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Albany ENT & Allergy Services, PC · 1 day ago

Revenue Cycle Manager

Albany, NY

Full-time

Onsite

Senior Level

$90K/yr - $100K/yr

7+ years exp

Albany ENT & Allergy Services, PC is seeking a Revenue Cycle Manager to lead and optimize the revenue cycle management function across ENT, allergy, and audiology operations. The role involves guiding payer strategy, resolving denial issues, and ensuring performance metrics are tracked and acted upon while overseeing department managers and supervisors.

Child CareHealth CareMedical

Responsibilities

Responsible for full ownership of the revenue cycle management function, providing strategic direction while ensuring financial strength and alignment with organizational goals

Analyze otolaryngology billing procedures and contracts and provide recommendations to maximize services and resolve issues

Lead the identification and resolution of recurring claim denials or underpayments, including collaboration with payers and providers to streamline documentation and coding practices

Monitor revenue cycle KPIs, identify trends, and make data-backed recommendations to executive leadership

Partner with finance team to provide insight into KPIs published by the team for internal reporting purposes

Establish standard operating procedures for billing, collections, and patient communication workflows

Develop payer relationships

Develop and lead complex appeal strategies

Directly supervise and coach department supervisors and managers, which will include leadership, performance management, employee relations, time keeping, recruitment, and terminations

Utilize expertise in ICD-10-CM and CPT codes to ensure accurate billing and claims submissions and appeal of denials

Collaborate with cross-functional teams on matters involving revenue cycle

Read and interpret medical contracts, addressing carve-outs and proposing effective solutions

Analyzes superbills and related documentation and make appropriate recommendations to ensure revenues are maximized and legality is maintained

Provide recommendations for policies relating to management/oversight of adjustments, payment plans and bad debt adjustments

Prepares and communicates recommendations individually and through trainings on best practices in billing, coding and compliance

Primary oversight of the clearinghouse and other key software and vendor relationships that support the revenue cycle process

Qualification

Revenue Cycle ManagementICD-10-CMCPT codesLeadership skillsCMS procedures knowledgeEMREHR softwareAnalytical skillsCommunication skillsProject management skillsAttention to detailTeam managementProblem-solving skills

Required

Minimum 7 years of experience in Revenue Cycle Management, Billing, Coding, and Contracts compliance, and/or combination of these areas, within an Ear, Nose and Throat/Otolaryngology and Allergy and Audiology practice required

Thorough knowledge of CMS procedures, DME and medical contracts, and codes in ENT and Audiology settings

Exposure to supervising multi-level RCM teams

Demonstrated ability to proactively identify problems, as well as recommend and implement effective solutions

Strong leadership and team management skills

Thorough understanding of HIPAA requirements

Experience with EMR, EHR and appointment scheduling software

Proven success in training staff at all levels and a passion for facilitating continuous improvement

Extremely strong attention to detail and organizational skills and superior communication abilities

Strong analytical skill set with the ability to work comfortably with Excel-based systems

Excellent project management skills and the ability to work under tight deadlines

Preferred

Bachelor's degree preferred but not required

Certificate from American Health Information Management Association or Associate's degree in health information technology, a plus

Affiliation with AAPC and ASCENT expected

Benefits

Health insurance

Generous paid time off

Paid holidays

Company

Albany ENT & Allergy Services, PC

We provide comprehensive care of Pediatric and Adult patients with medical and surgical problems involving the Ears, Nose, Throat and related Head and Neck structures.

Founded in 1977

Albany, New York, USA

51-200 employees