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Revenue Cycle Manager (Remote)

Vesta Healthcare

Vesta Healthcare

Remote
Posted 6+ months ago

Nice to meet you, we’re Vesta Healthcare.

Vesta Healthcare is a specialized medical group focused on people with long-term home care needs. We help these individuals live happier, healthier lives by partnering with their aides and caregivers, as a key part of the care team. We use a combination of virtual care, home-based and mobile technologies, data integrations and partnerships with home care agencies to make the home an integrated setting of care with patients, and their Caregivers at the center.

Vesta is the Roman name for the goddess of home, hearth and family. She is the caregiver. Often unseen yet greatly revered, she puts others' needs ahead of her own, keeping the hearth warm so the home and family can function.

We see Caregivers and recognize the power and potential they embody. More than just assistance, Caregivers are eyes, ears and hands in the home. Caregivers play the role of Doctor, Nurse, Pharmacist, EMT and more, but without support or guidance. That is where Vesta comes in. Our program provides Caregivers with a personalized clinical team in their pocket. Our team links Caregivers to the people they care for and the other providers involved in their care. It’s an insurance covered benefit, so it’s available to most adults with Caregivers free of charge to them.

We seek team members who are passionate about making home the best place it can be for people with home care needs and see the important role Caregivers play. Our team members are collaborative data-driven optimists who always focus on doing what’s best for patients and their caregivers. We see ourselves as being here to improve the quality of life for caregivers and care recipients, allowing them to focus on the important things (like going to the mall with their grandkids).

We’re looking to add to our team of experts who care deeply about our mission.

Our team is passionate, driven, collaborative, intellectually curious, and excited about the opportunity to transform our healthcare system. We're inspired by caregivers and seek to create a platform that recognizes, utilizes and supports the vital role they play. We strive to continuously learn, explore, experiment and achieve results. We are here to improve the quality of life for caregivers and care recipients, allowing them to focus on the important things (like going to the mall with their grandkids)

The ideal teammate would be…

An individual who’s passionate about people, data, and problem solving through collaboration. Our ideal candidate is detail- and people-oriented, dynamic, and will always go the extra mile to see our team be successful. They are proactive problem-solvers, motivated to seek out trends, self-driven, and like to collaborate cross-functionally to achieve shared goals.

The ideal teammate would be able to:

  • Manage the daily operations and supervise the revenue cycle department in accordance with federal, state and local standards, guidelines and regulations
  • Lead and provide direction for revenue cycle team and assist in achieving goals
  • Oversee entire revenue cycle process from claims processing, billing and accounts receivable, to denials and resolution
  • Collaborate with staff and leadership to improve information documentation and implement the best practices
  • Review, assist in design, and implement processes surrounding billing, compliance, collections and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized
  • Track numerous metrics related to the patient engagement cycle to develop sound revenue cycle analysis and reporting
  • Oversee and perform (as applicable) claims audits for Medicare and Non-Medicare clients
  • Develop and maintain necessary reports for oversight of employee productivity and management of unbilled
  • Provide identification and assist in resolution of operational barriers as it relates to efficient and compliant claim processing
  • Analyze claim denials for coding or payor policy updates, communicate same with Director of Revenue Cycle, and make corrections as needed
  • Review/Oversee coding or documentation from provider that may need to be updated to release for billing
  • Coordinate with Director of Revenue Cycle to escalate and resolve payment issues
  • Work closely with finance team as appropriate
  • Hire, build and train revenue cycle team as needed
  • Implementation of internal controls and processes to support growth at scale
  • Compiles and types reports, creates and works spreadsheets in order to support research and analysis of AR trends
  • Regularly track and monitor productivity and accuracy of staff members.
  • Monitor AR queues in the practice management system, work with team to provide ongoing supervision and training
  • Manage multiple tasks and work independently with high level of accuracy
  • Identify and help develop strategies to resolve problems impacting an efficient revenue cycle

Would you describe yourself as someone who has:

  • 2-4 years' experience in leading a small to medium team (required)
  • A deep knowledge of all facets of the billing and revenue cycle process: coding (CPT and ICD-10), documentation requirements, billing submission processes, and accounts receivable management processes (required) with CPC or CRC credentials (highly preferred)
  • Ability to gather, analyze and report on information from multiple sources (i.e., Billing System, Internet, Payers) (required)
  • In-depth knowledge of patient accounting systems and the ability to adapt prior knowledge to current software (required) with experience with eClinicalWorks (highly preferred)
  • Skills in calculating charges, payments and adjustments per established guidelines
  • Ability to work effectively and independently with staff, physicians and external customers
  • In-depth knowledge of Medicare, Medicaid guidelines and billing standards
  • Strong computer skills with knowledge of GSuite or equivalent in Microsoft Word, Excel and PowerPoint
  • A high tolerance level for diverse views and opinions
  • An ability to work independently with minimal supervision

In addition to amazing teammates, we also offer:

  • Health, dental, and vision insurance with a choice of many different plans/costs partially subsidized by us
  • Paid vacation
  • Paid Sick/personal days
  • 12 paid holidays
  • One time reimbursement to set up your home office
  • Monthly reimbursement for internet or other home office expenses
  • Monthly gym reimbursement to be used for gyms, online classes, etc
  • Basic Life & AD&D, Short-term and Long-term Disability Benefits paid fully by us
  • Voluntary benefits such as Pet, Home and Auto, Legal Insurance plus more
  • Pre-tax Flex Spending/Dependent Care/Transit accounts
  • 401k plus match

Pay range is $65K to $80K annually.

(The referenced salary range is based on the Company's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level).

We look forward to speaking with you!

Vesta Healthcare is committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. Vesta Healthcare is an Equal Opportunity/Affirmative Action Employer. Candidates are selected without regard to race, color, religion, sex, national origin, disability, marital status, or sexual orientation, in accordance with federal and state law.