Renevue Cycle Manager

Title: Renevue Cycle Manager

Location: San Diego, California, 92123, United States

Department: Revenue Cycle

Full time

Hybrid

Why work for us?

 
• Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire.


• Employer contribution of up to 10% of annual pay for your 401K.


• Generous paid time off plus 8 paid holidays!


• Company paid life insurance.


• Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations.


• Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!

 

 

 

Work Location: Hybrid

 

• Works out of our Executive Square office in La Jolla, San Diego, CA.


• Eligible for hybrid schedule upon successful completion of onboarding/training. Position is usually in office 2-3 days a week, based on business needs.


• Employee must reside within San Diego County, California.

 

Position Summary:

 

The Manager of Revenue Cycle reports to the Director of Revenue Cycle Management, and is responsible for planning, coordinating and managing the daily activities of assigned teams including authorizations, claims, payments & credits, medical records, and accounts receivables. The manager works in collaboration to monitor key performance indicators, adjust team priorities, identify risks, and continually improve outcomes.

 

 

 

Pay Range: $80,000 - $90,000/year, with 10% annual bonus

 

 

 

 

 

Essential Duties and Responsibilities:

 

 

• Oversees day-to-day activities, provides leadership, training, and support while ensuring compliance with policies and procedures.


• Monitors volumes, workqueues, and Key Performance Indicators and adjusts priorities and workflows as necessary to ensure performance metrics are achieved.


• Reviews denials and other issues impacting timely submission and payment and works to improve performance.


• Researches payor policy to ensure proper billing, compliance, and payor/plan setup. Works with EHR vendor to address issues and maintain system.


• Runs reporting, trends, summarizes findings, and implements changes or makes recommendations to improve performance.


• Documents and maintain written standard operating procedures and reference materials.


• Strategizes and implements measures to increase efficiency, reduce costs, and minimize denials and reimbursement delays.


• Demonstrates strong leadership in fostering a collaborative and supportive environment within the team and with other departments both internal and external.


• Supports and actively participates in process improvement initiatives.


• Assists with other duties to support the revenue cycle process and Balboa’s core values.


 

 

 

 

 

 

Required Qualifications:

 

 

• High School graduate or equivalent required.


• Five years of current and related experience with oversight of billing and collections operations in a large medical practice, OR a bachelor’s degree in a related area plus 3 years of current and related experience with oversight of billing and collections operations in a large medical practice.


• Thorough and demonstrated knowledge of EPIC EHR in revenue cycle functions.


• Extensive and demonstrated knowledge of Revenue Cycle, Key Performance Indicators and the drivers of high performing revenue cycle teams.


• Experience analyzing trends and adjusting priorities in order to effectively lead to optimal performance and meet Key Performance Indicators.


• Metrics driven with strong analytical skills.


• Ability to effectively supervise and prioritize activities of subordinate staff and to manage complex workflows and multiple priorities involved with billing and/or collections operations.


• Clear communication skills, both oral and written, to be able to effectively manage team and to work with staff, providers, and outside organizations.


• Superb customer service skills.


• Strong proficiency with Microsoft Windows (ability to navigate, create and rename folders, save and organize files), Strong proficiency with Microsoft Office products (Outlook, OneNote, Teams, Excel, Word), proficiency with Adobe PDF. Ability to type 30 words per minute.


 

 

 

 

 

 

Preferred Qualifications:

 

 

• 7 Years current experience managing billing and collections for a large medical group practice


• Bachelor’s degree in Business Administration or Healthcare


• Nephrology billing and collections experience


• Six Sigma or other Lean Management certification


• Certification in billing and collections such as HFMA CRCR or CSPPM


 

 

Other considerations:

 

• Background check required


• Travel to other sites located within San Diego County may be required


• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.


• Supervisory duties – Yes