Revenue Cycle Front End Manager at Easterseals Blake Foundation

Description

Easterseals Blake Foundation started as the Cerebral Palsy Foundation of Southern Arizona. Since then, we have expanded our services to better serve our community members. We are now one of Arizona's top providers of comprehensive behavioral health services, child welfare, and services for individuals with intellectual and developmental disabilities. We serve more than 40,000 individuals and families across 10 counties and support more than 3,700 children in Foster Care throughout Southern Arizona. Are you ready to make profound, positive differences in people's lives every day?

We offer our full-time employees the following benefits:

• Medical, Dental and Vision
• Flexible Spending Account and Dependent Flexible Spending Account 
• Health Savings Account
• Voluntary Life insurance
• Voluntary Short-term Disability insurance
• Critical Illness insurance
• Accident insurance
• Employer paid life insurance, long-term disability insurance, and Employee Assistance Program

General Position Description: Oversees front end revenue cycle functions including but not limited to KPI reporting, payor/member relations, and EHR system updates. 

Essential Duties and Responsibilities:

• Performs revenue cycle front end functions. Oversees eligibility verifications/authorizations for new and existing enrollments. Maintains Electronic Health Record (EHR) system for members accounts. Updates any changes in the current EHR system to patient’s demographics and payor programs.
• Oversees daily intake verifications for all clinics.
• Reviews and assists No Funding members with applying for needed benefits.
• Communicates with administration regarding members with outstanding balances and no funding to ensure appropriate steps are taken for coordination of care. Communicates with administration on any payor updates or changes.
• Monitors the workload and productivity of the team. Distributes caseloads as needed for maximum efficiency. Performs bi-yearly personnel audits for accuracy.
• Monitors eligibility denials. Works closely with Medical Billing to ensure claims are submitted correctly and timely.
• Researches patients who have lost benefits and directs staff on steps to help reactivate or hand off to ensure care is not disrupted. Reviews upcoming appointments to ensure correct patient information in EHR system.
• Oversees patient portal for patient updates and payments.
• Oversees the updating of forms, polices, and process for the front-end revenue cycle. 
• Reviews and supervises team for accuracy with Medicaid, Medicare, and commercial payor guidelines. 
• Provide a broad range of administrative and supervisory functions. Supervises assigned staff in accordance with EBF personnel practices including recruitment, training, performance evaluations, and day to day scheduling. Participates in the process of ongoing professional development. Maintains comprehensive communication among all contacts within the agency, members, and external agencies. Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan, Mission, and Vision. 
• Performs other duties as assigned 

Requirements

Minimum Requirements:  Associate’s degree in Accounting or Business Administration with 3 years of revenue cycle experience, preferably in not-for-profit, or equivalent experience required. Bilingual (Spanish) preferred.

Regulatory 

• Must be at least 18 years of age.
• Current, unrestricted AZ driver’s license with no more than two (2) minor moving violations or one (1) accident within the past three (3 years). Three (3) years of driving experience required.
• Must be able to pass a criminal background check.
• Ability to obtain and maintain an AZ DPS Level 1 fingerprint clearance card (employer provides).

Skills/Job Knowledge/Abilities: Able to establish and maintain a team atmosphere of communication and collaboration for all that reach out to the Department. Must be self-directed and be sensitive to cultural and linguistic diversity. Excellent customer service in stressful situations. Maintains a professional in appearance, communications, and actions. Excellent interpersonal communication skills. Basic knowledge of insurance processes, guidelines, policies, practices, and procedures. Understand how to read different types of insurance EOB’s and maneuver in different insurance portals. Possess a high level of computer proficiency.

Working Conditions/Physical Requirements (with or without accommodation): Normal office environment with multiple interruptions in person and through computer and phone. Interacts with employees and members of the public on a daily basis. May lift normal office equipment and materials up to 25lbs. Visual acuity to read information from computer screens and forms. Able to speak clearly in conversations and general communications. Hearing ability for communication in persona, phone, and/or other electronic methods.  Manual dexterity for typing and writing. Able to stoop, squat, reach, pull, push, stretch, ascend and descend stairs, stand and sit for long periods of time. May be required to work additional hours or days depending on circumstances. 

Additional Information: This job description is not intended to be an exhaustive list of all possible duties, skills, job knowledge, responsibilities, and/or qualifications. EBF reserves the right to revise the job description or to assign other duties to this position. This job description is not intended to create a contract or property right to continued employment between the employee and EBF. 

Easterseals Blake Foundation and Aviva are an Equal Employment Opportunity and Affirmative action employer that promotes a work environment of inclusion and diversity. We are committed to provide employment opportunities to all candidates based on their qualifications free of discrimination based on race, color, religion, national origin, sex (including pregnancy, sexual orientation or gender identity), age, disability, veteran status, genetic information, mental or physical disability, or any other characteristic protected by law.

If you have any questions, require assistance or reasonable accommodations while seeking employment, please contact the Human Resource Department at [email protected] or call 520-327-1529.