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The best thing about this role

Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.

What you'll do

The Revenue Cycle Manager - RI reports to the Director, Revenue Cycle and serves as a member of the Bassett Healthcare Network management operations team and is responsible for enhancing and maintaining a properly functioning corporate revenue cycle operation across the Bassett Healthcare Network. This position is responsible for working collaboratively with managers and leadership primarily in the Medical Group operations to optimize reimbursement. The Revenue Cycle Manager - RI is responsible for identifying opportunities for revenue cycle improvement, will help facilitate best practice models, including charge capture, coding utilization and denial avoidance.

+ Responsible for supporting the daily operations of all assigned revenue cycle functions, includingbut not limited to billing and reimbursement, follow-up and collections, denial management, andcoding.

+ Targets revenue recovery throughout the organization by identifying charge capture, coding, andreimbursement problems, then recommending/implementing solutions to achieve AO performancegoals.

+ Leads initiatives to identify and recover underpayments, leveraging data analysis and industryknowledge.

+ Performs root cause analysis on reimbursement discrepancies to uncover and address recurringpayment variances.

+ Analyzes and identifies reimbursement opportunities in billing/coding trends and denials. Makesrecommends and implements methods for revenue optimization.

+ Review provider and hospital charge patterns to identify utilization trends and variances.

+ Reviews and compares third-party contracts with electronic health records to ensure dataaccuracy, compliance with contractual terms, and seamless system integration.

+ Demonstrates expertise in third-party payer contracts, fee schedules, and reimbursementprotocols across commercial insurers, state programs, and federal healthcare initiatives.

+ Performs clinical hospital reimbursement assessments to ensure revenue capture. Makerecommendations to provider, leadership partners, and staff.

+ Demonstrates skills and proficiency in analyzing and troubleshooting complex reimbursementproblems.

+ Establish and maintain departmental policies and procedures. Communicate relevant informationto other departments. Establish controls and review mechanisms to ensure procedures are beingfollowed correctly.

+ Ensures compliance with relevant federal, state, and payor-specific billing requirements.

+ Regularly provides upper management with revenue cycle status including reports, metrics, andpresentation.

+ At all times, will comply with authorizations and limits established and approved by the President& CEO and Chief Financial Officer, and in certain areas, ratified and approved by the relevantBoard such as signatory authority. Through delegated authority from President & CEO and ChiefFinancial Officer, shall enforce administrative, financial regulatory compliance, and humanresources policies.

+ Monitors compliance with policies, procedures, and plans, and institutes corrective action asneeded, to ensure job methods are within acceptable standards for the Network.

What we need from you

Education:

+ Required - 2 Year Associate Degree - Finance, Accounting, Business or related field. Ten (10) years of healthcare leadership experience may be considered in lieu of education.

+ Preferred - 4 Year Bachelor's Degree - Finance, Accounting, Business or related field.

Experience:

+ Required - 5 Years Management Experience in healthcare with evidence of progressive leadership responsibility.

+ Required - 5 Years Direct experience in Fianace, revenue cycle and healthcare administration.

+ Preferred - 10 Years Extensive experience and knowledge of physician documentation guidelines, coding education training, and auditing procedures.

License/Certification:

+ Required - NYS Driver's License

+ Required - Certified Professional Code of EPIC Resolute HB Expected Reimbursement Contracts Administration.

Skills:

+ Adaptability

+ Analysis & Evaluation

+ Communication

+ Computer Skills

+ Critical Thinking

+ Facilitate

+ Negotiation

+ Organizing/Categorizing records

+ Problem Solving

+ Reading/Writing/Comprehension

+ Self-Motivated

+ Time Management

Physical Requirements:

+ Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of forcefrequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met.

+ Occasional - Crouching, Lifting, Pulling, Pushing, Reaching, Repetitive Motion, Standing, Stooping, Visual Acutiy (color, depth, perception), Walking

+ Constant - Typing/ clerical/ dexterity, hearing, seeing/monitor/computer use, Talking

+ Frequent - Grasping

Working Conditions:

+ Occasional - Extreme Temperatures

Travel

+ Occasional Travel - The job may require travel from time- to-time, but not on a regular basis.

Total Rewards

Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:

+ Paid time off, including company holidays, vacation, and sick time

+ Medical, dental and vision insurance

+ Life insurance and disability protection

+ Retirement benefits including an employer match

+ And more!

Specific benefit offerings may vary by location and/or position.

Pay Range

Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.

Pay Range Minimum:

USD $89,576.05/Yr.

Pay Range Maximum:

USD $134,364.07/Yr.

We love the difference people bring

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.