NEW JOB OPENING
MANAGER REVENUE CYCLE PATIENT ACCOUNTS
IN Pasadena, CA, USA!

Description:

• Percentage of Travel? No traveling other than the Client site.

o Parking Situation: Client validates for daily park passes and would be issued during in-office days.

o Dress Code: business casual during in-office days.

• Required Level of Education: 4-years BS/BA

• Preferred Level of Education: 4-years

• How many years of related experience are you looking for in your ideal candidate?: 2 to5 years experience directly management workers’ compensation accounts receivable management in revenue cycle.

• Specific Systems Knowledge Required: Epic (MUST)

• Specific Systems Knowledge Preferred: Epic and workers’ compensation claims clearinghouse systems

• Any Required Certifications?: No

• Expected Shift: Mon-Fr – 8am to 5 pm



• Interview Process: Candidate will undergo 1-2 interviews (teams video call). Top candidate will undergo 2 interviews with management personnel at Client , including director, managers or supervisors.

• Top Three things Worker will be doing: Workers’ Compensation accounts receivable management (debit A/R) and adjustments, staff oversight, performance oversight (Client ).

• Top Three Skillsets needed: Familiar with A/R management within revenue cycle, excellent communication skills - writing/oral, and presentation skills. Role will include presenting accounts receivable management plan to executive leaders such as backlog reduction, denial prevention and workdown strategies.

• Anything else important we need to know to fill your role?: This is a very fast pace environment and candidate will need to adapt to regular changes on work assignments and priorities. The role also handles escalated client complaints that need special attention.



In addition to the responsibilities listed below, this position may also be responsible for using advanced knowledge to enforce solutions used by others to process and resolve rejections and denials from insurance payers to ensure service costs are charged; and identifying trends, identifying the root cause of issues, and resolving complex workflow or build issues; using comprehensive knowledge to overseeing and coaching the researching, coping, and mailing member-financial records to the respective requestor (e.

g. , court, attorney, copy services) while recommending and implementing process improvements; overseeing timely quality reviews and audits and provides education and coaching of staff for the verification and validation of insurance coverage discovery, coordination of benefits, applying insurance to a patient account; coaching of staff of patient account to ensure appropriate coverage; resolving coverage-related errors or disputes; partnering, facilitating with vendors to ensure the coverage for underinsured and selfpay patients is completed in a timely manner while resolving delays in coverage; overseeing timely review and provide



Minimum Qualifications

Basic Qualifications:

• Minimum two (2) years of experience in a leadership role with or without direct reports.

• Bachelor's degree in health care administration, business administration, or related field AND a minimum of one (1) years of experience in data analytics, merchant services, clinic/hospital operations, merchant services, banking, health care billing and collections, or relevant experience OR Minimum four (4) years of experience in data analytics, merchant services clinic/hospital operations, merchant services, banking, health care billing and collections, or relevant experience.

Additional Requirements: Licenses and Certifications:



Preferred Qualifications (For each role - a defined number of the following preferred qualifications may apply: years of job experience, education or degree, license, certification, registration or designation, knowledge, skills and abilities).

• Two (2) years of cash handling experience.

• Preferred one (1) years of experience managing operational or project budgets.

• Four (4) years of experience in business/process analysis.

• Four (4) years of experience developing and delivering education modules or programs.

• Four (4) years of experience developing and delivering training module or programs.

• Four (4) years of experience in healthcare operations.

• Four (4) years of experience leading projects or programs requiring the integration of cross-functional technology and/or business solutions.

• One (1) year of experience working with financial information systems.

• Two (2) years of experience with Hospital and Professional patient revenue management, including experience with government payors reimbursement.

• One (1) year of labor management experience.

• Lean/Six Sigma methodology experience.

• Certified Revenue Cycle Representative.

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**