Manager Revenue Cycle Management - TMCOne - Billing Services
Manages employees engaged in patient scheduling, pre-registration, insurance verification, and/or admission. Ensures the accuracy and completion of records, assignment of accommodations, payment schedules, and related scheduling/registration technology.
Manages staff; interviews, hires and trains; evaluates employee performance; deals with performance problems as appropriate; delegates work assignments effectively.
Gathers, investigates, researches, analyzes, and/or studies activities affecting hospital-wide or intra/interdepartmental operations.
Develops policies and procedures designed to ensure delivery of seamless service in compliance with legal and regulatory requirements.
Develops and administers established training plans, programs, and procedures; develops overall objectives, policies, and operating plans for the department.
Establishes and evaluates quality and performance standards within department; ensures the efficient performance of assigned personnel/areas of responsibility to support or provide quality health care services.
Assists in managing department budget.
Communicates effectively in writing and verbally to ensure expeditious resolution of problems.
May coordinate with clinical areas to establish scheduling rules and revisions.
May oversee and monitor the generation of Advanced Beneficiary Notices when medical necessity is not established.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.
EDUCATION: Bachelor’s Degree from an accredited college or university in a related field or related experience on a year-for-year basis.
EXPERIENCE: Five (5) years of healthcare insurance, billing or admitting experience preferably in an acute care setting and a supervisory or managerial role.
LICENSURE OR CERTIFICATION: None required. CHAM (Certified Healthcare Access Manager) preferred.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of best practices used in patient scheduling, pre-registration, insurance verification, and billing.
Knowledge of management and leadership theory and best practices.
Skill in evaluating, training, and guiding staff and making recommendations for improvement.
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
Ability to prepare detailed written reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to inquiries or complaints from employees, patients, and/or their representatives and the general public.
Ability to speak effectively before groups of customers or employees of the organization.
Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs; and apply basic algebraic concepts.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret and extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.