MISSION

The Warren Center advocates, serves and empowers the children and families impacted by developmental delays and disabilities.

SUMMARY

The Revenue Cycle Manager supports the overall mission of The Warren Center by overseeing the development, implementation, management and reporting of the revenue cycle management function.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform the following satisfactorily. Other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Provides leadership and administrative direction to the revenue cycle function
Reviews and ensures standardized billing department policies and procedures are maintained and that operations comply with SOP’s to maximum collections and maintain regulatory compliance, acting as a liaison among Accounting, Billing, Operations and Clinical staff
Review, analyzes and interprets financial data to monitor progress toward established goals, identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results
Develop and implement internal employee and business metrics in order to refine processes and improve efficiencies
Liaison with ProviderSoft medical billing system and third–party vendor to solve database issues as they arise
Oversee communication with operations team to ensure efficient processes are understood and implemented in accordance with policies and procedures, and denial reports are provided, and root causes are resolved
Responsible for accurate and timely billing, data e for accurate and timely billing, data entry, charge corrections, adjustments and Denial management
Oversees the management of the EDI functions as they relate to electronic claims submission, denial management, and related systems for scope of business
Review reimbursement levels to determine when changes take place and keep abreast of changes in the industry that will impact charging patterns and reimbursement levels
Responsible for the organizational structure required to maximize results and control costs
Ensure compliance with relevant regulations, standards and directives from regulatory agencies and third-party payors including enrollment, contracting and credentialing of providers.
Maintain appropriate internal control safeguards over financial records and collection of cash
Monitor aged accounts and verify appropriate collections procedures are being followed
Regularly provide upper management with revenue cycle status including reports, metrics and presentations
Contracting and credentialing
Resolve escalated reimbursement issues with third–party payors and systems for optimal management of accounts receivable
Responsible for understanding and following all rules in the reimbursement guide as identified by HHSC and the division for early childhood intervention services
Perform other duties as assigned

EDUCATION AND EXPERIENCE

Education

Required: Bachelor’s degree in business or systems management, or equivalent experience with medical billing

Experience

Required: Minimum five (5) years working with revenue cycle management
Preferred: Management of data systems, business processes, and supervision of data end users

ADDITIONAL TECHNICAL SKILLS, TRAITS AND KNOWLEDGE

To perform this job successfully, an individual must be able to perform each qualification satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

High energy and passion for The Warren Center’s mission is essential
Ability to manage a team of dynamic individuals
Self-starter who takes initiative with the ability to follow through
Ability to effectively work both independently and collaboratively with a wide range of staff, Board leadership, volunteers, external professionals, and families
Strong interpersonal skills with an energy and enthusiasm to build and sustain relationships with those within and outside of The Warren Center
Strong written and oral communication skills
Flexible, creative, and dependable
Strong organizational and time management skills with exceptional attention to detail
Strong analytical skills
Thorough knowledge of Windows and Microsoft Office Suite: including Word, Excel, PowerPoint, Outlook, OneDrive, and Teams

ENVIRONMENT

The physical requirements and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Frequently required to use hands to finger, handle, or feel, and use keyboard as well as see, talk or hear
Occasionally required to stand and move around for work
Moderate stress level
Long periods of sitting
The noise level in the work environment is usually moderate

EQUAL OPPORTUNITY EMPLOYER

The Warren Center is an Equal Opportunity Employer and we believe in an inclusive culture for all. The Warren Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

The Warren Center

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Revnue Cycle Manager