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Revenue Cycle Data Manager


Join Our Mission:
CarePoint Health is an innovative, rapidly growing healthcare team dedicated to the success of our patients and our employees. Our mission is to deliver the best possible care to patients in an environment that ignites passion, value, and fulfillment. CarePoint Health is seeking exceptional employees to be part of that patient-centered mission.

In keeping with our mission, CarePoint Health is committed to the wellbeing of our valued employees, offering a wide range of benefits, generous paid time off, competitive pay, diverse culture, and positive work environment. We are committed to your growth and offer outstanding advancement opportunities for uniquely talented and motivated employees. The time to meet your full potential is NOW and CarePoint is here to provide you with the tools to reach it.

So, are you ready to join the mission?

Position Summary:
The Revenue Cycle Data Manager is responsible for all functions of the organization’s billing and revenue cycle with emphasis on analysis, evaluation, and improvement of the performance of an entirely outsourced RCM firm team.

The Revenue Cycle Data Manager will work directly with CFO, COO, and CEO to maximize cash flow for CarePoint’s 400-physician team. This position will work directly with our outsourced revenue cycle firm each day helping CarePoint improve financial performance for each of our 8 service lines. The Revenue Cycle Data Manager will contribute to the day-to-day operations on all issues related to the revenue cycle function, provide analysis, create written processes, and train others in implementing a cross-functional revenue cycle team. The ideal candidate for this position is one with not only experience in RCM and RCM strategy but also the ability to oversee, analyze, and improve the performance of CarePoint’s outsourced RCM process.

Position Requirements:
Education:
  • Bachelor’s Degree in finance, business administration, healthcare administration, or related field required; Master’s Degree in business preferred.
Experience:
  • At least 4 years of medical billing experience or related revenue cycle management experience.
Knowledge/Skills/Abilities:
  • Exceptional analytical and revenue cycle process improvement skills.
  • Knowledge of professional fee billing, reimbursement, and third-party payer behavior.
  • Strong data analysis and computer skills with proficiency in MS Office and Google Suite.
  • Demonstrated proficiency with billing and financial systems.
  • Detail-oriented with strong analytical and organizational skills.
  • Working knowledge of regulatory requirements pertaining to healthcare operations and their impact.
  • Sound knowledge of health insurance providers and provider behavior.
  • Ability to work in a fast-paced environment.
  • Strong management skills with the ability to lead and influence cohesive and productive internal and external teams.
  • Strong interpersonal skills with the ability to communicate with all levels of management.
  • Excellent verbal and written communication skills.
     
Essential Duties & Responsibilities:
  • Oversees revenue cycle operations, such as account management, communications with insurance providers, collections, cash posting, contract analysis and billing to ensure the successful management of receivables, and effective and efficient function of the revenue cycle.
  • Evaluates and optimizes the performance of CarePoint’s outsourced RCM firm.
  • Implements a system to ensure that accurate billing information is entered into the billing system.
  • Implements revenue cycle management strategies to maximize collections.
  • Analyzes data and creates reports for management to identify trends and make recommendations.
  • Identifies lost revenue.
  • Manages patient complaints with the outsourced billing firm.
  • Monitors charges, gross and net collections ratios, accounts receivables, and cash per patient.
  • Assists in the annual (at least) determination of potential fee schedule update needs.
  • Coordinates with each VP of Operations to stay current on credentialing issues, especially in the case of new providers.
  • Monitors monthly volume of charge and collection posting.
  • Ensures the timeliness of processing and correcting rejected claims.
  • Monitors coding practices among providers to determine potential patterns of under coding and other irregularities.
  • Keeps billing company up to date on third party coverage contracts, assuring that current contractual terms are correctly understood and applied.
  • Establishes and maintains a regular process for follow up on patient accounts that are pending approval for third party coverage.
  • Maintains current knowledge of all applicable laws and regulations, ensuring the maintenance of necessary operations compliance.
  • Facilitates communication and coordination with cross-divisional teams, customers, vendors and/or third parties to ensure the effective exchange of necessary information.
  • Provides appropriate training for the team to ensure the maximum efficacy and efficiency of operations.
  • Other duties as assigned.
     
Benefits:
CarePoint Health is committed to the wellbeing of our valued employees, offering a wide range of voluntary benefits such as:
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life and AD&D Insurance
  • Short-Term Disability
  • Long-Term Disability
  • Paid Time Off
  • Holiday Pay
  • Retirement Plans
  • Employee Assistance Program
     
Location:
Greenwood Village, CO (with the potential to go hybrid)

Salary:
$90,000 - $125,000 annually

About CarePoint Health:
Established in 1995, CarePoint Health is a multispecialty physician group headquartered in Denver, CO. We are physician owned, physician run and employ hundreds of providers in a variety of specialties. Our world class physicians offer exceptional, quality patient care in a variety of settings: Emergency Medicine, Pediatric Emergency Medicine, Hospital Medicine, Infectious Disease, Neurosurgery, Neurology, Wound Care and Hyperbaric Oxygen Therapy, Physical Medicine & Rehabilitation, and multiple Telehealth service lines.  

Our strength is in our team. CarePoint physicians and advanced practice providers are nothing short of exceptional. We employ only the best staff to support our teams in the clinical setting. Our singular focus is to deliver the best possible care to patients in an environment that is collaborative, collegial, and fulfilling. More than colleagues, we are a family that works together, plays together, and truly values one another.  

As a company, we strive to have the skill and agility to be successful in an ever-changing healthcare environment. Towards that end, we embrace changes that will make us better. We commit to be brave and proactive. We will not settle for good enough. Rather, we endeavor to be the best by empowering our providers and staff to think creatively and act boldly.