Medford Radiology Group (MRG) is currently seeking a motivated Revenue Cycle Manager to join our Executive Team. Our ideal candidate will be one who believes in Excellence, Compassion, Quality of Life and Cooperative Spirit all of which represent the core values of MRG. MRG is nestled in the beautiful Rogue Valley, our communities of Medford, Ashland and Jacksonville form the gateway to the beautiful Pacific Northwest. Medford is the largest city in the Rogue Valley and serves as a referral center for a surrounding population of over 600,000. This southern Oregon location offers a unique mix of physical beauty, cultural diversity and recreational opportunities ranging from Ashland’s renowned Oregon Shakespeare Festival, gourmet foods, wine tasting, live performances and golfing to year-round enjoyment of outdoor activities such as white-water rafting, biking, fishing, skiing, coastal activities and much more.
The Revenue Cycle Manager is responsible for maximizing the collection of medical services payments and reimbursements and for the development, implementation and administration of policies and procedures relating to the revenue cycle and the practice management system. The Revenue Cycle Manager is a member of the Executive Team and works closely with the CEO relating to strategy, trends and forecasting.
This is a fantastic opportunity for an energetic professional who thrives in a busy environment, enjoys being challenged, welcomes personal and professional development and believes that establishing goals helps achieve success.
SUMMARY DESCRIPTION: The Revenue Cycle Manager is a member of the Executive Team and works closely with the CEO to maximize the collection of medical services payments and reimbursements and for the development, implementation and administration of policies and procedures relating to the revenue cycle and the practice management system.
Management/implementation of all business-related functions from point of entry to accurate adjudication of the patients’ accounts. Specific areas of responsibility include revenue cycle training, credentialing, registration, claims management, billing, collections, patient insurance, data processing, integrity of patient accounts, accounts receivable management, practice management system file maintenance, and third-party revenue cycle vendors.
Responsible for management/implementation of provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed objectives for medical cost containment. Analyzes claims, utilization, and medical cost data. Develops strategic, cost effective programs, and makes system or network changes to enhance competitive position.
Monitors aged accounts and verifies appropriate collections procedures are being followed. Manages revenue cycle projects at the practice level, such as audits and budgets.
Regularly provides CEO and Controller with revenue cycle status including reports, metrics, and presentations. Develops, monitors and assesses business metrics in order to refine processes and improve efficiencies. Establishes internal goals and identifies external benchmarks.
Resolves escalated reimbursement issues with payers and practices for optimal management of accounts receivable. Challenges the status quo and champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively. Steps forward to address difficult issues and takes ownership.
Develops, implements, and maintains MRG’s revenue cycle policies and procedures. May develop training materials and facilitate staff training of policies, procedures, systems, metrics, government regulations, etc.
Responsible for the overall coordination of front office duties to include scheduling, check-in, and co- pay/co-insurance collection.
Identifies goals and vision for team; guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources and arranges organizational systems to meet objectives. Develops and implements progressive short-term goals that align with MRG’s vision and business goals. Cascades goals down to staffs’ annual objectives.
Attracts high caliber people, accurately assesses strengths and development needs of employees; gives timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to MRG’s policies and procedures.
Responsible for producing complex documents, spreadsheets, analysis and databases.
Other duties as requested or assigned.
Education & Experience
Bachelor’s Degree in Finance or business-related field and five years of proven healthcare revenue cycle management experience, or a combination of education and experience which demonstrates senior level revenue cycle management proficiency. Demonstrated track record of achieving key performance metrics, well developed executive level presence, high emotional intelligence, keen strategic intellect with excellent technical abilities and stellar staff development.
Knowledge, Skills and Abilities
Advanced knowledge of medical billing CPT, ICD10 and HCPCS coding and medical terminology.
Thorough knowledge and understanding of MACRA and MIPS.
Overall understanding of managed care products (HMO, PPO, etc).
Understanding of and ability to implement and manage all aspects of in-house billing.
Demonstrated experience managing the relationship and reporting of a 3rd party healthcare billing company.
Must excel in working effectively and communicating with physicians, patients and staff
Ability to communicate and influence change effectively in both written and oral form.
Exhibits confidence in self and others; inspires and motivates self and others to perform well.
Treats others with respect, keeps commitments and upholds company core values.
Good judgement with the ability to make timely and sound decisions.
Exhibits attitude for continuous improvement and a standard of excellence in Customer Service.
Looks for ways to develop strategies and standards to improves processes and quality.
Able to prioritize responsibilities and organize workload to ensure that timeframes are met.
Strong interpersonal skills, proven leadership skills and exhibit a high level of professionalism.
Excellent listening ability with a willingness to accept constructive criticism and feedback.
Demonstrates personal responsibility for keeping up with current industry information.
Desire to expand knowledge, skill and ensure contribution to organizational success.
Able to problem solve and provide leadership in solving difficult employee relations.
Must adhere to the standards of patient confidentiality as outlined by HIPAA.
Working knowledge of Microsoft Office.
Additional Salary Information: Medical, Dental, Vision, Prescription Insurance
Health Savings Account with Employer Contribution
Life, LTD, LTC
401K with Match and Profit Share
Paid Holidays, Paid Vacation, Paid Sick
Since 1948, the board-certified physicians of Medford Radiology Group have been committed to providing referring physicians in Southern Oregon and Northern California with the accurate and timely diagnoses they need to give their patients the best possible health care. Our Radiologists have a wide range of fellowship training in diagnostic and interventional radiology. They are committed to provi...ding timely, state-of-the-art radiological results. We offer: Consistent, accurate radiological diagnostics; timely delivery of reports; on call 24/7 coverage for imaging consultation on pending cases; superior training and access to outside resources; personalized local service; flexibility to adapt to meet the demands of both patients and referring physicians. Our Mission is to provide exceptional diagnostic and interventional imaging services to improve the quality of life for everyone we serve; additionally, we are committed to our community and to community giving. The following core values guide us every day: Excellence, Cooperation, Compassion and Quality!