Job Description

Our Fortune 500 client is seeking a Manager, Revenue Cycle Management, who will lead and manage the company’s healthcare cash posting process within the Revenue Cycle management team on EMR, including leading payor EDI enrollments and lockbox communications. Additional responsibilities include recruiting, training, developing, and managing an in-house on-shore, off-shore team.

You will:

• Lead and manage the company’s healthcare cash posting and lockbox activities, including Medicaid, Medicare, Managed Care, and third-party payors transactions on multiple EMR’s and other applications; and develop a team of cash posting professionals to ensure accounting activities are completed accurately and on time.
• Ensure all revenue cycle activities comply with federal, state, and payer regulations, including HIPAA and other applicable standards in cash transactions.
• Lead payment review processes, oversee compliance with insurance payment regulations and payer requirements.
• Support organizational audits and financial reviews while upholding the highest standards of ethical practices.
• Lead EMR systems set up, implement Payor & Billing, cash posting “set-up” rules and logic within an EMR system. Troubleshoot large 835 transaction-related issues.
• Demonstrate strong understanding of healthcare revenue cycle processes, payer regulations, and compliance requirements. NY CDPAP experience or FMS/self-direction experience in revenue cycle with another vendor or MCO/State Medicaid Agency.

Required Qualifications:

• Associate’s degree in health care administration, finance/accounting, or related field, or equivalent years of experience.
• Minimum 7 years’ relevant revenue cycle experience including EMRs such as Brightree, Xifin, Epic/ Cerner or others, cash posting, and reconciliation.

Strongly Prefer:

• HFMA or other Revenue Cycle license or certificate and knowledge of accounting and finance.
• Master’s Degree(± 18 years) MBA, CPA, CMA

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