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