Healthcare Alternative Systems, Inc (H.A.S)
Revenue Cycle Manager- Chicago Ave
Healthcare Alternative Systems, Inc (H.A.S), Chicago, Illinois, United States, 60290
Revenue Cycle Manager- Chicago Ave4734 W. Chicago Ave.Chicago 60651
MISSION/VISIONHealthcare Alternative Systems (H.A.S.) provides a continuum of multicultural and bilingual (English/Spanish) behavioral care and social services that empower individuals, families, and communities. H.A.S. seeks to implement sustainable programs that benefit society by improving the well-being and recovery efforts of those individuals, families, and communities impacted by behavioral health problems. With eleven locations across the Chicagoland area, H.A.S. provides services and resources to individuals at every stage in their behavioral/recovery journey so that they can be successful and become contributing members of their communities.
Healthcare Alternative Systems, Inc.
(H.A.S.) is a 501 (c) 3 non-profit organization providing behavioral health services to Chicago and the surrounding communities. We offer a continuum of programs addressing substance abuse, mental health, adolescent issues, family relationships, and more. Every year, H.A.S. serves over six thousand individuals.
Benefits:
Competitive hourly salary
Health insurance (PPO, HMO)
Paid time off
Dental insurance
Vision insurance
Flexible spending account (FSA) / Health savings account (HSA)
Life insurance- Paid by H.A.S.
Short Term Disability - Paid by H.A.S.
Long Term Disability - Paid by H.A.S.
CEU eligible on-site trainings
Supervision
$200 Professional Development
JOB SUMMARYReporting to the Senior Vice President of Corporate Compliance, the Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This role will also manage Provider credentialing and be the main contact for the EDI vendor, Payer contacts, and Clearing House vendor. This position is to stay apprised of coding and revenue trends; and is responsible for coding education billing staff. In addition, this position will manage all Revenue Cycle Management staff; this will include day to day supervision as well as development opportunities, training, and mentorship.
SUPERVISORY RESPONSIBILITIES
Manage, develop, and mentor all revenue department staff.
Provide up-to-date education for staff on coding trends.
ESSENTIAL DUTIES
Oversees and manages entire revenue cycle including billing, coding, collections, and denial management to DHS SUPR, Medicaid, MCO and Commercial insurance.
Manages relationships with external vendors for practice management software and clearinghouse vendor.
Communicates professionally with various payers and provider representatives.
Manages and maintains billing and practice management software platform.
Updates reimbursement rates for all payers within the EHR.
Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies.
Reconciles all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
Manages and updates the EHR support staff on the current CMS/HFS fee schedule and negotiated contracts.
Conducts monthly analysis of Medicare/Medicaid/Third Party Payers.
Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors.
Generates and manages revenue reports.
Reviews and resolves issues related to claim generation and rejected/denied billings.
Commits to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information.
Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations.
Maintains appropriate internal controls over accounts receivable, RCM process.
Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers.
Reviews, monitors, and evaluates third party reimbursement and researches variances.
Performs other duties as assigned.
REQUIRED SKILLS/ABILITIES
Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process;
Proven experience in healthcare billing, including DHS SUPR, Medicare, Medicaid, MCO and Commercial Insurance;
Knowledge of basic insurance policies, authorizations, procedures, and reimbursement practices with and coding;
Experience with credentialing/re-credentialing of Facilities;
Experience supervising staff;
Prior experience with process development and execution;
Excellent communication and interpersonal skills;
Expert in Microsoft Excel and Word;
Bilingual is a plus;
H.A.S. requires all staff to work on site.
EDUCATION & EXPERIENCE
A bachelor’s degree and 3-5 years of related work experience
PHYSICAL REQUIREMENTS
Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
EEOIt is the policy of H.A.S. not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
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MISSION/VISIONHealthcare Alternative Systems (H.A.S.) provides a continuum of multicultural and bilingual (English/Spanish) behavioral care and social services that empower individuals, families, and communities. H.A.S. seeks to implement sustainable programs that benefit society by improving the well-being and recovery efforts of those individuals, families, and communities impacted by behavioral health problems. With eleven locations across the Chicagoland area, H.A.S. provides services and resources to individuals at every stage in their behavioral/recovery journey so that they can be successful and become contributing members of their communities.
Healthcare Alternative Systems, Inc.
(H.A.S.) is a 501 (c) 3 non-profit organization providing behavioral health services to Chicago and the surrounding communities. We offer a continuum of programs addressing substance abuse, mental health, adolescent issues, family relationships, and more. Every year, H.A.S. serves over six thousand individuals.
Benefits:
Competitive hourly salary
Health insurance (PPO, HMO)
Paid time off
Dental insurance
Vision insurance
Flexible spending account (FSA) / Health savings account (HSA)
Life insurance- Paid by H.A.S.
Short Term Disability - Paid by H.A.S.
Long Term Disability - Paid by H.A.S.
CEU eligible on-site trainings
Supervision
$200 Professional Development
JOB SUMMARYReporting to the Senior Vice President of Corporate Compliance, the Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This role will also manage Provider credentialing and be the main contact for the EDI vendor, Payer contacts, and Clearing House vendor. This position is to stay apprised of coding and revenue trends; and is responsible for coding education billing staff. In addition, this position will manage all Revenue Cycle Management staff; this will include day to day supervision as well as development opportunities, training, and mentorship.
SUPERVISORY RESPONSIBILITIES
Manage, develop, and mentor all revenue department staff.
Provide up-to-date education for staff on coding trends.
ESSENTIAL DUTIES
Oversees and manages entire revenue cycle including billing, coding, collections, and denial management to DHS SUPR, Medicaid, MCO and Commercial insurance.
Manages relationships with external vendors for practice management software and clearinghouse vendor.
Communicates professionally with various payers and provider representatives.
Manages and maintains billing and practice management software platform.
Updates reimbursement rates for all payers within the EHR.
Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies.
Reconciles all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
Manages and updates the EHR support staff on the current CMS/HFS fee schedule and negotiated contracts.
Conducts monthly analysis of Medicare/Medicaid/Third Party Payers.
Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors.
Generates and manages revenue reports.
Reviews and resolves issues related to claim generation and rejected/denied billings.
Commits to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information.
Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations.
Maintains appropriate internal controls over accounts receivable, RCM process.
Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers.
Reviews, monitors, and evaluates third party reimbursement and researches variances.
Performs other duties as assigned.
REQUIRED SKILLS/ABILITIES
Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process;
Proven experience in healthcare billing, including DHS SUPR, Medicare, Medicaid, MCO and Commercial Insurance;
Knowledge of basic insurance policies, authorizations, procedures, and reimbursement practices with and coding;
Experience with credentialing/re-credentialing of Facilities;
Experience supervising staff;
Prior experience with process development and execution;
Excellent communication and interpersonal skills;
Expert in Microsoft Excel and Word;
Bilingual is a plus;
H.A.S. requires all staff to work on site.
EDUCATION & EXPERIENCE
A bachelor’s degree and 3-5 years of related work experience
PHYSICAL REQUIREMENTS
Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
Employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
EEOIt is the policy of H.A.S. not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
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