Manager, Revenue Cycle Management

Do you love to care for patients in a warm and welcoming environment?

Gastro Health is currently looking for an enthusiastic full-time Front Desk Clerk to join our team in Miami!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy paid holidays,  plus paid time off. 

Here are some of the duties you will be responsible for:

• Hands-on management of all billing programs, systems, processes, and third-party vendors to ensure accurate, timely and well-controlled activities related to billing, collections, education, and support.
• Prepares weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
• Effectively implement denial management reduction through process improvements, coordinating direct or indirectly, with internal team and offices to improve workflows and provide training and education.
• Maintain understanding and communicates payor policy changes across the market.
• Meet with payor representatives for timely remediation of large denial or underpayment projects.
• Formulate and execute policies and procedures to ensure the billing workflow is highly effective.
• Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflow.
• Develops quality control program to meet the company's quality initiatives.
• Ensure productivity goals are monitored and quickly re-mediates barriers to achieving those goals at the individual and/or team level.
• Counsels and disciplines employees in accordance with department goals and policies.
• Concentrated effort to develop and mentor team leads and AR team members to allow for internal growth.
• Maintain compliance with directives from all regulatory agencies and third parties.
• Lead team meetings focused on collaboration and process improvement.

Minimum Requirements

• 5+ years of managerial experience in healthcare revenue management cycle roles with experience in all phases of the revenue cycle management.
• Experience with a large, growing healthcare organization support 100 or more providers.
• Bachelors Degree highly preferred but experience can be substituted for education.
• Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required.
• Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
• Certified coder preferred, but not required.
• Hands-on participation in process/workflow design including team member involvement across the department.
• Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control.
• Ability to work effectively in a cross functional team; demonstrated ability to partner with other departments within the organization.
• Leadership skills to motivate teams and achieve performance goals.
• Ability to utilize and administer the disciplinary action process through coaching and counseling to improve performance.
• Intermediate experience with Microsoft Excel and Office products is required.
• Prior experience leading a remote team across all states is highly preferred

Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.

We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus paid holidays.

Plus:

• This position offers a great work/life balance! No weekends or evenings -- Monday thru Friday 
• We are growing rapidly and support internal advancement
• We offer competitive compensation

Benefits:

• 401(k) retirement plans
• Profit-Sharing
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Disability insurance
• Pet insurance

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!