Brown University Health · 1 day ago
Manager Revenue Cycle
Providence, RI
Full-time
Onsite
Mid, Senior Level
$100K/yr - $165K/yr
5+ years expBrown University Health is seeking a Revenue Cycle Manager of PFS to provide strategic support in managing third-party payer relationships. This role involves overseeing claims submission and reimbursement processes, managing financial initiatives related to billing, and ensuring compliance with regulatory requirements.
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Responsibilities
Actively manages, plans, develops, and organizes multiple areas of responsibility as assigned by Senior Leadership. Practice excellent time management to be available to attend meetings for Leadership of all responsibilities
Oversee the account receivables of all areas of the hospital net revenue operations. Strategically monitors, develops and implements ways to protect the financial stability of the hospital. Supports, develops, and analyzes account receivable reports and provides findings to the Revenue Cycle Director on a frequent basis
Oversees insurance payors to ensure timely, accurate claims submission and claims reimbursement. Reports, analyzes, and monitors accounts receivable for all payors, communicating findings to leadership with status updates or escalation as needed
Assess and understands business processes of the Revenue Cycle from registration to billing operations. Anticipates needs of the department and pursues solutions. Displays extensive historical and current knowledge of information system technologies and our internal systems to ensure optimum efficiency in department’s operations
Responsible for managing or participating in meetings with payers (JOC – Joint Operating Council), Managed Care, Denial Team and other Revenue Cycle departments. Provides appropriate planning to address payer payment issues and creates new ways to mitigate risks
It is active in various meetings within PFS to ensure continued focus and improvements in our patient and insurance collection practices. Participate in Denial Management, Contract Management, Agency Tracking, external business partner meetings, and various other committees for PFS department
Guided by departmental action plans and strategic priorities, impacts own and other teams’ ability to achieve service, quality, and timeliness of objectives
Performs other duties as assigned
Qualification
Required
Requires practical experience in leading and managing the execution of processes, projects and tactics within a job family group and/or job family; possesses advanced experience and skills
Five to ten years' progressive management experience in Patient Financial Services related responsibilities
Preferred
Bachelors preferred but not required: in business, healthcare or health services administration, health information management, communications, finance, accounting, public administration, or management
Company
Brown University Health
Brown University Health provides an integrated academic health system offering hospital services, outpatient care and clinical education.
10001+ employees
Funding
Current Stage
Late StageRecent News
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