Revenue Cycle Manager - Carrollton, TX

Company: DFW Healthcare MSO
Location: Carrollton
Posted on: September 12, 2023

Job Description:

DFW Healthcare MSO, LLC dba IntraCare Revenue Cycle Manager About IntraCare: IntraCare operates value-based primary care provider networks in Texas, Oklahoma, and Arizona, with a growing presence in Louisiana. The company partners with affiliates and wholly owned entities on a suite of clinical, billing, population health program solutions, and risk contracts, fostering long-standing relationships with over 425 primary care providers. IntraCare is dedicated to expanding value-based services to our senior members through Reach, MSSP, and MA offerings. IntraCares remarkable journey began in January 2014 when Premier Patient Healthcare founded Premier Patient Healthcare MSSP ACO. Over the years, the company continued to grow and diversify its services, including entering the Medicare Advantage product line in Texas in January 2016 and establishing the Premier Care Community MSSP ACO in January 2017. The companys expansion accelerated in September 2022, with its entry into East Texas, Houston, and El Paso. In December 2022, IntraCare achieved a significant milestone by acquiring 20 providers, further expanding its affiliates and wholly owned clinic footprint. January 2023 marked another crucial step as IntraCare combined its legacy MSSP ACOs to form IntraCare Premier ACO, a top-performing, enhanced Medicare ACO. IntraCare is delighted to announce partnerships with these distinguished healthcare groups in the Phoenix market: Vision Statement: At IntraCare, we aspire to enhance the lives of our patients within our community. We envision a place where our community is met with compassion, dignity, and purpose, creating an atmosphere of understanding, and belonging. Mission Statement: Our mission is to deliver the highest-quality healthcare within the communities we serve. We provide personalized healthcare that nurtures well-being, promotes independence, and fosters connections. Through partnerships with healthcare providers and innovative approaches, we bring happiness and cherished moments to the lives of our patients. Benefits: Paid Holidays- New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Day after Thanksgiving, Christmas Eve, Christmas Day, (1) Floating HolidayPTO-15 Days per year Paid Short- and Long-Term Disability Vision- Paid Employee Only Medical & Dental Coverage 401k 5% Employee Bonus- Paid Annually Revenue Cycle Manager: Works directly with the Director of Revenue Cycle to develop, implement, and support IntraCares patients through revenue cycle functions. This role oversees the day-to-day revenue cycle management operations and works cross-functionally to automate and improve every detail of the revenue cycle process ensuring timely revenue, steady collections, and financial viability, making it possible to focus on delivering quality care to patients. The Revenue Cycle Manager will play a key role in the implementation of new processes regarding claims submission and work as a representative of Access Wellness Resources DBA IntraCare Health Center with payers in the groups market areas and patients who have had care administered by its providers. Primary Job Duties: Work with the Director of Revenue Cycle to create, implement, and train on processes that ensure accuracy and efficiency of patient billing, claims submissions, and collections. Coordinate with internal teams, payors, and providers to generate high reimbursement rates and low level of denials. Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances. Track the day-to-day flow of payments received from Payors, Patients, and Other Agencies. Create reports, analyze data, identify lost revenue, collect payments, and implement revenue cycle management (RCM) strategies to minimize losses and maximize cash flow. Create and manage automation of patient payments and statements. Establish and enforce patient self-pay collection protocols. Complete third-party audits relative to claims, collection agency activities, and identification of issues Obtain and verify authorizations for services. Monitor gross charges to determine the potential need for an update to the fee schedule on at least an annual basis. Report findings and recommendations to the Director of Revenue Cycle Coordinate with internal team to stay current on credentialing issues. Monitor volume of charge and collection posting monthly to confirm that all encounters are being entered in a timely fashion. Responsible for ensuring the timeliness of processing and correction of rejected and denied claims. Ensure accuracy of deposits, demographic and other information entered into the electronic healthcare records. Maintain open communication with providers, payers, and internal stakeholders to resolve insurance eligibility and benefits, as well as claims issues. Collaborate with internal stakeholders to support revenue cycle management and acts as a back up to Director of Revenue Cycle Regular travel between clinic and company locations required. Other duties as assigned. Qualifications: Education: bachelors degree desired in business, finance, healthcare administration, or equivalent combination of education and experience 5+ years of experience working in Revenue Cycle in a healthcare setting. 3+ years supervisory experience Ability to travel frequently between clinic and company locations required. EMR/PM systems experience Sound knowledge of health insurance payors Strong written and verbal communication skills Ability to adapt to process improvement changes and evolving deadlines. Attention to detail. Effective interpersonal skills Exceptional time management skills Demonstrated ability to work independently. Must comply with all HIPAA rules and regulations.

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