Commercial Revenue Cycle Manager

The role of the Revenue Cycle Manager is to bill Inpatient claims after discharge and follow the claims through the entire process of collections. This employee ensures the Revenue Cycle Management functions and processes are running smoothly on a day to day basis from Admission to Discharge, to account balance fulfillment and deposits. One must have the ability to follow defined processes on a daily basis and have extensive knowledge of insurance eligibility and verification.

This employee bills for multiple hospitals at a time and must maintain immaculate organizational and time management skills to ensure accuracy and efficiency. The RCM reports directly to the Chief Executive Officer. Responsibilities include, but are not limited to:

• Transmit claims upon discharge in a timely manner.
• Follow claims through processing tracking and making calls as directed.
• Adjust and correct claims as needed.
• Submit Write off accounts upon eligibility.
• Submit Refunds Requests as they become due.
• Answer questions and assist the Hospital RCM’s as needed.
• Store electronic remittance advices where designated.
• Attend meetings as scheduled.
• Maintain a working knowledge of federal and state regulations and reimbursement policies.