James River Home Health & Hospice
Revenue Cycle Manager
James River Home Health & Hospice, Richmond, Virginia, United States, 23236
James River Home Health is growing and needs YOU! We are actively seeking a Revenue Cycle Manager to join our growing team at our corporate office! You will be responsible for overseeing revenue cycle management including coding, authorization, medical records, Quality Assurance, billing, collections, and denial management as well as financial reporting within the organization.
Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.
What’s in it for you?
Competitive SalaryGENEROUS time-off package 21 Days off (15 PTO Days and 6 Paid Holidays) Accrues on Day One! (PTO policy rewards longevity with increases each year)Competitively priced health plan, vision and dental, partially employer paid!Company paid short and long-term disability and life insurance (up to $50,000 in coverage)401K with employer matchCareer advancement opportunitiesProactive Health Management Wellness Program (PHMP)
A brief overview of Responsibilities:
Manage the Revenue Cycle: Oversee all aspects including medical records, billing, coding, collections, denials, authorizations, and quality assurance.Vendor and Payer Relationships: Manage relationships with external software vendors and clearinghouses, and communicate professionally with various payers.Staff Management and Training: Mentor revenue department staff and provide ongoing education on coding trends and regulations, including OASIS updates.Billing Policies and Compliance: Develop, implement, and revise billing, coding, and reimbursement policies while adhering to HIPAA and regulatory compliance.Financial Reporting and Reconciliation: Reconcile receivables and revenue, collaborating with finance for monthly reports and maintaining the billing database based on CMS fee schedules.Credentialing and Enrollment: Oversee credentialing processes and manage enrollment or re-enrollment with Medicaid, Medicare, and commercial payers.Claims and Collections Management: Resolve billing issues, monitor collections, evaluate third-party reimbursements, and ensure accurate claim processing.Compliance and Strategic Planning: Stay updated on reimbursement policies, maintain internal controls, and develop strategies for improving billing practices and revenue management.Other duties as assigned
Qualifications:
3–5 years of related management experienceKnowledge of third-party payer requirements, including federal, state, and private healthcare plans and authorization processesProven experience in healthcare billing, including Medicaid/Medical AssistanceUnderstanding of insurance policies, reimbursement practices, Medicare coding, and OASIS guidanceExpertise in process development and execution
"James River is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status."
#JamesRiver2
Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.
What’s in it for you?
Competitive SalaryGENEROUS time-off package 21 Days off (15 PTO Days and 6 Paid Holidays) Accrues on Day One! (PTO policy rewards longevity with increases each year)Competitively priced health plan, vision and dental, partially employer paid!Company paid short and long-term disability and life insurance (up to $50,000 in coverage)401K with employer matchCareer advancement opportunitiesProactive Health Management Wellness Program (PHMP)
A brief overview of Responsibilities:
Manage the Revenue Cycle: Oversee all aspects including medical records, billing, coding, collections, denials, authorizations, and quality assurance.Vendor and Payer Relationships: Manage relationships with external software vendors and clearinghouses, and communicate professionally with various payers.Staff Management and Training: Mentor revenue department staff and provide ongoing education on coding trends and regulations, including OASIS updates.Billing Policies and Compliance: Develop, implement, and revise billing, coding, and reimbursement policies while adhering to HIPAA and regulatory compliance.Financial Reporting and Reconciliation: Reconcile receivables and revenue, collaborating with finance for monthly reports and maintaining the billing database based on CMS fee schedules.Credentialing and Enrollment: Oversee credentialing processes and manage enrollment or re-enrollment with Medicaid, Medicare, and commercial payers.Claims and Collections Management: Resolve billing issues, monitor collections, evaluate third-party reimbursements, and ensure accurate claim processing.Compliance and Strategic Planning: Stay updated on reimbursement policies, maintain internal controls, and develop strategies for improving billing practices and revenue management.Other duties as assigned
Qualifications:
3–5 years of related management experienceKnowledge of third-party payer requirements, including federal, state, and private healthcare plans and authorization processesProven experience in healthcare billing, including Medicaid/Medical AssistanceUnderstanding of insurance policies, reimbursement practices, Medicare coding, and OASIS guidanceExpertise in process development and execution
"James River is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status."
#JamesRiver2