Revenue Cycle Manager

Emergence Health Holdings is seeking a Revenue Cycle Manager to oversee the direction and the day-to-day functions of the billing team for its two urgent care brands, ClearChoiceMD and CareWell, which operate 32 urgent care locations and offer telemedicine services throughout New England. ClearChoiceMD and CareWell Urgent Care was founded by physicians with a mission to deliver innovative, accessible, and exceptional healthcare. We are building a team of professionals dedicated to meeting the needs of our communities. We are a patient-focused organization with a strong emphasis on teamwork, who upholds the highest ethical standards and treats all with compassion.
The Revenue Cycle Manager maximizes cash flow, provides analysis, creates written processes/SOPs, and trains others in implementing a cross functional revenue cycle team. This position will align initiatives with the revenue cycle strategic objectives and is responsible for the direction of these efforts to ensure the accuracy and timeliness or charge capture, coding, claims submission, follow-up, denial, and underpayment management. The ideal candidate will have thorough understanding of revenue cycle, accounts receivable, and cash collections.

This is a hybrid-remote position, 2-3 days/week in office

Primary Revenue Cycle Manager Responsibilities (including but not limited to): 

• Develop strategies across all functional departments to exceed cash collections, reduce days in AR, and reduce denial and adjustment rates
• Conduct staff annual performance reviews in collaboration with the Director of RCM; Monitor and evaluate team effectiveness and individual productivity measured against established performance standards 
• Manages the administration of all AR financial transactions with the goal of minimizing bad debt, improving cash flow, guiding the revenue cycle team, implementing company procedures, generating accurate reports, analyzing trends, and making recommendations to senior management
• Maintains up-to-date copies of payer fee schedules in electronic files and communicate changes to team in a timely manner. Ensure all rate changes are implemented in a timely manner and audited on a quarterly basis
• Oversees the analysis and recording of revenue adjustments, write offs and denial activity; provides reporting on trends to management along with suggestions to mitigate future write offs and denied claims
• Ensures the EMRs are optimized to ensure contracted amounts are collected consistently and accurately

Qualifications:

• Bachelor's Degree in Business, Healthcare Administration or equivalent and minimum of 4 years of revenue cycle experience; 8 years of revenue cycle experience in lieu of education
• Medical Billing Experience: 4 years (preferred)
• Certified Professional Coder (CPC) Certification (preferred)
• Extensive knowledge of CPT and ICD-9 coding
• Experience with Experity and Waystar
• Proficiency with Microsoft Office Suite, with an emphasis on Excel skills and pivot tables
• Ability to hire, train, manage the revenue cycle billing team

Successful candidates joining our TEAM will be eligible for:

• Health Benefits: Medical, Dental, and Vision Insurance
• PTO: Paid Time Off and Paid Holidays
• 401k with company match
• Company Paid Short Term Disability and Life Insurance
• Additional Perks: Free (4) Urgent Care Visits/yr for Employees + Dependents, Discounted Company Apparel, Flexible Remote/Hybrid Working Arrangements, and more