Revenue Cycle Manager - Inpatient Behavioral Health Services

Job ID
2018-2365
# of Openings
1
Hospital/Program
Washington Hospital Center - MedStar
Position Category
Other Professionals

Overview

Revenue Cycle Manager   Medstar Washington Hospital Center -  Inpatient Behavioral Health Services

 

Come work with a great team! Diamond Healthcare is the manager of the behavioral health services for Medstar Washington Hospital Center and has the following opening:

 

This is your opportunity to join one of the most recognized leaders in healthcare. The Revenue Cycle Manager will oversee day to day operations related to posting, billing and collecting all clinical activities revenue within Inpatient behavioral health. The position will follow and enforce with all facilities the utilization of standard operating procedures that result in accurate billing and timely collections while creating systems and processes that monitor and manage collections and compliance with payer and other regulatory bodies.

Essential functions:

  • Oversees team for day to day operations including staffing, training, support and education and inspiration of the billing team.
  • Implements and follows standardized billing department policies and procedures and insure that the clinical departments comply with SOP's that ensure maximum collections and regulatory compliance.
  • Works closely with the operations team to assure understanding and compliance with policies and procedures.
  • Responsible for third party claim resolution including denials and appeals management.
  • Assists in generating billing metrics to facility staff, operations and corporate service teams.
  • Collaborates with hospital accounting and finance on report generation, budgeting, and general ledger postings.
  • Makes edits in the PUBS billing system which requires correction and release.
  • Makes edits in the Patient Keeper entry system for all inpatient NP and Physician billing.
  • Manages the Revenue Cycle including tracking of physician productivity.
  • Responsible for the oversight of the utilization review process.

Requirements/Qualifications

Requirements: 

  • Bachelor's Degree is required
  • Must have verifiable team and billing management experience.
  • 5+ years of relevant and progressive experience in the healthcare industry.
  • Deep understanding of medical coding systems to include; ICD-9/10, CPT, HCPCS, DRG, APC and revenue code structures.
  • Be able to quickly identify root cause of billing problems and bring to resolution.
  • Must be knowledgeable in Microsoft Excel and other billing systems platforms.
  • Knowledgeable of D.C. Department of Behavioral Health regulations a plus.
  • Experience creating and implementing Metrics and Dashboards a plus.

 

EOE

Hospital/Program Description

For more than a half a century, MedStar Washington Hospital Center has set the highest standard for health care—and reached and surpassed it year after year.

 

MedStar Washington Hospital Center is a not-for-profit, 926-bed academic medical center in the center of the nation’s capital—and every day, hundreds of people in the region depend on us for their care. In 2013 alone, the hospital opened its door for nearly 500,000 inpatient and outpatient visits by residents from throughout the Mid-Atlantic.

 

We are the busiest and largest hospital in Washington, D.C. and the surrounding area—and serve as referral center and the central hub for the region’s most advanced acute medical care.

 

But we are much more. Our primary and secondary health services help our community’s residents get and stay healthy, and help to improve patients’ quality of life by managing chronic illness.

 

Our inpatient services, education and research programs, outpatient care and community outreach initiatives are all aimed at meeting today’s health care needs—and at leading the way to meet the future health needs of the nation.

 

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