Manager, Revenue Cycle Management, Remote



Philadelphia, PA, USA
Posted on Saturday, May 18, 2024
We are searching for a Manager, Revenue Cycle Management to join the team! The Manager, Revenue Cycle Management will oversee and manage the A+ Revenue Cycle Staff within Aledade to help Aledade’s Primary Care Physician partners maximize the revenue they capture from their day-to-day work, ensuring they are able to maintain and grow their practices, with the resources necessary to provide best-in-class care to their patients.

Supervisory Responsibilities:

  • Recruits, interviews, hires, and trains new employees
  • Oversees the daily workflow and needs of the department
  • Provides constructive and timely performance evaluations
  • Handles discipline and termination of employees in accordance with company policy

Essential Duties & Responsibilities:

  • Scale and manage the day to day operations of the revenue cycle management solution that supports designated Aledade partner practices in billing and coding activities.
  • Lead and manage a team of virtual billers and coders, providing guidance, training, and mentorship.
  • Oversee all aspects of the medical billing and coding processes, including practice specific SOPs, pre-visit planning, chart audits, claim submission, denial management and, reduce denials, reduce days in AR and improve claim turnaround time.
  • Generate regular reports on billing performance, revenue metrics, and key performance indicators (KPIs) for executive leadership and practice partners, analyzing billing data and financial reports to identify trends and opportunities for improvement.
  • Implement practice level performance goals and provide data-driven insights and recommendations to improve billing/coding processes and revenue outcomes.
  • Coordinate with Clinical Documentation Improvement Quality Audit team to review coding audit results and implement process improvement strategy and education for coders.
  • Design, develop and maintain designated program playbooks.
  • Other duties as assigned

Required Skills and Abilities:

  • 8+ years of medical billing and coding and/or fee for service revenue cycle management experience in an ambulatory care or outpatient office setting, preferably primary care
  • Experience working in an Accountable Care Organization
  • Strong leadership skills
  • Excellent written and verbal communication skills
  • Excellent critical thinking, organization, and time management skills
  • Highly organized and proactive in raising questions around clarity, prioritization, blockers, and other points to drive assigned tasks forward
  • Demonstrated ability to manage without explicit authority
  • Demonstrated ability to consult with primary care providers and practice stakeholders
  • Expert understanding of billing and coding guidelines
  • Understanding of fee-for-service and value based contract principles
  • A self-starter who can take initiative and ownership, with demonstrated success managing multiple projects
  • A collaborative team player with a roll-up your sleeves mentality
  • Comfortable tackling ambiguous problems with a high level of autonomy

Required Education and Experience:

  • Bachelor’s Degree
  • 8 years in the discipline
  • CPC from AAPC or CCS-P from AHIMA

Preferred Education and Experience:

  • Master’s degree in business, health administration or healthy policy
  • 9+ years in the discipline

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
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