Revenue Cycle Manager

Role Overview

• Manages the day to day operations that contributes to the capture, resolution, and collection of revenue.
• Responsible for managing the day to day activities of the organization as they relate to revenue cycle functions which include; but are not limited to billing, insurance follow up, denial management, collections, cash posting, customer service, charge entry/corrections, supervision of vendors, accounts receivables and overall management of Denver Health's receivables.
• Work with the Director of Hospital and Physician Business Services on revenue cycle performance to meet strategic goals.
• Provide analytical analysis and keep Director informed of pertinent issues as they arise.
• Develop metrics based on industry standards and measure improvement against those metrics.
• Develop strategic plans and programs for the revenue cycle unit and ensures that goals and objectives of the unit are properly defined and clearly established.
• Monitor timeliness and effectiveness of department activities, ensuring that outstanding insurance accounts receivables, patient accounts and bad debt are on target to meet monthly/yearly Key Performance Indicators.
• Delineate, define, and streamline its various functional activities, thereby ensuring effectiveness in maximizing the utilization of both asset and people resources.
• Oversee personnel by selecting talented, competent, conscientious supervisors and other employees.
• Develop supervisors and other department personnel.
• Adhere to, and implement the philosophy of ensuring that prospective employee standards are aligned with Denver Health's core values.
• Coordinate communication between patient access, medical records, UM, coding, EHS and other departments as necessary.

Requirements

• Bachelor's Degree Required
• 1-3 years supervisory or lead experience Required
• 7-9 years Revenue Cycle experience Required
• Strong knowledge of hospital and physician billing and compliance related to payer specific guidelines.
• Strong background in financial management and knowledgeable of federal/state laws and requirements relating to healthcare management.
• Strong analytical skills and adept in interpreting strategic vision into an operational model.
• Flexible and adaptable to change and capable of guiding direct reports in initiating various management initiatives.
• An effective communicator at all levels in the organization, with strong oral, written and persuasive skills.
• Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills and with proven track record in building and developing high performing teams.
• Superior judgment, negotiation and decision-making skills.
• Strong ethics and a high level of personal and professional integrity.
• Working knowledge of various billing/collections systems (Epic preferred).
• Proficiency in Microsoft Office Suite.
• Working knowledge of various imaging systems.
• Working knowledge of Payer Websites.
• Knowledge of insurance verification systems.

Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer