Revenue Cycle Manager
UHS
Summary
Revenue Cycle Manager Opportunity - Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. The Revenue Cycle Manager supervises and coordinates the overall management of patient billing and collection. This position efficiently and effectively manages the Business Office operations to provide maximum reimbursement for the hospital while maintaining the highest level of confidentiality department wide.
Job description
Responsibilities
- Bill Medicare claims and perform standard daily billing tasks
- Monitor claim denials and ensure timely entry on the denial logs; ensure regular staff follow up on denied claims
- Analyze AR Aging and obtain staff updates on all past due accounts weekly
- Review and direct staff on working self-pay, credit balances, unbilled charges, and other account groups
- Assist staff with resolving complex claim rejections
- Analyze contractual adjustments for accuracy and approve prior to posting
- Lead monthly insurance calls on outstanding problem claims and maintain claim logs
- Oversee accurate and timely completion of daily insurance verification and cash posting processes
- Obtain single case agreements and assist staff with denial appeals
- Prepare for and oversee any third-party payor audits and complete any third-party reports
- Maintain reports and logs requested by the CFO for the month end close
- Prepare weekly AR reports and attend weekly AR meetings
- Collaborate with Intake, UR and Medical records department as needed to accommodate financial policies
- Communicate new issues or trends to CFO promptly
- Respond to inquiries from management and staff promptly
- Update changes in contracted rates timely in the Contract Matrix system per communications from the corporate contracting department
- Maintain close familiarity with payer contracts, rates, billing codes and guidelines
- Review and approve write offs as appropriate; ensure all necessary documentation is provided
- Monitor and implement business office policies and procedures as requested by the CFO
- Monitor productivity, coordinate, and audit daily business office staff activities
- Manage and develop business office staff
- Use staff feedback and findings to implement process improvements
- Administer annual performance reviews, and performance improvement plans and disciplinary actions, as needed
- Complete one-time projects as assigned by CFO
Qualifications
- Education: Bachelor's degree in finance, accounting or related field
- Experience: 5 years of healthcare billing, accounts receivable, and collections experience required; 1 or more years of experience in revenue cycle management required; Healthcare experience preferred
- Specialized Skills: Highly hands-on, working manager position
- Deep knowledge of all stages of revenue cycle, preferably in the Healthcare field
- Analytical and financial management skills; proficiency with common office software
- High attention to detail, disciplined and methodical approach to processes
- Strong ability to problem solve and adapt to change
Requirements
- Bachelor's degree in finance, accounting or related field
- 5 years of healthcare billing, accounts receivable, and collections experience required
- 1 or more years of experience in revenue cycle management required
- Healthcare experience preferred
- Highly hands-on, working manager position
- Deep knowledge of all stages of revenue cycle, preferably in the Healthcare field
- Analytical and financial management skills; proficiency with common office software
- High attention to detail, disciplined and methodical approach to processes
- Strong ability to problem solve and adapt to change
Benefits
- Student Loan Repayment
- Tuition Reimbursement
- Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- SoFi Student Loan Refinancing
- Career Development
- Supervision for Licensure
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.