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Moses Lake Community Health Center · 1 day ago

Revenue Cycle Manager

Moses Lake, WA

Full-time

Onsite

Mid, Senior Level

$82K/yr - $118K/yr

5+ years exp

Moses Lake Community Health Center is committed to providing high-quality, compassionate, and comprehensive primary health care services for the community. The Revenue Cycle Manager will lead the billing team, manage insurance claims, and ensure compliance with regulations while promoting a positive work environment.

Health CareMedicalNon Profit

Responsibilities

Manage billing staff to ensure accuracy and high-quality work products that are following regulatory agency guidelines

Manage the submission, tracking, and follow-up of insurance claims, minimizing denials and maximizing reimbursement

Identify, analyze, and address reasons for claim denials, collaborating to prevent future denials

Develop training programs and job aids for new hires and existing team members. Conduct ongoing training to improve knowledge of pre-claims processes, regulatory changes and customer service skills

Monitor key performance indicators (KPIs) such as accounts receivable days, denial rates, and collection targets

Ensure that all billing practices comply with federal, state, and local regulations, as well as insurance company guidelines

Collaborate with Coding Supervisor and Medical CCR Managers to create cross functional guidelines and duties between departments to streamline and improve pre-claims operations

Proactively provides leadership to staff to promote a respectful, safe and positive work environment

Actively contributes to the leadership forum to promote exchange of information amongst leaders and departments

Ensures that current policies and procedures are updated for accuracy and relevance

Manages department human resources functions

Demonstrates adherence and support of the MLCHC mission, vision, goals, policies and procedures of MLCHC

Provides excellent service and support to all members of the MLCHC team

Understands and retains focus on strategic goals and communicates them effectively to staff

Efficiently manages expenses of the department adhering to Finance guidelines

Actively participates in Quality Improvement efforts

Qualification

Billing experienceCertified Professional BillerLeadership experienceCertified Revenue Cycle ProfessionalHealthcare setting experienceMathematical knowledgeComputer skillsSpanish languageRussian languageCommunication skills

Required

Possesses general work-related skills at a higher level than completion of high school, including written and verbal communications skills, computational and computer skills, and mathematical knowledge frequently acquired through completion of a 'business school (non BA/BS)' or 'associates degree' type program

Five to seven years of billing experience in a healthcare setting, preferably in a FQHC

Two to five years leadership experience required