Manager, Revenue Cycle Regional AR

Certifications:

• N/A

Education:

• Bachelor's Degree: Related Field or
• Bachelor's Degree: Finance or
• Bachelor's Degree: Accounting

Work Experience:

• Accounts Receivable Leadership

• Attends and partipates in denial management to improve revenue cycle performance.
• Keeps informed on state and federal regulations affecting billing and collections and make adjustments required to meet these changes for facility and professional fee billing.
• Makes and tests necessary changes to the payor and collections part of the patient accounting system.
• Manage and direct the daily operation of assigned areas and staff.
• Manages WIP with HIM, IPCC, and HRC, including providing feedback, system changes, new software solutions, and updates on needed process improvements
• Monitors and ensures proper coding is reported on the patient billing.
• Monitors the patient accounting system output and make necessary adjustments.
• Provides training, including changes to the systems and third party billing.
• Supervises electronic claims processing.
• Supervises the collections of all governmental payor balances, including secondary and private pay balances.

• Identifies, discusses, plans and implements with assistance from Information Technology and Systems
• Will enhance the enterprises revenue cycle systems - applications, systems or modifications.
• Will work in collaboration with the Director of Revenue Cycle Denials, Regional AR & SBU's
• Prepares annual budget for department.
• Monitors, verifies and reconciles department expenditures on a monthly basis.
• Collaborates closely with the clinical leadership to ensure effective financial outcomes.
• Handles quality assurance/compliance matters as required and expected per policy and Code of Conduct.
• Contributes, interprets and analyzes financial data
• Identify and monitor performance and establish financial benchmarks for the department.

• Facilitates and collaborates on initiatives within the department, in clinical operational areas and enterprise wide.
• Endorses and performs all required tasks associated with the Carle Experience
• Provides rounding with staff
• Ensures completion of all reports needed to have meaningful and productive monthly meetings with manager.
• Works in conjunction with Finance/Accounting
• Ensure accurate tracking, capturing and reporting of revenue for each business line.
• Proficient within associated system applications for assigned portfolios, including but not limited to Epic and Mediquant.

• Maintains working knowledge of CPT, ICD, HCPCS code sets
• Maintains working knowledge of HIPAA transaction code sets and payer rules and regulations.
• Creates, updates, maintains, adheres, enforces all Carle administrative and departmental policy and procedures.
• All other duties as assigned

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.