Revenue Cycle Manager

Are you looking for an opportunity in a technology-driven, healthcare organization that is responsible for changing lives? Do you have a passion for sleep? Are you an engaging communicator with compassion for your patients?

At Nox Health, our passion is delivering life-changing sleep health services across large employee populations. With a physician-led team of professional care managers and healthcare providers, our innovative technology platform enables SleepCharge to surpass existing models of care and deliver exceptional patient outcomes.

Reporting to the Director of Revenue Cycle, the Revenue & Billing Manager will work with other members of the organization on all revenue, billing, and insurance related matters; responsible for all billing matters and revenue recognition; responsible for all insurance billing and collections; manage all new insurance implementations; maintain all databases and models associated with the Revenue Cycle Department. This position will ensure compliance with Company's revenue recognition policies. This is a hybrid work position that is subject to change based on business needs.

Responsibilities

• Responsible for all activities of the accounts receivable department to ensure the accurate and timely management of all accounts receivable aging components including billings, cash receipts application, etc.
• Responsible for all aspects of Revenue Recognition in compliance with Company policies.
• Oversee and manage all aspects of insurance and patient billing and collection to ensure accurate, timely, and complete insurance estimates, billing, collections, reconciliations of patient records and subledgers in accordance with business rules.
• Manage the implementation of new insurance integrations to ensure a smooth implementation across all departments in accordance with business rules. Develop and maintain insurance fee schedules.
• Manage relationships with all insurers to ensure timely and smooth handling of all claim related matters.
• Responsible for the active patient database to ensure all necessary billing and termination activities are handled appropriately and timely in accordance with business rules.
• Oversee the annual renewal process ensuring patient eligibility requirements are timely and properly enforced.
• Oversee the individual self-pay program process for member enrollment.
• Develop and maintain key metrics related to participant engagement, billing, revenue, participant renewals and terminations.
• Establish documentation, processes, and procedures.
• Work with other departments to achieve process improvements and streamline the billing and collection processes with a focus on improving the patient experience.
• Provide training and coaching companywide for all insurance, billing, and collection related matters.
• Participate in a wide variety of special projects and compile a variety of special reports.
• Supervisor revenue cycle staff members, as needed.
• Monitor staff performance through metrics and reporting.
• Train all incoming staff members.
• Other duties as assigned.

Requirements

• High School Diploma required; college degree preferred.
• 5+ years' experience as a revenue cycle leader: managing verification of benefits, authorizations processes, working with medical policies, customer service, billing, and collections in a healthcare setting.
• Advanced Word and Excel skills - prefer experience managing data sets and dashboards.
• Previous experience with cash posting and reconciliation to bank deposits.
• Understanding and experience working with health plans to set up claims processing.
• Managing invoice-based billing or hybrid billing.
• Experience working with multiple claim processing sites/avenues including Availity, Office Ally, Change Healthcare, as well as direct health plan sites.
• Experience with client facing roles preferred.
• Knowledge and understanding of verification of benefits, insurance reimbursement guidelines, customer service and billing and collection functions.
• Good organization and communication skills.
• Must have intermediate to advanced Microsoft office skills, especially Word and Excel.
• Must understand and have performed financial reconciliations of billed charges, payments, adjustments, and AR balances.
• Must be a self-starter who leads by example.
• Must have prior revenue cycle leadership experience managing at least 5-7 team members.
• Must have locking storage and door to remote workspace.
• Must have high speed internet while working from home.

Benefits

• Medical, Dental, Vision Insurance
• 401K and 401K Matching
• PTO