Phoenix House Revenue Cycle Manager in Arlington, Virginia
Phoenix House, a nonprofit substance use treatment facility in Arlington, VA is currently looking for a full-time Revenue Cycle Manager. This is a salaried, M-F, 8am-5pm position.
Provides overall strategy and financial direction of Coding, Billing, Follow-up, Collections, Cash Posting, Refunds/Credit Balances, Denial Management, Customer Service, Bad Debt, Charity and Payor Variance activities in accordance with current applicable standards.
Responsible for the success of the front-end revenue cycle processes and controls relating to scheduling, registration, charge capture, upfront collections, DNFB (Discharged, Not Final Billed), Bill Holds and root cause analysis and correction of front-end billing errors/claim rejections/denials.Conducts the contractual negotiations with third party payers providing profitability analysis of current contract terms and evaluation of payer performance. Serves as the primary contact for all contractual-related payer issues and seeks to maintain positive relationships. Provides PHMA staff with summary details of contract terms as needed.
This position reports to the Director of Finance.
Bachelor’s Degree in business administration, health care management or related health care field.
Minimum of five years’ experience in registration or patient financial services, with at least three years in a lead or supervisory position.
Thorough knowledge of departmental processes and standards related to billing, collections, and cash posting. General knowledge of patient registration, finance, and data processing.
Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Commercial Insurance, Medicare, Medicaid and managed care processes.
Knowledge of medical terminology and complete understanding of billing and revenue codes.
Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
Strong analytical and problem-solving skills:
Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
Use data-driven analytics to manage, trend and target opportunities for both clinical quality and payment improvement.
Ability to present detailed information to executive leadership in an effective, organized manner that is high-level and easy to understand.
Outstanding ability to work independently to achieve results. Often, there is no precedent for and little help in carrying out assigned tasks. Must originate, plan, adapt and invent to accomplish tasks.
Ability to set and maintain priorities when dealing with multiple demands and interruptions.
EOE Minorities / Females / Protected Veterans / Disabled