Hybrid Outpatient Revenue Cycle Manager presso Woods Services

We want you to join our team! We need deeply compassionate, committed, and highly talented staff.  The Woods organization is guided by their mission to support children and adults with disabilities or challenges to achieve their highest potential and independence through innovative and individualized approaches that promote learning and personal fulfillment.

Benefits

• Medical, Dental, and Vision Insurance
• Life and Disability Insurance
• PTO - Paid time off
• On-site medical center
• 403b retirement plan
• Continuing education programs
• Tuition-assisted program
• Career growth opportunities

Salary: Starting at $85000 / Annually - depending on education / experience

Job Summary:

The Outpatient Revenue Cycle Manager will support all aspects of the Woods System of Care Outpatient Revenue Cycle.

• Manages the entire revenue cycle process for Woods System of Care outpatient programs, including billing, coding, collections, and denial management.
• Monitors the accuracy and efficiency of patient billing information.
• Reviews and resolves issues related to claim generation and rejection, errors and denials.
• Communicates professionally with various payers, communicates all billing issues regarding contract short-payment overpayment.
• Implements coding changes and provides coding education to clinical and coding/billing staff.
• Provides day-to-day supervision, development opportunities, training, and mentorship.
• Increases reimbursements and provides revenue optimization.
• Conducts monthly analysis of all revenue cycle accounts receivable.
• Develops and executes process improvements related to revenue cycle management.
• Optimizes cash flow, minimizes bad debt, and improves overall financial performance.
• Enhances billing and coding accuracy, claims management, eligibility verifications, regulations, and compliance with recommendations and implementation of training, new systems, processes, and automation.
• Reviews and assesses the current Medicare Part B, Medicaid, Managed Medicaid, Managed Medicare and Commercial claim policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities and Medical based services.
• Provides recommendations as to the level and expertise necessary for individuals to conduct billing and claims to achieve optimal revenue
• Develops and delivers training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs.
• Other duties as assigned.

• Bachelor's degree preferred, 5+ years of equivalent experience may be accepted in lieu of a degree.
• 7 years of experience with revenue cycle management.
• Expert in automation in healthcare claims.
• Proficient in Financial Analysis, Project Management, and Business Analysis practices, principles, and tools.
• Excellent written and verbal communication skills required.

About Woods:

The Woods System of Care (www.woods.org) is a Pennsylvania and New Jersey-based system of care providing life-long life-cycle innovative, comprehensive and integrated healthcare, long term services and supports, education, housing, workforce, behavioral health and care coordination services for children and adults in the intellectual and developmental disability, behavioral and brain trauma public health sectors who have complex and intensive medical and behavioral healthcare needs.  The Woods System of Care has 10 affiliated organizations and is growing.  Together, we serve 32,000 people with disabilities and challenges who are supported by 6,600 employees. Combined System of Care revenue total $450MM.