LifeLong Medical Care

  • Patient Accounts Revenue Cycle Manager

    Job Locations US-CA-Berkeley
    Posted Date 4 weeks ago(10/24/2018 12:30 AM)
    ID
    2018-1887
  • Overview

    Come join a dynamic care team at LifeLong Medical Care. We are looking for a Patient Accounts Revenue Cycle Manager at our Administrative Office in West Berkeley. The Patient Accounts Revenue Cycle Manager is responsible for managing all aspects of patients’ accounts by developing, planning organizing, enhancing and maintaining a properly functioning process though the health centers. Also responsible for oversees day to day activities of the Health Center as relate to revenue cycle functions which included but are not limited to front desk services, billing, collections and financial planning for patients. Requires the ability to present billing activity report that allows to works closely with the CFO to achieve facility goals for AR days and Collections. This is a full time, benefited position.   

     

    LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have 16 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. LifeLong Medical Care is an Equal Opportunity Employer.

     

    Benefits

    We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including nine paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan.

    Responsibilities

    • Manages and oversees Patient Services functions and evaluations.
    • Maintains compliance and prevents Fraud & Abuse issues related to billing and collecting patient revenues. Keeps staff current on compliance and Fraud & Abuse issues.
    • Manages department budgets and regular reporting requirements.
    • Coordinates with clinical directors to reduce preventable operational errors, minimize payment denial, and improve patient care and experience.
    • Safeguards the security of cash payments and collection of patient accounts; monitors the accounts sent for collection and reimbursement from Federal, State, insurance company, IPA’s or other third party payers; reviews, evaluates and verifies the accuracy of our payments and enrollment in programs for compliance; investigates and resolves discrepancies.
    • Approves and signs off on all dept. related expenses, refunds to patients and reimbursement of overpaid fees to insurance carriers.
    • Participates in organizational strategic planning activities to ensure the delivery of comprehensive and coordinated health services; serves on committees and task forces to address specific issues and represent the department as assigned; attends meeting and conferences as assigned.
    • Develops, maintains and enforces departmental policies, procedure, and work practices to ensure maximum accuracy of patient demographic, financial and insurance data.
    • Assures maximization of collections, accuracy of account numbers, billing system integrity, signature authority, codes and insurance status within the framework of what is legal and in compliance with rules, regulations and laws
    • Works with Accounting Department to assure accurate and timely recording of patient revenue and collections.
    • Formulates systematic retention, protection, transfer, and disposal of billing records.
    • Coordinates with the IT department and software vendors to monitor and ensure the integrity of the data within the practice management system. Manages the EPM (Practice Management) side of the Billing systems.
    • Works on process improvement of Billing functions-using resource sharing and input from sister network FQHCs
    • Other duties as assigned.

    Qualifications

    Job Requirements          

    • Bachelor’s Degree in related field or equivalent combination of education and/or experience.
    • Four years’ experience with essential duties above.
    • Current knowledge of FQHC/medical office practices, procedures and billing program and Compliance and Fraud & Abuse rules as related to billing and collecting with Federal, State and third-party payers.
    • Three year’s supervisory experience.
    • Proficient in Microsoft office Word, Excel, Outlook

    Job Preferences

    • Bachelor’s degree in related field preferred.
    • Community Healthcare
    • NextGen
    • eClinical Works
    • Epic

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