This position is located in theLas Vegas Nevada market The
Revenue Cycle Specialist plays a pivotal role in working with IPM
Market Leadership to drive consistency in 'front-end' workflows and
business processes that will help the Market maximize revenue along
with enhanced patient satisfaction. The Revenue Cycle Specialist is
an extension of the IPM Central Billing Office (CBO) but is
embedded in the IPM Market to assist with specific tasks that will
enhance the overall revenue cycle continuum. The Revenue Cycle
Specialist strives to improve and accelerate revenue cycle
processes to achieve higher productivity, faster payments,
decreased rework and improved patient service by working with
leadership and staff to promote best practices throughout IPM.
Specific workflows will be trained and enforced along with
daily/weekly/monthly metrics to help determine the overall "health"
of the [front end] revenue cycle. Metrics such as eligibility
verification, registration accuracy, encounters without charges,
charge lag, denials, and TOS/NTOS collections will be captured,
shared and trended. The Revenue Cycle Specialist is a visible
presence in each IPM Market and they work closely with each other
as well as the IPM CBO to ensure consistency in process and best
practice across all of IPM.
Acts as a liaison between the Central Billing Office (CBO) and
the practices on front-end billing operations, reimbursement trends
and basic training needs. Meets with each practice (leadership) at
least monthly to review month-end reports. Recommends enhancements
and implements action plans in collaboration with practice
management to improve cash collections, reduce charge lag, improve
registration accuracy and decrease front-end denials.
Monitors daily/weekly/monthly performance of front-end billing
functions/tasks to ensure compliance with revenue related goals.
Escalates any negative trends to the appropriate staff. Discusses
trends with local leadership to help identify root causes and
collaboratively develops action plans to improve results.
Proactively identifies, troubleshoots and resolves front-end
revenue relates issues or barriers to maximizing revenue. Listens
to feedback and recommendations from the practices and champions
change to existing workflows and system processes on behalf of all
IPM Markets. Lobbies and advocates on behalf of the practices to
improve communication, team work and overall results. Actively
participates in CBO meetings to share market-based initiatives,
best practices and barriers so that issues are communicated and
resolved in a holistic approach versus silos.
Responsible for facilitating/onboarding specific revenue cycle
processes in new IPM practices as well as IPM practice leadership.
Participates in pre-acquisition meetings to ensure revenue cycle
processes are addressed. Provides any needed support during the
acclimation period. Actively participates in any post go-live
Works collaboratively with the EMR Specialists to ensure
consistent and coherent processes that involve charge capture
within the EMR and the impact to charges transferring to the
practice management system. Assists (along with the CBO) with
resolving suspended charges when caused by 'front-end' or EMR
related issues. Other duties as assigned
Knowledge: Healthcare (professional) billing, broad knowledge of
CPT/ICD-10 coding, claim submission requirements and other related
industry terminology and practical use. Knowledge of registration
data requirements and health plan payors Thorough understanding of
the revenue cycle and how the various components work together.
Skills: Strong orientation to customer service. Excellent
verbal/written communication skills. Strong presentation skills.
Ability to work well under pressure. Results oriented with a proven
track record of accomplishing tasks, multi-tasking, deadline
oriented and being responsive. Project Management. Strong
interpersonal and organization skills. Strong computer literacy
Work experience: Experience (3-5 years minimum) working in a
healthcare (professional) billing, health insurance or equivalent
operations work environment. Work experience in a client facing
position, project management experience and/or customer service
Education: Associates Degree or approved equivalent combination
of coursework and related experience or extensive related
experience is required. Bachelor's degree preferred.
License or Registration Requirements: N/A
Travel Requirements: Local travel to Market based practices
required (minimum 75% of the time).
If you meet the above requirements and are looking for a
rewarding career, please take a moment to share your background
with us by applying online. Independence Physician Management
offers competitive compensation commensurate with experience and
benefit programs including medical, dental, life insurance, and
Independence Physician Management is not accepting unsolicited
assistance from search firms for this employment opportunity.
Please, no phone calls or emails. All resumes submitted by search
firms to any employee at IPM via email, the Internet or in any form
and/or method without a valid written search agreement in place for
this position will be deemed the sole property of Independence
Physician Management. No fee will be paid in the event the
candidate is hired as a result of the referral or through other