Job Family Summary:
The Revenue Cycle Department is responsible to manage all aspects of claims management including Onsite operations and back-end processing. The department primarily works on main objective of reducing cost and increasing revenue through the optimization of processing and timely submission of claims in time with highest quality, so to ensure the client receives the payment with minimal or no rejections.
Role Summary:
The Manager, Revenue Cycle, is responsible to manage all aspects of claims processing throughout the claims cycle including Onsite operations and back-end processing. Manage overall activities of the onsite operation including compliance of hospital staff with using BMS real time and compliance with notification of IP admissions and discharges. Ensures that timely submission of approvals and timely detection and obtaining of approval extension, daily IP coding, timely closing of IP and OP encounters and forward to billing system at the back office.
The roles primary objective is to reduce operating cost while ensuring a smooth and swift movement of the claim through its cycle up till submission to payer. Improving productivity and reducing TAT through the optimization of processes and systems is the key scope of this role.
The Revenue Cycle Manager will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes and train others in implementing a cross functional revenue cycle team.
Primary Responsibilities:
Job Requirements:
Key Performance Indicators (KPI’s):
Core KPIs
Additional KPIs
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