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Job Title

Revenue Cycle Manager - Clinical

Agency

Texas A&M University Health Science Center

Department

Clinic Str Finance Centralized

Proposed Minimum Salary

Commensurate

Job Location

Bryan, Texas

Job Type

Staff

Job Description

Our Commitment

Texas A&M University is committed to enriching the learning and working environment by promoting a culture that respects all perspectives, talents & lived experiences. Embracing varying opinions and perspectives strengthens our core values which are: Respect, Excellence, Leadership, Loyalty, Integrity, and Selfless Service.

Who we are

As one of the fastest-growing academic health centers in the nation, Texas A&M Health encompasses five colleges and numerous centers and institutes working together to improve health through transformative education, innovative research and team-based health care delivery.

What we want

The Revenue Cycle Manager, under direction, plans, organizes, directs, and manages day-to-day activities, developing and implementing procedures for the successful operational and financial administration of the College of Medicine and College of Nursing patient care billing activities/programs.

What you need to know

Compensation will be commensurate to the selected hire’s experience.

Required Education and Experience:

+ Bachelor’s degree in applicable field or equivalent combination of education and experience.

+ Five years of related experience with clinical coding and billing with significant experience in healthcare revenue cycle management, including billing and claims processes.

Preferred Qualifications:

+ Bachelor’s degree in business administration or closely related field.

+ Experience with revenue cycle management.

+ Experience in medical billing and/or coding.

+ AAPC or AHIMA Medical Coding Certification.

+ Extensive understanding of medical billing and Texas Medicaid.

+ Familiarity with electronic medical record systems; ability to scan medical records in accordance with HIPAA guidelines.

+ Knowledge of TAMU rules and regulations.

Knowledge, Skills, and Abilities

+ Knowledge of HIPAA guidelines, general understanding and working knowledge of electronic medical record systems (such as Epic).

+ Knowledge of word processing and Microsoft Excel spreadsheet applications.

+ Effective verbal and written communication skills.

+ Strong interpersonal, leadership, problem solving, and organizational skills. Maintains attention to detail and utilizes sound judgment.

+ Ability to work cooperatively with others.

Responsibilities:

Revenue Cycle Management

+ Manages patient billing and insurance claims to ensure timely payments

+ Analyzes data to identify trends, inefficiencies, and lost revenue, producing reports to show financial performance

+ Develops and implements high-level work plans, policies and strategies to streamline the revenue cycle, improve coding accuracy and reduce billing errors

+ Ensures adherence to HIPAA and other regulations, communicate with insurance providers, and analyze contracts

+ Utilizes healthcare information systems, billing software, and analytics tools to support revenue cycle operations.

Management and supervision

+ Oversees and motivates revenue cycle department staff, which may include hiring, training, performance analysis and disciplinary actions

+ Develops goals and implements plans for staff to keep the denial percentage at 5%, keep days in Accounts Receivable under 30 days and have a new collection percentage of 95%.

+ Oversees payment posting staff

+ Evaluates performance of staff

Manage Patient and Insurance Payments

+ Ensures payments are posted to accounts in a timely manner

+ Prepares quarterly reports sent to the Director of Clinic Operations itemizing actual reimbursement from insurance carriers versus contracted rates.

Denied Claims

+ Works with billing group to resolve out of network and claim denials for providers and ensures insurance reimbursements for services performed are in line with contracted rates.

+ Performs ongoing review of denied patient care claims to determine if there are recurring issues.

+ Liaise with 3rd party revenue cycle vendor to ensure all patient care claims denials are rectified in a timely manner.

+ Develop high level work plans ensuring denied claims are being worked properly.

+ Implements a correction plan for recurring issues.

Why Texas A&M University ?

We are a prestigious university with strong traditions, Core Values, and a community of caring and collaboration.  Amenities associated with a major university, such as sporting and cultural events, state-of-the-art recreation facilities, the Bush Library and Museum, and much more await you.  Experience all that a big city has to offer but with a reasonable cost-of-living and no long commutes.

+ Medical, (https://www.tamus.edu/benefits/medical/) prescription drug, dental, (https://www.tamus.edu/benefits/dental/) vision, life and AD&D, (https://www.tamus.edu/benefits/life-add/) flexible spending accounts , and long-term disability insurance (https://www.tamus.edu/benefits/long-term-disability/) with Texas A&M contributing to employee health and basic life premiums

+ 12-15 days (https://employees.tamu.edu/employee-relations/leave/index.html) of annual paid holidays

+ Up to eight hours of paid sick leave (https://employees.tamu.edu/employee-relations/leave/paid/sick.html)   and at least  eight hours of paid vacation (https://employees.tamu.edu/employee-relations/leave/paid/vacation.html)   each month

+ Automatic enrollment in the  Teacher Retirement System of Texas (https://www.trs.texas.gov/Pages/Homepage.aspx)

+ Health and Wellness: Free exercise programs and release time (https://flourish.tamu.edu/wellness-release-time/)

+ Professional Development: All employees have access to free  LinkedIn Learning (https://linkedinlearning.tamu.edu/)   training, webinars, and limited financial support to attend conferences, workshops, and more

+ Educational release time and tuition assistance (https://livingwell.tamu.edu/employee-tuition-assistance)  for completing a degree while a Texas A&M employee

+ Living Well, (https://livingwell.tamu.edu/) a program at Texas A&M that has been built by employees, for employees

Instructions to Applicants: Applications received by Texas A&M University must either have all job application data entered, or a resume attached. Failure to provide all job application data or a complete resume could result in an invalid submission and a rejected application. We encourage all applicants to upload a resume or use a LinkedIn profile to pre-populate the online application.

All positions are security-sensitive. Applicants are subject to a criminal history investigation, and employment is contingent upon the institution’s verification of credentials and/or other information required by the institution’s procedures, including the completion of the criminal history check.

Equal Opportunity/Veterans/Disability Employer.