Revenue Cycle Manager

You belong here! At Family Health West, you're more than an employee, you're family.
When you enter our facility, you know it's Family Health West because, well, the color speaks for itself. You'll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals.
When we say you'll do what you love, we mean it! Welcomed by open arms and warm smiles, you'll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that's what got us to the top! You'll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado.
So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day. If it still sounds too good to be true, come see for yourself. Call us to schedule a tour and meet your new best friends!
About Family Health West
Our roots go deep -- founded by the community in 1946, it's no wonder our hospital feels like coming home. We were built from the ground up with the hands of our own community, a labor of dedication and hope by our people, for our people, for the future.
At Family Health West we go beyond what corporate hospitals deliver, we've created a culture of prosperity where warmth, passion, and care flourishes. As we focus on continually improving outcomes for patients, our network of healthcare providers includes a 25-bed critical access hospital, one of the largest rehab providers in western Colorado, outpatient surgical services, specialty clinics, emergency services, skilled nursing, and assisted living facilities.
Nestled at the base of the Colorado National Monument, Family Health West has an outdoor paradise at your back door. The community culture is fitting for outdoor lovers, bikers, hikers, or those just simply soaking in the panoramic views.
ESSENTIAL FUNCTIONS/KEY QUALIFICATIONS:

• Reliable and punctual attendance is essential; expected to be at job as scheduled each scheduled day.
• Communicate necessary information to others as appropriate.
• Possess technical knowledge to manage the departments
• Develop, maintain & monitor all accounts receivable procedures per specific funding source
• Develop, maintain & monitor all billing functions to ensure LCDs, NCCI edits, payer specific requirements & billing edits are addressed.
• Analyze accounts receivable daily through queues and reports to ensure allocated and worked correctly, to insure issues are addressed promptly.
• Proactive research of all insurance changes and communicate with team.
• Understand the entire medical billing process, insurance rules, and regulations that can enforce/abide by policies and procedures.
• Manage performance and direction of team's daily work
• Direct supervision for billing, AR follow up, customer service, and prior auth to ensure that detail tasks are completed in a timely and accurate manner and ensure accuracy and efficiency of claims
• Supervise denial management staff to ensure that payment received for all services is allocated properly.
• Lead team to evaluate compliance, identify key opportunities, develop specific objectives, work flows, strategies, and plans that optimize the patient financial services/billing functions for the department.
• Reporting and Performance Improvement
• Maintain reference materials on insurance plans & obtain concise understanding of these regulations & changes.
• Plan, prioritize, and delegate work tasks to ensure proper functioning of the assigned areas within the department while determining resources & tools that are necessary.
• Provide ongoing coaching and education for revenue cycle department.
• Build and document efficient workflows (Standard Operating Procedures SOPs)
• Escalate issues to the director, keeping the director aware of areas of concern or focus when key performance indicators (KPI) are not met.
• Prepare and deliver all reports as directed timely.
• Write, implement & ensure adherence to policy & procedures within the department while collaborating with the director in implementation of processes that will identify continuous process improvement opportunities.
• Work closely with multiple departments. Communicate effectively to aid in creating high quality results relating to revenue cycle management internally and externally.
• Support departmental leaders in the development, coordination and implementation of departmental policies and procedures for registration related to denials and changes.
• Work closely with Revenue Cycle Denial Analyst and report back to all registration departments' changes, education, errors, updates and workflow improvements.
• Research and problem solve errors and issues, work with all departments in supporting change.

Education:
Education
Bachelor's degree and/or Business degree preferred.
Licenses
No professional licenses required
Certifications
CRCS/CRCR Certified Revenue Cycle Specialist or representative within a year.
Experience
3 years of Management experience REQUIRED, 3-5 yrs. of Revenue Cycle experience.
HIRING TIME: Open until filled.
Wage Range: The wage for this position starts at $29.00 and goes up based on experience.
Benefits
FHW offers a full benefits package including:
FOR ALL EMPLOYEES:
Employee Assistance Program
403 (B) with 4% match from FHW and zero day vesting schedule
FOR FULL TIME EMPLOYEES WORKING AT LEAST 30 HOURS A WEEK
Medical Plan Options:
I. PPO plan with copay/coinsurance and lower deductible
II. High Deductible Health Plan with the option for a Health Savings Account.
III. Telemedicine includes in both plan options.
Dental
Vision
Life Insurance/ Accidental Death and Dismemberment Insurance
Disability Insurance with a Short and Long Term Option.
Critical Illness and Accident Plans
Cafeteria Options: Health Reimbursement/ Flex Savings / Dependent Childcare
A host of other options to include: Pet Insurance, Identity Protection, Travel protection,