About us
Today, Desert Senita is a Federally Qualified Community Health Center located in Ajo, Arizona City, Coolidge, and Stanfield, Arizona and delivering comprehensive, culturally competent, high-quality primary health care services. We live by our mission by providing quality, local, affordable health care for all. We provide services regardless of patients’ ability to pay and charge for services on a sliding fee scale.
Our work environment includes:
- Modern office setting
- Food provided
- Modern office setting
- Work-from-home days
- Growth opportunities
- Wellness programs
- Regular social events
- International workforce
- Relaxed atmosphere
- Company perks
- Flexible working hours
- Safe work environment
- Lively atmosphere
**Job Summary:**
Under the direction of the CFO, the Revenue Cycle Manager is responsible for directing, organizing, and managing all components of revenue cycle. To include measuring revenue cycle performance, minimizing bad debt, improving cash flow, and managing the overall health of the organization’s receivables. This position requires working closely with the Administration (Credentialing and Human Resources), Finance, Operations, Clinical, Quality Management, Compliance, and Practice Management teams to ensure coordination of services, collection of necessary information, appropriate documentation, and cross-disciplinary collaboration. Excellent communication skills are essential.
**Responsibilities:**
· Direct and oversee all functions of coding, claim management, billing, payments, and collections for all billable disciplines
· Collaborate on the development of billing contracts
· Manage and monitor all internal employees and external contractors in the Revenue Cycle Department
· Stay abreast of Medicare, Medicaid, and other third-party payer rules and regulations with respect to billing and other matters and communicate this information to all providers and other clinical personnel to ensure increased cash flow and profitability on an ongoing basis
· Identify and address areas of weakness in regard to billing strategies as they relate to accountable care organization (ACO) reimbursements
· Responsible for EHR billing, coding, and compliance process
· Develop and monitor Revenue Cycle KPI’s
· Develop and implement process improvement plans resulting from identified gaps in the Revenue Cycle, to include systems, people, processes, and other stakeholders
· Update policies and procedures and conduct training on both
· Develop a Compliance Billing and Audit Program in coordination with the CFO
· Ensure timely review of Insurance Payor Contracts with recommended edits
· Enhance and standardize our work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the organization’s standard operating procedures
· Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy
· Compiles and prepares various status reports for management in order to analyze trends and make recommendations
· Enhance and standardize our work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the Company’s standard operating procedures
· Support the Operations and Practice Managements Team through education and collaborative process improvement programming designed to increase the quality of the insurance, demographics, and eligibility data collected by front office staff
· Supervise all medical billing staff
· Conduct staff performance reviews and implement development and performance improvement plans
· Other duties as assigned
MINIMUM QUALIFICATIONS
· Five years full scope Revenue Cycle management (RCM) experience and/or supervisory level medical billing experience in a Federally Qualified Health Center (FQHC) (strongly preferred) in Arizona (strongly preferred)
· Bachelor’s degree in business administration, finance, accounting, healthcare administration, or other related field strongly preferred
· Solid understanding of commercial and managed care insurance terminology
· A solid understanding of CPT and ICD-10 Coding
· Working knowledge of MS Office Applications (specifically MS Word and MS Excel)
· Proficient knowledge in Medicare & Medicaid rules and regulations pertaining to managed care contractual agreements (MCOs)
· Experience in full scope billing for multiple FQHC service lines (including medical, dental, behavioral health, laboratory, x-ray, case management/nursing services, physical therapy, transportation, and community health work)
· Experience with third party payer protocols
· Ability to work in a fast-paced environment and deal with stressful situations with resourcefulness and initiative
· Ability to accept training, instruction and change with a positive attitude is essential
· Courtesy, technical skills, professionalism, interpersonal skills, and maturity are required
· Able to communicate effectively both orally and in writing
· Demonstrated ability to interact effectively with all levels of personnel and the public
· Bilingual preferred (Spanish/English)
LOCATION/WORKING CONDITIONS/PHYSICAL REQUIREMENTS
The incumbent will serve primarily in-person in an office setting with a primary duty station at one of the Desert Senita clinics or administrative offices in Pima or Pinal County and will travel as needed (during the workday) to provide in-person supervision and attend required meetings at other clinic locations. Desert Senita is a HIPAA compliant workspace, and HIPAA compliance must be maintained at all times. It is expected that there will be considerable work on desk top computer, considerable sitting, occasional standing and/or bending and light lifting. Minimal exposure to communicable diseases and/or bodily fluids is possible. Contact with difficulty patients is expected.
This position offers competitive compensation, opportunities for professional growth, and a supportive work environment. If you are a dedicated professional with a passion for healthcare finance, we encourage you to apply for the Revenue Cycle Specialist role.
Job Type: Full-time
Pay: $80,000.00 - $95,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
Education:
Experience:
- Senior medical billing: 5 years (Required)
Language:
Location:
- Arizona City, AZ 85123 (Preferred)
Ability to Commute:
- Arizona City, AZ 85123 (Required)
Ability to Relocate:
- Arizona City, AZ 85123: Relocate before starting work (Required)
Willingness to travel:
Work Location: In person