Manager, RCM
Description
About the Role:
Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve.
The Revenue Cycle Manager (Remote in TX, NC, SC, or FL) is responsible for the supervision and support of the management of the revenue for all service lines. This position will be accountable for all aspects of the authorization, coding, billing, practice management systems, charges, claim submission, insurance and patient accounts, collections, and payment posting for the specific responsible department. The position will also be responsible for assisting with all functions associated with collections, billing, and third-party payers. This position will also coordinate efficiencies and maintain revenue integrity related to the revenue cycle duties performed by the revenue cycle representatives in the team. This position has managerial responsibility for hiring, time management, performance development, coaching and training of responsible team members, and performance management. This position reports to the RCM Director and will work closely with the RCM Management Team and staff.
Responsibilities:
- Provide leadership and direction to the revenue cycle team; This includes, but not limited, to hiring, training, coaching, performance reviews and terminations
- Manage the entire revenue cycle process including billing, accounts receivables, denials management, insurance follow up, payment posting, customer service and ad hoc reporting
- Review daily, weekly, and monthly key performance indicators (KPIs) to identify trends or areas of focus; work with other department leaders to develop, document and implement action plans, as appropriate, to address issues and ensure claims are submitted and paid in a timely manner
- Responsible for the day-to-day operations of a team while maintaining a designated level of collections by means of payments and guiding denied claims through to payment
- Solve difficult payment and associated business office problems including claims processing and billing issues across the revenue cycle as well as escalated patient complaints and audit problem accounts
- Participate in the design, implementation, and management of process improvements to improve revenue cycle performance
- Create, maintain, and provide training on new and updated policies and procedures
- Perform daily financial transactions which includes computing, posting, verifying, and recording accounts receivable data
- Maintain Aging Report with update status report to management and notifying management of critical accounts
- Maximize revenue through strong payer contracts and strong collection processes
- Maximize and monitor cash flow with strong DSO
- Establish and communicate impactful team goals; build and enact plans to achieve success
- Work independently while maintaining confidentiality and following HIPAA regulations.
- Supports a teamwork environment and participates in required virtual meetings (via Teams or Zoom)
- Regularly attend monthly staff meetings and continuing educational sessions as required
- Maintains work operations by following policies, procedures, and reporting compliance issues
- Maintains quality results by following standards set forth by the company
- Other assigned duties as assigned
Qualifications:
- Associate degree in business management; BA/BS degree preferred, but can be substituted with years of relevant, practical experience
- Experience using Advance MD, Next Gen or Insync databases highly desired
- Minimum of 2 years of management experience in a similar setting
- Minimum of 3 years medical billing and insurance verification experience
- Thorough knowledge and understanding of insurance billing and collection guidelines, legislation and regulations governing medical billing procedures, as well as coding terminology, requirements, and reimbursement policies
- Ability to establish and maintain strong working relationships, with particular emphasis on customer service
- Analytical skills to problem solve and make decisions independently
- Ability to coach, motivate and discipline as necessary
- Intermediate to advanced computer skills, including MS Office (Word and Excel, Outlook)
- Excellent oral and written communication skills
- Able to exhibit a high level of confidentiality
- Excellent organizational skills and ability to multitask to meet deadlines
- Ability to prioritize tasks and initiatives while managing multiple projects
The Benefits
We offer a robust benefits package to include:
- Medical, Dental, Vision, and EAP
- LTD/Life Insurance
- 401k with employer match
- PTO accrual starting at 15 days per year
- Paid Parental Leave
- Tuition Reimbursement Program
About Mindpath Health
Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve. As a national leader in mental health services, we are reimagining care delivery, reaching patients and focus on clinical excellence. With a team of more than 500 mental health clinicians, Mindpath Health provides a broad spectrum of psychiatry, interventional psychiatry (including TMS and esketamine) and psychotherapy care.
At Mindpath Health, we offer telehealth and in-person visits and coordinate care with primary care physicians and referring providers to ensure a focus on the total health. Mindpath Health is in-network with most major health insurance providers and has more than 80 locations across California, North Carolina, South Carolina, Florida, Texas, Arizona, and growing.
Join our community and discover how rewarding work can be!
Mindpath Health is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, veteran status, or any other status legally protected by federal, state, or local law.