Revenue Cycle Manager

About The Auctus Group LLC

Who we are: We’re big on people and culture at the Auctus Group. Our most important role as a company is to provide an amazing working environment for our team. We’ve been work-from-home-warriors since before it was cool. We have an extremely robust benefits package including health, dental, vision, disability, 401K w/ match. Our team gets a month off per year. We support (like encourage and fund) continuing education. We match charitable donations. Our whole goal is: work to live not live to work. Oh and we’re weirdos too…we do remote happy hours and have a book club and goofy stuff like that.

Who we’re looking for: Smart, talented, tech-savvy, experienced, go-getter types. You’ll do well if:

• you like a fast-paced environment,
• you thrive with change and development,
• you like giving feedback,
• you’re a team player,
• you love learning/sleuthing,
• you’re big on accountability.
  
  

About The Role

• Organize and lead a team to meet performance metrics for productivity & backlogs for charges, claims submissions, payments, refunds, denials, and AR follow up.
• Maintain fee schedule documents and all other master data tables.
• Work to integrate and develop systems data to produce reports for operational, managerial, and executive leadership. Includes revenue, projected revenues, cash forecasts, denial metrics, etc.
• Create and maintain process documentation to outline workflows, roles, and responsibilities required to carry out the goals of the team.
• Ensure consistent and actionable communication with client contacts, other managers and executive team and offshore billing team.
• Provide reporting and feedback to the team for correct coding and billing of insurance and patient accounts. Provide feedback to the executive and leadership team regarding trends, process, pain points and areas of improvement.
• Maintains high ethical standards in compliance with industry and regulatory standards.
• Research reimbursement guideline/requirement changes, interpret updates, and coordinate subsequent reimbursement policy changes to assure compliance. Other duties as assigned.
  
  

What You'll Do

• Problem Solving/Analysis- Ability to assess problem areas and address them effectively.
• Coordination - Adjusting actions in relation to others' actions.
• Time Management- Managing one’s own time and the time of others.
• Communication- Maintain a line of communication with supervisor, dispatcher, and customer.
• Writing Skills- Written and verbal communication skills are essential to be successful in this position.
• Customer/Client Focus- Working towards one goal of serving its’ clients needs.
• Leadership- Ability to take responsibility for the entire team and lead the company appropriately.
• Technical Skills- Previous experience with computer applications, such as Microsoft Word and Excel.
  
  

Qualifications

• 8+ years’ experience in medical billing, with knowledge of current trends in across payer-mix.
• 5+ years’ experience in management. Outpatient facility coding is strongly preferred. Plastic surgery and dermatology experience is strongly preferred.
• Bachelor’s or Associate's Degree from an accredited college or university in healthcare administration, business, accounting, or finance
• Ideal candidate will have experience in a multi-entity organization in the healthcare industry
• Familiarity with Electronic Health Records (EHR) systems is required
• Experience with clearinghouse software and oversight of claims submission processes required