Manager, Revenue Cycle Management at Healthy Alliance

Description

Life at Healthy Alliance 

At Healthy Alliance, our purpose is to improve health and empower communities facing barriers. Every community has its own needs, affecting the health of those who live, learn, work, and play within them. Our network brings together organizations, big and small, to coordinate and collaborate so that all communities have reliable access to the resources they need. Why? Because every New Yorker deserves the same opportunity to be healthy.  

Designated as the Social Care Network (SCN) Lead Entity for the Capital Region, Central NY, and North Country under New York’s 1115 Waiver Amendment’s SCN & Health-Related Social Needs (HRSN) Program, we are responsible for ensuring that there is a seamless, consistent end-to-end process for screening, navigation, and the delivery of services – including food, housing, and transportation to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our vision of cultivating a world wherein everyone has a fair and just opportunity to be as healthy as possible. 

As a 2019-2024 Albany Business Review’s Best Places to Work and a 2021-2025 Modern Healthcare’s Best Places to Work in Health Care award recipient, we strive to maintain a culture wherein high-performing, mission-driven team members collectively work toward better health for all. Dedicated to promoting a culture built upon autonomy, mastery, and purpose, we believe our differences in strengths and perspectives play an integral role in propelling us forward, while our core values ground us, serving as the common thread that unites our team. 

Why You Should Join Healthy Alliance 

We offer amenities, professional development opportunities, events, and programming that support the interests of our teams while expanding and enriching our culture. Some of the benefits you can expect when you join Healthy Alliance include: 

• Competitive compensation package  
• Comprehensive insurance benefits available the 1st of the month after hire, including but not limited to medical, dental and vision, group short-term disability and life insurance with buy-up options, flexible spending and HSA company-contributed accounts, and more 
• 401K with a company match 
• Unlimited paid time off after 90 days of employment 
• Company-sponsored training and certification opportunities 
• Hybrid employer with flexible work schedules 
• A workplace that values safety, respect, employee engagement, recognition, and diversity 
• Salary range: $75,650-$86,998 per year, commensurate with experience 

Who You Are 

The Manager, Revenue Cycle Management is responsible for the day-to-day management of the Revenue Cycle Management billing function as well as the supervision and training of Finance Liaison and Billing Specialist staff to ensure successful implementation and execution of Healthy Alliance’s Social Care Network (SCN) health-related social need (HRSN) services billing requirements. 

What You’ll Do 

• Supervise and aid Finance Liaisons and Billing Specialists in Healthy Alliance’s revenue billing cycle management. This includes, but is not limited to, billing Medicaid, Managed Care Organizations (MCOs), and all other related SCN billing activities. 
• Oversee the SCN’s HRSN billable service submissions for timely submission and completeness, following up with the community-based organization’s (CBO) financial point of contact, MCOs, and Medicaid as needed. 
• Monitor SCN partner HRSN billable claims and assure follow up of denied claims including, but not limited to, correction, rebilling, and collection of claims. 
• Manage and oversee remittance advice and the posting of such in the internal and external electronic billing systems.  
• Work with the Director, Revenue Cycle Management to ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances. Review cash receipts and EOBs to ensure that all charges are properly billed and paid. 
• Collaborate with Director, Revenue Cycle Management and internal cross-functional teams to meet partner needs and ensure positive partner experiences.  
• Hold weekly check-in meetings with Finance Liaisons, Billing Specialists, and partners.  
• Identify partner needs and connect to appropriate Healthy Alliance stakeholders. 
• Use Healthy Alliance tools and resources to inform partner communications and meetings. 
• Exercise discretion and professional judgement to maintain project-specific timelines and communicate project expectations and timeliness with internal and external stakeholders. 
• Embody Healthy Alliance’s vision, mission, and goals.
• Perform other responsibilities and duties as assigned. 

This job description is not designed to cover or contain a comprehensive listing of task activities and/or duties that are required of the employee for this job. Responsibilities and activities may change at any time with or without notice.  

Requirements

What You’ll Need 

Education 

• Bachelor's degree in a related field required or equivalent experience such as accounting or business-related fields.   

Professional Work Experience 

• Minimum 5+ years of work experience in government/health care payor billing and revenue cycle management to include Medicaid and MCOs. 

Knowledge, Skills, and Abilities 

• Excellent written and verbal communication skills for all levels of management. 
• Strong technical proficiency with Microsoft Office (Excel, Outlook, etc.). 
• Outstanding communicator with strong oral and written skills.  
• Proven ability to manage multiple projects simultaneously. 
• Strong leadership skills to guide and manage a team. 
• Perform all work in accordance with Healthy Alliance core competencies and values.? 

Your next career opportunity is at Healthy Alliance! 

This position involves sedentary work that primarily involves sitting/standing, use of typical office equipment such as a computer, laptop, and cell phone. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Equal Opportunity Employer 

Healthy Alliance is an Equal Opportunity Employer and does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We adhere to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].  

Privacy Requirement  

This job function involves potential access / interaction with protected health information. Position will be required to abide by company policies and procedures that support federal, state, and local HIPAA regulations. Any violations will be subject to company policy which includes disciplinary actions up to and including separation of employment.  

Healthy Alliance is an At-Will Employer.