Revenue Cycle Manager

Company: Peninsula Community Health Services - WA State
Location: Kennewick
Posted on: January 21, 2023

Job Description:

Join Peninsula Community Health Services (PCHS) in making a difference in people's lives and the surrounding community every day. PCHS exemplifies a culture of community service that is Patient Driven, Empathetic, and Staff Empowered. We are, a Federally Qualified Health Center supporting access to healthcare services (medical, dental, pharmacy, behavioral health) for Kitsap County, Mason County, and Rural Pierce County.*Our Mission*PCHS exemplifies a culture of community service. Our patients come from all walks of life. PCHS services are available to our patients without regard for ability to pay.*Our Vision*PCHS strives to eliminate healthcare disparities in our community. We have medical and dental clinics located throughout Kitsap and Mason and rural Pierce County and a dedicated team working together to create a care plan that's right for you. We also bring that care directly to our patients who can't easily make it into our traditional clinics through our mobile clinics, school-based health centers, and by partnering with our community service agencies to deliver care on their premises.*Our Guiding Principle*Here at PCHS, our guiding principle is to see and value every person. We believe all patients have the right to be treated with respect and dignity with an acknowledgment that this includes their cultural, social, spiritual, and personal values and beliefs.*Our Core Values*Every member of PCHS stands by our Core Values: Patient driven. Empathetic. Staff Empowered.We are an employer of choice because we offer:* Full comprehensive benefits including, health, life, disability, 403(b), CME allowance (specified positions), and more---* Wellness benefits* School loan repayment potential (providers only)* Four or five-day work weeks and flexible schedule-allows plenty of time for work/life balance (clinical staff only)* Mission-driven-be a part of a group that truly cares about their community and has the goal to give back*Benefits and Compensation*PCHS offers a wide variety of benefits through a customizable cafeteria plan. In addition to receiving employer-paid basic life and long-term disability insurance, eligible employees can choose between several employer-subsidized health insurance plans and YMCA and Costco memberships. PCHS also offers a 403(b)-retirement plan, pet insurance, and legal and long-term care plans, among others.For pay equity purposes, PCHS calculates salaries based on a wage scale that incorporates a standardized approach to compensation. Accordingly, PCHS does not engage in salary negotiations for non-provider staff.*Job Summary*The Revenue Cycle Manager is responsible for directing, organizing, and managing all components of revenue cycle.*Essential Duties and Responsibilities* - Direct and oversee all functions of coding, claim management, billing, payment, collections, and coordinates credentialing processes - Establish revenue cycle benchmarks, standard of practices with policies and procedures consistent with organizational goals, infrastructure, state and federal requirements - Oversee all staffing functions and provide leadership with training - Support the Clinic Operations Director to ensure the quality of the insurance, demographics, and eligibility data entered, as well as, monitoring all time-of-service collections by providing revenue cycle reporting and training materials - Work with Clinic Operations Director to ensure best practices related to patient access and the revenue cycle - Establish and maintain revenue cycle duties across the organization that include prioritization of work (e.G., ensure there is a system of prioritization for claims processing and accounts receivables management depending on the volume, revenue, payer mix, etc.) - Communicate changes and updates to the Chief Financial Officer in a timely fashion - Ensure an appropriate education and feedback process is in place to provide regular education to FQHC providers on revenue cycle - Responsible for overseeing posting charges, adjustments, and payments to patient accounts and assuring accuracy and timeliness - Keep abreast of Medicare, Medicaid, and other third-party payer rules and regulations with respect to billing and other matters and communicate this information to the physicians and appropriate personnel to help ensure increased cash flow and profitability on an ongoing basis - Work closely and partner with Controller to prepare month-end and year-end financial close - Gather productivity, quality and financial data from EHR and other sources and use to provide meaningful management information to the CFO, providers and other appropriate personnel on a regular basis to develop strategic plans for all functions related to the revenue cyle - Assist the CFO with compliance issues specific to billing services - Develop and implement the Finance Department and other revenue cycle policies and procedures, including all aspects of federal and state mandated compliance - Implement new processes and protocols as these become necessary and assigned - Conduct reimbursement monitoring for individual insurance carriers - Familiar with using electronic health record (Ex. Athena and NextGen) - Other duties as assigned*Supervisory Responsibilities*This position directly supervises the Billing Coordinator, Billing Specialists, and Certified Coders.*Qualifications* - Two to five years of customer service experience (required) - One to two years of supervisory experience in a healthcare setting (preferred) - Two (2) years of experience working at a FQHC (preferred) - CPC Certification within 120 days of hire (required) - Active driver's license (required)*Skills*Must have excellent communication skills. Ability to work independently and as part of a team; to receive and respond well to feedback. Possess strong interpersonal and problem-solving skills; time-management and organizational skills, including being punctual, responsive, and efficient. Perform job with professionalism and good judgment.*Work Environment and Physical Demands*With multiple locations and settings, PCHS' work environment and physical demands vary greatly depending on the employee's role. Essential job functions include the following: The employee is required to talk, hear, see, smell, sit and stand. The employee is frequently required to move around the facility; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee is frequently required to lift and/or move up to 10 pounds and occasionally required to lift and/or move up to 25 pounds. Employees may be exposed to mechanical parts and moderate noise levels. Reasonable accommodations may be available to individuals with disabilities to perform their essential job functions.*Equal Opportunity*Peninsula Community Health Services is an equal opportunity/Affirmative Action employer and does not exclude persons from employment or application for employment from receipt of or participation in programs, activities, services on the grounds of race, color, sex, national origin, age, military status, marital status, religion, the presence of a physical, mental, or sensory disability, sexual orientation, gender identity, genetic information, victim of domestic violence, sexual assault or stalking, or any other characteristic protected by federal, state or local law.Job Type: Full-timePay: $71,198.00 $140,524.00 per yearBenefits:* Dental insurance* Disability insurance* Employee assistance program* Employee discount* Flexible schedule* Flexible spending account* Health insurance* Life insurance* Paid time off* Retirement plan* Vision insuranceSchedule:* Monday to FridayWork Location: One location

Keywords: Peninsula Community Health Services - WA State, Kennewick , Revenue Cycle Manager, Accounting, Auditing , Kennewick, Washington