any issues.
- The Manager develops and maintains relationships with IT department and physician practices to coordinate system implementation and ongoing maintenance.
- The Manager ensures HUMG leadership is effectively involved in all system implementation and optimization decisions.
- The Manager works with systems/business analysts, IT technicians, support specialists, and other computer-related staff to ensure maximum system benefits.
- The Manager is expected to have Revenue Cycle Management application and technical expertise coupled with an understanding of business and management principles.
- Establish policies, procedures and standards to measure and monitor the success of applications, databases and production processes.
- Continually strive to improve existing policies; identify areas of improvement and provide action plans when appropriate.
- Provide regular status updates, including reporting of escalated issues and solutions to the leadership.
- Research, plan, develop and implement technical solutions to satisfy the goals and objectives of the physician practices to enhance productivity and communicate recommendations.
- Establish customer service standards and, while leading by example, promote and enforce adoption of standards to staff.
- Identify strategies for optimizing scheduling, registration and referrals in the offices and at other points of contact.
- Lead all aspects of the development and implementation of work plans for new strategies.
- Monitor performance post-implementation and provides feedback and recommendations to Administrative Directors and Operations Managers on office performance.

Qualifications

Education, Knowledge, Skills and Abilities Required:
- Bachelor's Degree in Business Administration, Health Care Administration or related field.

Meridian Health is committed to the principles of equal employment opportunity and affirmative action and will not discriminate in the recruitment or employment practices on the basis of race, color, creed, national origin, ancestry, marital status, gender, age, religion, sexual orientation, gender identity/expression, disability, veteran status and any other category protected by federal or state law.

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