Manager, Revenue Cycle Management, Remote
Philadelphia, PA / Memphis, TN / Albuquerque, New Mexico
Aledade Plus – A+ /
Full Time /
Remote
We are searching for a Manager, Revenue Cycle Management to join the team! The Manager, Revenue Cycle Management will oversee and manage the A+ Revenue Cycle Staff within Aledade to help Aledade’s Primary Care Physician partners maximize the revenue they capture from their day-to-day work, ensuring they are able to maintain and grow their practices, with the resources necessary to provide best-in-class care to their patients.
Supervisory Responsibilities:
- Recruits, interviews, hires, and trains new employees
- Oversees the daily workflow and needs of the department
- Provides constructive and timely performance evaluations
- Handles discipline and termination of employees in accordance with company policy
Essential Duties & Responsibilities:
- Scale and manage the day to day operations of the revenue cycle management solution that supports designated Aledade partner practices in billing and coding activities.
- Lead and manage a team of virtual billers and coders, providing guidance, training, and mentorship.
- Oversee all aspects of the medical billing and coding processes, including practice specific SOPs, pre-visit planning, chart audits, claim submission, denial management and, reduce denials, reduce days in AR and improve claim turnaround time.
- Generate regular reports on billing performance, revenue metrics, and key performance indicators (KPIs) for executive leadership and practice partners, analyzing billing data and financial reports to identify trends and opportunities for improvement.
- Implement practice level performance goals and provide data-driven insights and recommendations to improve billing/coding processes and revenue outcomes.
- Coordinate with Clinical Documentation Improvement Quality Audit team to review coding audit results and implement process improvement strategy and education for coders.
- Design, develop and maintain designated program playbooks.
- Other duties as assigned
Required Skills and Abilities:
- 8+ years of medical billing and coding and/or fee for service revenue cycle management experience in an ambulatory care or outpatient office setting, preferably primary care
- Experience working in an Accountable Care Organization
- Strong leadership skills
- Excellent written and verbal communication skills
- Excellent critical thinking, organization, and time management skills
- Highly organized and proactive in raising questions around clarity, prioritization, blockers, and other points to drive assigned tasks forward
- Demonstrated ability to manage without explicit authority
- Demonstrated ability to consult with primary care providers and practice stakeholders
- Expert understanding of billing and coding guidelines
- Understanding of fee-for-service and value based contract principles
- A self-starter who can take initiative and ownership, with demonstrated success managing multiple projects
- A collaborative team player with a roll-up your sleeves mentality
- Comfortable tackling ambiguous problems with a high level of autonomy
Required Education and Experience:
- Bachelor’s Degree
- 8 years in the discipline
- CPC from AAPC or CCS-P from AHIMA
Preferred Education and Experience:
- Master’s degree in business, health administration or healthy policy
- 9+ years in the discipline
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer
If you are passionate about transforming the healthcare system into one that best serves the needs of patients, doctors, and society, we’d love for you to join us!
Who We Are:
Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system.
We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients’ health care!
Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness, and a desire to learn. You will work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a shared passion for public health and a commitment to the Aledade mission.
We’ve recently been recognized as a Top Workplace by The Washington Post, Best Workplace in HealthCare & Biopharma, Top 100 Best Small & Medium Workplaces, Glassdoor Best Places to Work, a Best and Brightest Companies to Work for in the Nation, a Tech Tribune 10 Best Tech Startups in Maryland and Bethesda, Best Tech for Good, Best Workplaces for Millennials, Best Workplaces for Women, Best Workplaces for Parents, Top Workplaces USA, and a Healthcare Industry Top Workplace.
That’s because the things that matter to you also matter to us!
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the needs of our part-time team-members:
Flexible work schedules and ability to work remotely available for many roles
Paid time off plan - prorated basis
Paid Volunteer Days
11 paid holidays
401(k) with up to 4% match
Stock options
And more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
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