Healthcare Revenue Cycle Manager
Kenaitze Indian Tribe - Kenai, AK

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KENAITZE INDIAN TRIBEJOB DESCRIPTIONTYPE OF POSITION: Full Time, Exempt REPORTS TO: Director of Financial ServicesSUPERVISES: Healthcare

Billing Staff
INDIAN PREFERENCE: Native preference under P.L. 93-638

KENAITZE INDIAN TRIBE'S PURPOSE, VALUES VISION

Mission

To assure Kahtnuht'ana Dena'ina thrive forever.

Kahtnuht'ana Dena'ina Values

These are the beliefs and principles that define our people and will assure our future as tribe:

Family: honoring and sustaining health and happiness of family as a first responsibility
Stewardship: respectful use of land, resources and all creations
Spiritual Beliefs: acknowledging the existence of a higher power and respecting spiritual beliefs
Education: passing down cultural knowledge and traditions and supporting formal education

Vision

By 2025, the Kahtnuht'ana Dena'ina have enhanced strengthened the prosperity, health, and culture of their people Tribe by:

Working towards united effort with Native organizations other governments that impact our people
Developing implementing a Tribal education system
Living our traditional values practices
Empower our sovereignty
Continuing to demonstrate resiliency
Striving for excellence in all of our programs
Elevating the wellness of our people
Using our talents resources to ensure we are able to take care of ourselves share with others

POSITION SUMMARY

The position is responsible for optimizing performance of the healthcare revenue cycle process. This position is also responsible for direct supervision of healthcare billing staff.

QUALIFICATIONS (Consideration may be given for equivalent knowledge, skills, abilities, education, and experience)

Education/Training

Bachelor's degree in healthcare administration or related field.

Experience

Three years experience in healthcare revenue cycle management or similar position
Knowledge
Knowledge of Medicare, Medicaid and third party payer regulations and how to work within their guidelines.
Thorough understanding of the healthcare revenue cycle process, including staff roles and responsibilities, work requirements, and best practices.
Proficiency in the use of computers, office productivity software, and health practice management applications
Personal Skills
Personable, friendly, confident, analytical, a team player

ESSENTIAL FUNCTIONS

Ensures continuous collaboration and coordination of duties between the front- end (scheduling, registration, insurance verification, time of service collections, charge capture, medical records) and back- end (billing, posting, accounts follow up, reporting, compliance) functions of the revenue cycle process.
Communicates performance measures and expectations to employees under the direct supervision, provides them with ongoing feedback and support, and ensures they have proper training and tools to perform their work duties effectively and efficiently.
Recommends updates to revenue cycle policies and procedures based on changes in the reimbursement environment, regulations, and best practices.
Tracks, analyses, and reports healthcare revenue cycle performance results
Oversees and monitors compliance with healthcare billing and coding regulations; Organizes periodic internal audits of the revenue cycle system; communicates findings and improvement recommendations; organizes additional staff trainings.
Oversees enrollment with Medicare, Medicaid, and other third-party payers.
Reviews and analyses the fee schedule for healthcare services; recommends and implements updates (at least annually) based on changes in the reimbursement environment, local market considerations, and other relevant factors
Performs other duties as assigned

This Job Description reflects Kenaitze Indian Tribe's best effort to describe the essential functions and qualifications of the job described. It is not an exhaustive statement of all the duties, responsibilities or qualifications of the job. This document is not intended to exclude an opportunity for modifications consistent with providing reasonable accommodation. This is not intended to be a contract.

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