Job description
Title: Medicare Revenue Cycle Lead
Overview: We are rapidly growing and leading physical therapy (PT) clinic platform in the U.S. We own and operate 220+ PT clinics that provide a variety of outpatient rehabilitation services. The Medicare Revenue Cycle Lead is responsible for overseeing Medicare Primary and Secondary Insurances, patient account collections, and the Medical Records Department. This position manages an assigned team of Representatives and holds the assigned team accountable for meeting deadlines and established Company goals. This position works in cooperation with all other clinic departments and the Director of Revenue Cycle.
Benefits:
- Health insurance
- Paid time off
- Dental insurance
- 401(k)
- Vision insurance
- Life insurance
- 401(k) matching
- Disability insurance
- Employee discount
- Flexible spending account
- Retirement plan
- Employee assistance program
- Health savings account
- Opportunities for advancement
- Referral program
- Professional development assistance
- Work from home
- Dependent health insurance coverage
- Commuter assistance
- Bereavement leave
- Other
Job Duties:
- Supervise and manage a team of Representatives
- Manage the revenue cycle process including accounts receivables, denials management, and insurance follow up
- Monitor collections staff efficiency through audit processes
- Approve adjustments as per company policy
- Work collaboratively with other departments, including operations and managed care, to improve reimbursement process and results
- Maximize revenue through strong collection processes
- Review daily, weekly and monthly key metrics to identify trends or areas of focus
- Participate in the design, implementation, and management of process improvements to improve revenue cycle performance
- Recommend merit increases, promotions and disciplinary actions with appropriate approvals as required
- Maximize and monitor cash flow with strong DSO
Job Requirements:
- High School Diploma or equivalent certification required
- 3-5 years of collection and billing process experience with Medicare and other payors
- A minimum of 1-2 years proven supervisory or management experience in the medical receivables field is preferred
- Prior Physical/Occupational Therapy claims knowledge is preferred
- Knowledge of and compliance with state and federal laws and regulations for Medicare, Medicaid, Commercial, Workman’s Comp, managed care and other third-party payers
- Knowledge of HIPAA and other requirements
- Knowledge of electronic billing and coding requirements, to include knowledge of CPT, ICD-10 codes and EOB’s
- Knowledge of clearinghouses
- Knowledge of healthcare industry and medical terminology, with emphasis on Revenue Cycle processes
- Ability to work independently with minimal supervision as well as ability to work in a team environment
- Ability to supervise and train employees, to include organizing, prioritizing, and scheduling work assignments
- Ability to develop, plan, and implement short-and long-range goals
- High degree of attention to detail
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- Salary requirements?
Experience:
- Medical Collection: 5 years (Required)
- Supervising: 3 years (Required)
Work Location: Remote