Manager, Revenue Cycle Management

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for understanding the details of Company obligations to comply with payer rules and regulations for healthcare billing and working diligently to maintain receivables within Company targets.

This position…

• Receives work handoff from the Denial team once compliance issues have been resolved with specific payors and takes next steps to resubmit claims with dates of service within the timely filing requirements.

• Monitors collection rates and maintains performance to targets.

• Identifies areas of opportunity to improve rate of charges/claims generated to active client services provided each period.

• Assists in the development and configuration of new process and procedures.

• Responds to payor requests for follow-up, documentation, or other additional information.

• Manages incoming requests for assistance by responding to phone calls, emails, and faxes.

• Communicates with other team members and teams by email, phone, and internal system notes and messages.

• Resolves problems by clarifying issues and applying standard operating procedures; researching solutions and escalating items requiring attention from the leadership team.

• Complies with requirements to protect client data, use client data only for the purpose of managing the client’s account and associated claims, and follow all mandates in policies pertaining to HIPAA and PII.

• Utilizes and complies with department policies, procedures, job aids, reference materials, memos, notes, videos and other trainings provided.

• Participate in other projects or duties as assigned.
• Determines appropriate resourcing of staff in order to achieve goals and objectives.
• Defines annual Key Performance Indicators aligned with corporate goals.

• Manages and mentors employees on performance gaps, career development opportunities, and strategies.

• Manages and coaches employees on all human resource related processes including onboarding, performance management, succession planning, employee relations, selection, terminations, compensation and rewards.

• Recognizes others’ contributions and share credit for success.

• Owns attainment of high employee satisfaction and retention; lead development of program and initiatives within group to attain high employee satisfaction.

• Prepares and manages budget as assigned; analyzes variances and initiates corrective actions to maximize operational performance.

We are interested in speaking with individuals with the following…

• Bachelor's Degree required.

• Six (6) plus years related work experience.

• Two (2) plus years leadership responsibility.

• Certified Revenue Cycle Professional (CRCP) or Certified Revenue Cycle Representative (CRCR) is a plus.

• CareVoyant, Brightree, Great Plains, and Waystar experience is a plus.

• Or equivalent combination of education and/or experience.
• Proficient in the use of the internet, Microsoft Office suite of applications, billing systems and business intelligence reporting tools (Power BI, DOMO).
• Ability to manage, evaluate, understand, and act on analysis of large datasets.

• Self-motivated and comfortable managing multiple tasks at the same time.

• Team player with positive attitude and good communication skills.

• Ability to work flexible hours when needed to deliver results.

• Comprehensive knowledge of full revenue cycle experiences including: EDI billing, cash posting, follow up, denial/appeal processes, payor guidelines and customer service.

Salary: $69,900.00 - $94,400.00

This role is bonus eligible based on individual and company performance.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com