Revenue Cycle Manager
Crotched Mountain Rehabilitation Center - Greenfield, NH

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Revenue Cycle Manager

Scope: (Position summary inclusive of scope of service; See Policy 498 3.2.2, include 3.2.4, if applicable)
Reports directly to the Director of Finance and is responsible to develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company’s receivables. This position will work with the financial business offices on revenue cycle performance to meet short term strategic goals and will provide analytical analysis and create written guidelines, policies, and procedures in accordance with implementation of all work processes as a result of thorough analysis.

Demonstrates competency in the following areas:

Organizational Responsibilities:
  • Supports the organization’s mission – Crotched Mountain is dedicated to serving individuals with disabilities and their families, embracing personal choice and development, and building communities of mutual support.
  • Supports the organizations vision- Crotched Mountain will be the region’s most effective and respected provider of education, health, and clinical supports to society’s most vulnerable populations.
  • Demonstrate understanding through support of the organizations 6 (six) Workplace Values:

ü Respect & Dignity – treat each other with esteem, regardless of one’s position and create a feeling of safety in a workplace free of fear and retaliation.
· Listen actively, seeking to understand and value concerns
· Value each person’s ideas and encourages constructive feedback

ü Teamwork – collaborates with others to achieve common goals by:
· Recognize diversity, drawing on the strengths of every individual
· Demonstrate support for others and team decisions
· Use opportunities to influence policies and procedures

· Effective Communication –exchange meaningful information and ideas throughout and beyond our workplace, across all levels, directions, and channels.
· Demonstrate open mindedness, honesty, and respect when listening and speaking to others
· Take a direct approach, whenever possible, in resolving personal conflict with others
· Share information with others that helps them perform their jobs and understand organizational decisions

· Accountability to Self and Others – be responsible to ourselves and our peers, to our supervisors and those who we supervise, and the organization for our own performance.
· Perform job in a purposeful, professional manner with pride and integrity
· Acknowledge others accomplishments and addresses deficiencies in own job performance in a prompt and dignified manner.
· Look continually for ways to improve performance at all levels

· Positive Attitude – while acknowledging our struggles, approach each day with enthusiasm.
· Choose an optimistic and cheerful outlook
· See the good in others, looks for solutions not blame
· Foster a sense of enthusiasm

· Growth and Learning – acquire knowledge and skills through practice, training and experience.
· Participate in opportunities for quality improvement and innovative solutions
· Promote an environment in which creativity, problem solving and shared knowledge are highly regarded through spoken words and written communication
· Help others overcome barriers to allow maximum staff participation in educational programs through flexibility
· Perform all duties assigned in a professional manner.

Organizational General Requirements: (List competencies. Include service recipient and staff safety requirements, as well as, professional requirements.)

Advocacy/Support: Assist and support the participant to remain safe and (if direct service role) develop strategies, make informed choices, follow through on responsibilities and take risks by:
  • Being knowledgeable of patient/consumer rights and ensures an atmosphere which allows for dignity and well being of all patients/consumers in a safe secure environment.
  • Advocate and protect clients’/patients’ rights in accordance with Crotched Mountain policies and procedures.
  • Identify the rights of individuals with disabilities, the consequences if those rights are violated, and strategies to effectively address these violations.
  • Maintain appropriate professional boundaries.
  • Identify the rights of individuals served and can address the situation if the staff or individual feels they are being violated in any way by any person.
  • Accurately identify whether a described or observed situation should be reported as a suspected case of abuse or neglect and know appropriate steps to take to protect and support the individual in such a situation.

Professionalism: Thinks carefully about the likely effects on others of one’s words, actions, appearance, and mode of behavior. Selects the words or actions most likely to have the desired effect on the individual or group, by:
  • Practice good hygiene and presents an appropriate professional appearance.
  • Demonstrate understanding how one is perceived by others
  • Take actions calculated to have a positive effect on others
  • Work to make a friendly impression on others by using good eye contact and using names whenever possible.
  • Work to develop and maintain positive working relationships with co-workers by being punctual, keeping personal communication to a minimum, and maintaining a pleasant work attitude.

Continuous Learning: Demonstrates desire and drive to acquire knowledge and skills necessary to perform job more effectively by:
· Take responsibility for one’s own development.
· Maintain fluency in appropriate work applications, software, or tools.
· Identify and pursue areas of development and training that will enhance job performance.
  • Take responsibility for own training requirements, maintain 100% completion rate for all required compliance training.

Safety Management : Demonstrates understanding of the importance of integrated safety management by:
  • Utilize appropriate infection control techniques, especially demonstration of proper hand washing techniques.
  • Protect self and others by using appropriate personal protective equipment (i.e. gloves, face shields, gowns).
  • Locate safety equipment i.e. fire extinguishers, first aid kits, AED’s, personal protective equipment.
  • Locate emergency notification information in a timely manner.
  • Locate and follow emergency evacuation plan
  • Locate emergency exits and safe areas
  • Demonstrate safe operation of any equipment used within the work environment
  • Demonstrate ability to correctly follow procedures to report and /or correct unsafe working conditions.
  • Follow correct procedure for equipment repair and maintenance needs
  • Comply with current law and policy to provide a work environment free from harassment and all illegal discriminatory behavior

Initiative: The power or ability to begin or to follow through energetically with a plan or task
· Demonstrate ability to take the first step or move;
  • Take responsibility by following the correct process for beginning or originating an action, new idea or method
  • Demonstrate ability to think and act without being asked.
  • Demonstrate ability to continue with a plan, task, and activity until it has been completed.

General Business Acumen: Demonstrates the knowledge and understanding of everyday operational functions of Crotched Mountain.
  • Wear identification while on duty;
  • Record time worked timely and accurately.
  • Represent the organization in a positive and professional manner.
  • Report to work on time and as scheduled;
  • Complete work within designated time.
  • Complete required documentation that meets current organizational and/or department standards.
  • Maintain confidentiality of all data, including patient/consumer, employee and operations
data.
  • Treat individuals and their families with respect and dignity, using tactful communication.

Primary Competency Requirements: (Refer to Policy 498 3.2.5 and 3.2.6 and list evidenced based best practice competencies accordingly.

Planning:
  • Develops strategic plans and programs for the finance team and ensures that goals and objectives of the team are properly defined and clearly established.
  • Develops policies, guidelines, and implementing procedures and ensures consistent company-wide implementation.
  • Develops budgetary plans, programs, and guidelines to ensure the team’s strict adherence with financial guidelines and requirements.
  • Ensures that operating expenses are well within the prescribed limits of budget plans and fiscal guidelines.
  • Provides projections and reports as required, for development and management of budget; produce and analyze monthly reports that assist in the monthly forecast process.
  • Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivables is no more than the agreed upon limit and that bad debt is within budgeted target.
  • Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy.
  • Compiles and prepares various status reports for management in order to analyze trends and make recommendations.
  • Enhance and standardize our work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the Company’s standard operating procedures.
Organizing:
  • Designs and develops the appropriate organization structure for the Revenue Cycle team.
  • Delineates, defines, and streamlines its various functional activities, thereby ensure its effectiveness in maximizing the utilization of both asset and people resources.

Leading: Performs selection and staffing functions such as:
  • In collaboration with Human Resources Department, conducts in-depth assessment interviews to determine the technical and behavioral competencies of the candidate to ensure that the best from among the qualified candidates are being hired in the company.
  • Adheres to, and implements the philosophy of “hiring the best fit “and ensures that prospective employees’ personal values are aligned with the company’s corporate values.
  • Conducts regular and periodic meetings with the team, to ensure the following:
o Implementation of all Revenue Cycle team plans, programs, and projects strictly adhering to prescribed deadlines and schedules.
o All communications and relevant information pertaining to the team are cascaded to the proper channels within the team in particular, and the organization in general.
  • Conducts and implements “Performance Improvement Program”, through
the following:
o Performance coaching for the staff who failed to perform and deliver the prescribed and committed level of performance output and standards.
o Performance counseling staff with behavioral/attitudinal problems.
o Implements the necessary guidelines on discipline management for erring employees, in accordance with company policies, rules and regulations, due process, and government regulations.
o Performance mentoring for high potential staff, capable of assuming bigger responsibilities in the future.
  • Performs training and development functions, as follows:
o Designs and develops training programs that are relevant and necessary for the continuous development of the technical competencies of the team.
o Recommends and implements for appropriate training programs that will further enhance and hone the technical competencies of the staff.
  • Conducts training programs, and acts as subject matter expert on training programs pertaining to the Revenue Cycle team.

Controlling:
  • Develops and formulates performance measures and standards for the team, as basis for the conduct of annual performance management review program.
  • Reviews and evaluates the performance of the team, on regular and periodic basis, and ensures that the overall performance of the team is on track, and well within the pre-established goals and objectives.
  • Consolidates performance status reports of the team as basis for monitoring the weekly progress of the various activities within the team.

Patient Services Functions:
  • Manages and oversees the patient services and billing staff in handling patient relations.
  • Handles complex patients’ complaints and issues by explaining company policies and guidelines as well as those involving compliance issues with state and federal regulations
  • Develops plans and programs in conjunction with SBU leaders to monitor patient relations thru the conduct of regular patient satisfaction surveys.

Records State and Federal Regulations Management:
  • Ensures that HIPAA Notice of privacy Practices is on display, if applicable.
  • Ensures that records are stored securely and handled in compliance with HIPAA privacy and security regulations, if applicable.
  • Implements state and federal regulations on clinic records management.
  • Arranges for HIPAA, OSHA and risk seminars in conjunction with Human Resources.

Requirements:
· Bachelor’s degree in health care administration, business or other related field, OR equivalent required.
· Minimum of 5 years experience in health care management such as but not limited to clinic management, patient management, accounts receivables and payables, and marketing and public relations.

Skills:
  • Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management.
  • Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring and situational assessment skills and with proven track record in building and developing high performing teams.
  • A change agent and capable of guiding the organization in initiating various change management initiatives with the view of leading and guiding the organization towards\the future.
  • Strong managerial acumen in setting corporate directions and aligning strategic goals around business plans.
  • Superior judgment, negotiation and decision-making skills.
  • Strong ethics and a high level of personal and professional integrity.
  • Strong analytical skills and adept in interpreting strategic vision into an operational model.
  • An effective communicator at all levels in the organization, with strong oral, written and persuasive skills.
Physical Demands:
  • For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising the persons care.
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PHYSICAL DEMANDS
On-the-job time is spent in the following physical activities
Show the amount of time by checking the appropriate boxes below.

¾ Amount of Time ¾

None

up to 1/3

1/3 to 1/2

2/3 and more

Stand:

X

Walk: X

Sit: X

Talk or hear:

X

Use hands to finger, handle or feel:

X

Push/Pull:

X

Stoop, kneel, crouch or crawl:

X

Reach with hands and arms:

X

Taste or smell:

X
This job requires that weight be lifted or force be exerted. Show how much and how often by checking the appropriate boxes below.

¾ Amount of Time ¾

None

up to 1/3

1/3 to 1/2

2/3 and more

Up to 10 pounds:

X

Up to 25 pounds:

X

Up to 50 pounds:

X

Up to 100 pounds:

X

More than 100 pounds:

X
This job has special vision requirements. Check all that apply.
q Close Vision (clear vision at 20 inches or less)
q Distance Vision (clear vision at 20 feet or more)
q Color Vision (ability to identify and distinguish colors)
q Peripheral Vision (ability to observe an area that can
be seen up and down or to the left and right while
eyes are fixed on a given point)
q Depth Perception (three-dimensional vision; ability
to judge distances and spatial relationships)
q Ability to Adjust Focus (ability to adjust eye to
bring an object into sharp focus)
q No Special Vision Requirements
Specific demands not listed: ________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
I have received, read and understand the Position Description above.
.
Print Name: _____________________________________
Signature: ______________________________________ Date Date
: ______________________________________

WORK ENVIRONMENT
This job requires exposure to the following environmental conditions.
Show the amount of time by checking the appropriate boxes below.

¾ Amount of Time ¾

None

up to 1/3

1/3 to 1/2

2/3 and more

Wet, humid conditions (non-weather):

X

Work near moving mechanical parts:

X

Fumes or airborne particles:

X

Toxic or caustic chemicals:

X

Outdoor weather conditions:

X

Extreme cold (non-weather):

X

Extreme heat (non-weather):

X

Risk of electrical shock:

X

Work with explosives:

X

Risk of radiation:

X

Vibration:

X
The typical noise level for the work environment is:
Check all that apply.
q Very Quiet q Loud Noise
q Quiet q Very Loud Noise
q Moderate Noise
Hearing: n/a
q Ability to hear alarms on equipment
q Ability to hear patient call
q Ability to hear instructions from physician/department staff
REPETITIVE MOTION ACTIONS

¾ Number of Hours ¾

Repetitive use of foot control

0

1-2

3-4

5-6

7+

A. Right only

B. Left Only

C. Both

X

Repetitive use of hands

A. Right only

B. Left Only

C. Both

X

Grasping: simple/light

A. Right only

B. Left Only

C. Both

X

Grasping: firm/heavy

A. Right only

B. Left Only

C. Both

X

Fine Dexterity

A. Right only

B. Left Only

C. Both

X

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If you have a passion for assisting people with disabilities, join Crotched Mountain’s team of dedicated employees. You’ll be...