Revenue Cycle Manager

Vaga não está no LinkedIn

🕒 Outubro 30

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $75.000 - $78.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 2%

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LearnWell

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 1995

🏥 Saúde

📚 Educação

🤝 B2B

Healthcare • Education • B2B

A LearnWell é uma organização que fornece serviços integrados de apoio acadêmico e saúde mental para estudantes em idade escolar durante cuidados hospitalares, residenciais, tratamento diurno e domiciliar. Ela oferece instrução especializada, tutoria virtual e suporte de transição para ajudar os estudantes a manterem o progresso acadêmico enquanto recebem tratamento para comportamentos ou uso de substâncias, em parceria com hospitais, instalações de tratamento, distritos escolares K–12 e famílias. A LearnWell também possui serviços de aconselhamento afiliados e foca na coordenação da continuidade educacional e bem-estar mental em toda a continuidade do cuidado.

Descrição

• Review daily revenue cycle operations across assigned business lines • Coordinate with the third-party billing team on account review, reconciliation, and cleanup • Communicate with patients regarding outstanding charges and insurance coverage denials • Support escalated collection efforts and ensure patient account accuracy • Prepare delinquent accounts for collection and act as a liaison in the collection process • Follow up on payment discrepancies, underpayments, and payer, location, and business-line variances • Prioritize issues and collaborate with departmental leaders on corrective actions • Prepare clinical revenue reports for payroll, including co-pays and supervisory billing • Formulate and administer clinical practice credit and collection policies, including write-offs • Support medical record request reviews and partner with providers and clinical leadership to ensure proper documentation • Collaborate with clinical operations, Finance, credentialing, intake, scheduling, compliance, providers, and leadership to resolve billing and reimbursement barriers • Train and support billing and collections staff • Establish and maintain departmental policies and procedures in compliance with clinical practice policies, regulatory standards, and Joint Commission requirements • Recommend process improvements to reduce preventable denials, accelerate collections, strengthen controls, and improve reimbursement outcomes • Support implementation and optimization of practice management, EHR, reporting, and financial systems, including AdvancedMD, Netsmart, Salesforce, and Intacct • Handle other ad-hoc projects as needed

🎯 Requisitos

• Bachelor’s degree in business administration or a related field • At least five years of experience in behavioral health and revenue cycle management • Experience with insurance reimbursement, denial management, account collections, coding, and medical terminology • PHP, IOP, and Outpatient Therapy experience • Knowledge of Electronic Health Record Applications and Reporting • Familiarity with Netsmart and/or Advanced MD • Familiarity with payer portals • Excellent verbal and written communication • Analytical and organizational skills • Proficiency in math • Strong leadership and interpersonal skills • Accurate typing and data entry capability • Respect for confidentiality and promotion of positive public relations • Ability to motivate staff and maintain high morale

🏖️ Benefícios

• Supportive work environment • Professional growth encouragement

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