Revenue Cycle Manager

🔥 21 minutes ago

🇺🇸 United States – Remote

💵 $99.3k - $198.7k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Abbott

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1888

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare • Healthcare Insurance • Biotechnology

Abbott is a global healthcare company committed to advancing medical technologies and improving lives around the world. It offers a broad range of leading products in diagnostics, medical devices, nutrition, and branded generic medicines. Abbott's innovations such as the FreeStyle Libre glucose monitoring systems and BinaxNOW rapid antigen tests are transforming diabetes management and COVID-19 response. Through its partnerships and initiatives, Abbott aims to foster health equity, improve access to healthcare, and address critical health challenges like malnutrition and infectious diseases. Abbott is also dedicated to sustainability and social responsibility, striving to make life-changing technologies accessible and affordable.

📋 Description

• Lead the team and drive strategies for the entire revenue cycle process of a clinical independent laboratory • Communicate department health to leadership through meetings, conference calls, presentations and reports • Monitor billing compliance with third-party payer regulations • Implement and assist with staff education programs • Develop and maintain revenue cycle priorities, procedures and policies for Exact Sciences • Determine performance metrics and staffing requirements for efficient, accurate department operations and customer service • Develop processes for information flow between third-party billing vendors, receivables and the Exact Sciences contact center • Design and execute strategies and infrastructure to drive collection of earned reimbursement for laboratory operations • Develop processes and policies for exception handling, appeals, denials and balance billing • Monitor client accounts receivable activity and performance and initiate corrective measures • Investigate denial sources and trends, and resolve and appeal denials with cross-functional teams • Ensure customer satisfaction through courteous communication, problem solving and efficient processes • Oversee daily performance of the revenue cycle department and accounts receivable operations • Motivate the team on month-end goals and metrics and report month-end activity to leadership • Promote collaboration within and outside the department • Monitor departmental processes against performance metrics and report to leadership • Hire, coach, inspire and motivate team members; manage productivity and service performance metrics • Maintain confidentiality and HIPAA compliance • Supervise staff, including organizing work, conducting performance reviews, training and managing performance • Implement staff reporting and key productivity and accuracy metrics • Support and comply with the company’s Quality Management System policies and procedures • Maintain regular and reliable attendance

🎯 Requirements

• Authorization to work in the United States without sponsorship • Bachelor’s degree in healthcare administration, business or related field; or high school degree/general education diploma and 4 years of relevant experience in lieu of degree • 8+ years of experience working in the medical/healthcare billing area • Strong, demonstrated knowledge of managing claims processing • 5+ years of leadership experience with demonstrated ability to recruit, assess, motivate and inspire others • Demonstrated ability to perform the essential duties with or without accommodation • Extensive understanding and experience with medical billing, Medicare compliance, payer audits, independent laboratory industry and personnel • Experience with personnel management, team leadership and team building • Familiarity with payer/insurance appeals and reimbursement processes, insurance industry and professional billing • Knowledge of Medicare billing regulations, compliance and reimbursement methodologies, especially in laboratory environments • Knowledge of third-party billing service providers such as Xifin and Epic, revenue cycle management software and outsourced billing organizations • Strong analytical and forecasting skills • Strong organizational and problem-solving skills • Adaptability and ability to work in ambiguous situations • Strong interpersonal, teamwork and presentation skills • Ability to work Monday through Friday during normal business hours • Ability to work at a computer and/or type for approximately 80% of a typical working day • Preferred: leadership in accounts receivable or billing operations; laboratory payer and provider billing experience; CPC, CPM, CPCO, CPMA or similar certification; membership in patient accounting organizations such as AHAM

🏖️ Benefits

• Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans • Standard Monday through Friday schedule during normal business hours • Remote work arrangement • Travel approximately 10% of the time