Revenue Cycle Manager – Summit Health

Title of the Job: Revenue Cycle Manager

Location: New Jersey

Job Description: About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients’ homes and virtually through VillageMD and our operating companies , , , , and .When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Job DescriptionThis position manages a team of reimbursement specialists and coding specialists in the Revenue Cycle operations including but not limited to charge capture, pre-bill edits, insurance follow-up and denials management.Primary Responsibilities:The Revenue Cycle Manager will oversee the day-to-day direction of goal setting and performance management of the Revenue Cycle, ensuring that the revenue cycle functions, and processes are effectively and efficiently aligned for optimal communication, collaboration, and coordination. The individual in this role will oversee the full revenue cycle operation with primary focus in functional areas including but not limited to Billing, Collections and Payment Integrity.Essential Oversight & Management duties:

• Maintain and develop a high degree of expertise in revenue cycle operations, technical processes, and reports
• Must maintain working knowledge of the Revenue Cycle Management best practices, ensuring high productivity and proficiency standards are met
• Manage supervisor and on-shore/off-shore team
• Provide insight on AR related trends, challenges and recommendations to drive operational excellence
• Support our management team in executing project work plans, including qualitative and quantitative tasks and analytics, to provide high quality client service delivery
• Act as part of the support team on projects to prioritize work tasks, ensure project milestones and deadlines are met, and ensure work products meet quality standards
• Assist Directors and Managers in scoping and planning multiple projects.
• Provide support, review processes, provide feedback and identify areas of opportunity outside of RCM when needed
• Develop and manage relationships with department heads, clinical and operational leaders, and vendors
• Responsible for all accounts receivable activities and ensure timely cash flow.
• Monthly and other reporting duties as required

Required Qualifications:

• Bachelors Degree or work related equivalent
• Minimum 5 years people management experience in healthcare with ability to lead a team and achieve objectives
• Minimum 5+ years total experience in full RCM healthcare
• Understanding of medical terminology, claims submission and clearinghouse edits
• Advanced understanding of healthcare related federal, state and health plan guidelines
• Proficiency in Microsoft Office applications (Word, Excel, Outlook and Power Point)
• Previous experience with offshore teams

About Our CommitmentTotal Rewards at VillageMDOur team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.Equal Opportunity EmployerOur Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.Safety DisclaimerOur Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, or file a complaint at .

Company Name: Summit Health

Salary:

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