Revenue Cycle Manager

Job description

The vision of Clinical Health Network for Transformation (CHN) is to support the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between **Planned Parenthood affiliates across the United States.** CHN is looking for individuals who are committed to supporting our shared goal of strengthening and **enhancing our awareness and commitment to advancing the cause of health equity**in our organization. Reporting to the Vice President of Revenue Cycle, the Revenue Cycle Manager will provide leadership over the day-to-day and strategic operations of the Revenue Cycle Management (RCM) department. This includes managing a team of revenue cycle representative staff and being accountable for consistent quality performance, including the service’s ability to consistently meet established key performance indicators that support access and an optimal customer and patient experience. Additionally, the Revenue Cycle Manager is responsible for following all revenue cycle management systems, processes, and policies, ensuring the effectiveness and efficiency of revenue cycle operations. This position interprets operational-level reports, analyzes data, and presents revenue cycle improvement opportunities to affiliate customers, as well as the Vice President of Revenue Cycle. The Revenue Cycle Manager is required to have demonstrated advanced knowledge and understanding of all aspects of billing office operations, including principles of staff management/supervision; office workflows; and billing and collection operations, including compliance requirements, as well as training and quality standards. ### Essential Functions - Partners with CHN Customer Success team to lead RCM updates to the affiliate customer success meetings. Establishes strong partnerships with CHN and affiliate teams that are built on transparency, professional knowledge and credibility, and a commitment to identifying ideas and actions that deliver the best patient experiences - Develops expert level technical knowledge of revenue, patient access, and financial verification business processes to understand how they impact revenue cycle - Prepares reports, analyzes data, and presents revenue cycle results to CHN leaders and affiliate administrative and clinical leaders on an established schedule through the Customer Success meetings - Collaborates with affiliates, providers if needed, and the central business office on process improvement opportunities. Facilitates the development and implementation of solutions - Analyzes and interprets substantial amounts of data and identifies denial/error trends to share with CHN process owners and affiliate teams - Regularly report and monitor key performance indicators (KPIs) and overall performance with affiliate partners and CHN leaders. Shares KPIs, provides in depth, root-cause analysis, action plans and timelines to adjust operations accordingly to achieve operational objective and KPIs - Recruit, hire, train, evaluate, and perform disciplinary actions following department guidelines. Provide support, coaching, and direction for representatives, including monitoring of productivity KPIs and position goals; lead the employee evaluation process for assigned staff - Provide guidance, leadership, training, and development through motivational methods to direct reports - Conduct weekly meetings with the RCM team to provide guidance and feedback - Manages staff levels and competencies, ensuring the workforce has the skills and tools needed to provide optimal service - Reviews standard organizational metrics and reports internal revenue cycle trends, underlying root causes, and other related issues. Applies a structured and disciplined approach to defining problems and improving performance. Champions the effectiveness of revenue cycle functional team efforts and recommends improvement strategies to enhance overall efficiency across remote teams - Communicates any patient account systems concerns or system issues and solicits feedback from the Revenue Cycle team to ensure they are appropriately configured and function optimally. - Manage and mentor a culturally diverse team, including creating and sustaining an organizational culture that fosters inclusiveness and equity - Creates and promotes a culture of continuous improvement - Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations - Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community - Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems - Provides positive and development feedback and accountability related to practices including, but not limited to, equity ***The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at anytime.*** ### Qualifications and Experience (Required) - Bachelor’s degree in Health Care Management or Administration, or a related field, five to seven years of medical billing office experience, of which at least four years were at the management level or equivalent combination of education and/or experience - 3-5 years of experience working in Epic - HFMA Certified Revenue Cycle Representative (CRCR) or must obtain certification in the first 6-months of employment - Demonstrated organizational, time management, analytical, and problem-solving abilities