Revenue Cycle Manager - Infusion

Company: Oklahoma Arthritis Center
Location: Edmond
Posted on: May 25, 2023

Job Description:

Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status, or any other legally protected status.Job Summary:Oversees the daily operations of the centralized team of Pre-Arrival corporate functions. Pre-Arrival services include, scheduling, infusion financial coordination, clinic financial coordination, insurance verification, and pre-certification. Assigns and alters duties and functions as the workload and staff schedule demands. Monitors employee productivity, performs routine tasks as well as offers backup to all positions in the department at any location. The Manager acts as a resource to all team members and serves as a role model for outstanding customer service and communication.Essential Functions:Lead the teams in compliance of OAC policies and standard operating procedures.Ensure department is meeting the needs of patients, workflow is optimized and patient volume is managed by moving staff to meet demand or stepping into assist when and where needed for as long as needed.Promote a professional image by adhering to the established dress code and ensuring team complianceResponsible for the overall supervision and leadership of the department to provide timely, quality, and professional service.Responsible for performing and reporting quality assurance review results on an agreed upon timeframe to Administration.Provide assistance to patients when they present to the facility in person with questions regarding their scheduled services.Provide assistance when a detailed billing review is needed to ensure future services will be authorized.Act as a preceptor and mentor when assigned for training new staff members, as requested. Consistently demonstrate premier customer service and communication skills (as a role model for all team members) with all internal and external customers/contacts and ensure patients have the best encounter possible.Anticipate and adapt to change (e.g., operational/procedures, insurance changes) in a positive manner.Responsible for neatness of work area to include stocking and cleaning.Be productive when faced with any "down time" during work hours.Foster and reinforce team based results to help set the standard for the team with excellent patient care and customer service.Keep administration apprised of any issues within the department.Propose revisions to work flow and staffing as required or requested.Be available to teams to offer assistance, information, and directions.Maintain open and positive lines of communication including encouraging cross-team communication and functionality.Manage, delegate responsibility, and work on multiple projects simultaneously.Consistently report to work on time, begin work promptly, and perform duties for entire scheduled shift.Demonstrate sensible and efficient use of equipment and supplies by limiting waste, spoilage, or damage.Understand and adhere to HIPAA laws and regulations and lead the team in complete compliance and patient confidentiality.Able to perform all essential pre-arrival job functions including but not limited to:SchedulingPre-Registration functionsPOS CollectionsFinancial Coordination (Clinic and Infusion)Co-Pay assistanceInsurance VerificationPre-Certification/AuthorizationAnswering phone calls and returning voicemails in a timely manner.Checking and resolving assigned tasks in Electronic Health Record.Performance Requirements:Knowledge:Knowledge in all financial coordination/pre-certification job functions.Knowledge of government and patient assistance programs.Knowledge of Medicare, Medicaid, and third party vendors.Knowledge of general billing guidelines.Skills:Skill in customer service and diffusion of highly intense interactions and situations.Skill in effectively interacting with patients, visitors, providers, administration and all staff members.Skill in written and verbal communication.Skill in computer programs including Microsoft Office suite including Microsoft Excel, Microsoft Word and Microsoft Outlook, and Allscripts Patient Management and Electronic Health Record.Skill in exercising a high degree of initiative, judgment, discretion and decision-making to achieve organizational goals.Abilities:Ability to assume responsibility and exercise authority over assigned work functions.Ability to recognize, evaluate, solve problems and correct errors.Ability to conceptualize work flow, develop plans and implement appropriate actions.Ability to establish priorities and coordinate work activities.Ability to type 50 words per minute.Qualifications:Bachelor degree in healthcare administration, business, finance, other related field or equivalent experience.Five or more years of Management experience preferred.5 years of experience with medical insurance, billing, benefits verification, pre-certification, or a related field.EHR system experience.Physical Requirements:Ability to work effectively in a fast-paced environment.Physical ability to sit, perform data entry and view computer screen for long periods at a time.Occasional exposure to communicable diseases and biohazards.Daily standing, walking, bending, and maneuvering.May require lifting up to 50 pounds or more to transfer and/or turn patient with and without assistive devices.Travel:Minimal travel may be required to satellite clinics.Scheduled Working Hours:Normal work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and 8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon the needs of the position, department, and clinic.Other Duties:Please note this job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change from time to time, with or without notice.Equipment Operated:Standard office equipment including: computers, printers, faxes, copiers, postage machine, etc.

Keywords: Oklahoma Arthritis Center, Edmond , Revenue Cycle Manager - Infusion, Executive , Edmond, Oklahoma