Revenue Cycle Manager - Remote

Position Summary:

Effectively leads the Prior Authorization functional area within billing, collection or accounts receivable management, maintaining a full understanding of the billing information system. Manages the activities of staff through daily supervision while overseeing designated functional area across revenue cycle including but not limited to billing and pre-certification. Assists with implementing strategic goals by deploying internal and external staff.

Job Responsibilities :

• Experience with managing large remote teams, including supervision of staff of a pre-certification department.

• Experience with directing self and others in areas of responsibility such as research, appeals, order entry, pre-certification and eligibility.

• Assists with feedback for hiring, discipline and performance evaluations.

• Provides department orientation and ongoing training for all in/direct reports.

• Liaison with internal departments to promote ongoing communication, and collaboration on cross functional projects related to prior authorization.

• Analyzes prior authorization outcomes from all sources, including carrier reimbursement exception reporting and follow up pending prior authorization analysis and denials management.

• Represent organizational projects and assist management with follow-through and implementation of initiatives.

• Manage all aspects of the prior authorization department including the timely, accurate submission and collection of all patient and customer accounts.

• Works with across departments to manage the entire process from insurance verification to final collection.

• Responsible for the timely accurate submission of all prior authorizations for service to the responsible payer.

• Ensure that all payers needing prior authorization are set up correctly within the software system.

• Monitors and validates adherence to Policies and Procedures, auditing as necessary. Monitors and evaluates employee productivity and performance to goal.

• Builds employee morale, motivation and loyalty by fostering positive working relationships.

• This role works with PHI on a regular basis both in paper and electronic form …