Manager, Patient Accounts, Days - Northern Hospital Sites (Bilingual Spanish/English required)

Job Title: Manager

Location: System Business Office

Department Name: Patient Accounts

Req #: 0000207198

Status: Salaried

Shift: Day

Pay Range: $75,797.00 - $106,780.00 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Function

The Revenue Cycle Manager is responsible for the oversight, strategy, and performance of key functions within the hospital's revenue cycle, including but not limited to patient access, billing, collections, denials management, accounts receivable ,AKA AR, and reimbursement,

The Manager leads teams, implements operational best practices, ensures compliance with regulations, drives initiatives to maximize cash flow and reduce outstanding receivables,

The position serves as a critical liaison between clinical, financial, administrative departments to ensure accurate revenue capture and recovery,

The Manager will assist as onsite liaison responsible for managing the client relationship and overseeing/directing team efforts in support of driving the hospital billing, collections, cash acceleration, and denial management,

She/he will work with AR team including internal staff to identify and eliminate bottlenecks, develop/implement processes and procedures to create efficiencies around the hospitals billing and collections functions,

Implements AR management strategies as outlined by Senior Leadership,

Manage employee s productivity/quality and ongoing operations improvement of key Revenue Cycle indicators including but not limited to AR Days, Cash Collections and Denial Management,

Defines/provides the necessary support and leadership to achieve department goals,

Key Responsibilities

Operational Leadership

Manage daily operations and workflow across assigned revenue cycle functions such as registration, charge capture, coding, billing, AR follow-up, denials, and collections,

Monitor performance against key revenue cycle indicators,KPIs, such as days in A/R, denial rate, clean claim rate, and cash collections,

Ensure timely submission of claims and effective resolution of outstanding accounts and payer denials,

Staff Management/Development

Recruit, hire, and lead a team of supervisors, analysts, and account representatives,

Provide regular feedback, coaching, and annual performance reviews,

Promote staff development through training, mentoring, cross-training programs,

Financial/Strategic Oversight

Contribute to annual budgeting, forecasting, and monthly financial reporting related to revenue cycle operations,

Analyze trends, variances, and payer performance to support strategic decisions/operational improvements,

Implement and maintain processes that align with hospital financial goals and optimize net revenue,

Compliance/Quality Assurance

Ensure compliance with applicable federal and state laws, payer regulations, and hospital policies,

Monitor quality control measures and audit processes to safeguard against billing errors, fraud, or inefficiencies,

Prepare for and support external and internal audits,

Denials/Revenue Integrity

Oversee root cause analysis and resolution for denials and underpayments,

Collaborate with clinical departments and coding teams to improve documentation and charge capture accuracy,

Lead denial prevention initiatives and payer contract compliance efforts,

Systems/Process Optimization

Oversee use and optimization of revenue cycle technology- Epic, Cerner, Meditech, SSI,

Recommend and lead implementation of system enhancements or workflow improvements,

Partner with IT and vendors to ensure data integrity/efficient functionality,

Cross-Functional Collaboration

Act as liaison between revenue cycle and departments including finance, HIM, case management, IT, and clinical services,

Represent the department in hospital leadership meetings and system-wide initiatives,

Work closely with managed care and contracting to ensure alignment with payer agreements,

Job Qualifications/Education

Bachelor s Degree required or Min of 5 years of patient accounts experience, large hospital patient accounts management experience, in a manager capacity, with hands-on experience and oversight for the billing, cash application, customer service, collection and registration areas, including the ability to repre revenue cycle at all levels of the organization,

6+ months direct managerial experience required,

Manager will process, intake and support increase of Medicaid revenue, required experience,

Manager will process, intake and support stability of Charity Care revenue, required experience,

Bilingual Spanish and English required (Please indicate on application/resume)

Ablity to travel as needed to support Northern Hospital sites to include: NBI, JCMC, TRMC, CMMC, COOP, RAH

Excellent written and verbal communication skills,

Superior analytic/problem-solving skills with an understanding of various clinical and financial operational processes within the healthcare industry,

Demonstrated leadership and organizational skills with the ability to facilitate/influence decisions by motivating others to achieve excellence in both the quality of work and their approach to teamwork,

Ability to develop and manage relationships with team members/clients,

Demonstrated ability to work in a team environment that requires quick turnaround and quality output,

Solid knowledge of all MS Office Products,

Proven experience managing large teams and driving operational performance,

Strong understanding of payer rules, reimbursement methodologies, healthcare billing and coding,

Skills/Competencies

Strategic thinking with the ability to analyze data/drive change,

Strong leadership, interpersonal/team development skills,

Excellent communication and negotiation abilities,

Proficiency with revenue cycle systems and tools-Epic, Cerner, Meditech, Excel, Tableau,

Working knowledge of healthcare regulations including HIPAA, Medicare/Medicaid guidelines, and commercial payer policies,

Customer Satisfaction

Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers,

This competency applies to both external/internal customers,

Uses first-hand customer feedback for improvements in products/services

Establishes/maintains effective relationships with customers and gains their trust and respect

Exceptionally responsive to customer needs and requests,

Quality Management

Defines roles/responsibilities, applies clear/consistent performance standards, motivates, challenges, and develops employees, delegates effectively, provides feedback and coaching, rewards contributions, manages collaboratively,

Assesses areas where each direct report needs development and helps in planning for that development

Clearly assigns responsibility for tasks/decisions, sets clear objectives, monitors process, progress, results

Creates a environment in which people want to do their best

Communicates decisions to all team members consistently

Financial Responsibility

Effectively allocates and schedules resources,

Able to project and appropriately staff the unit/department to effectively function to demand,

Adheres to budgetary guidelines and targets-proactively manages budget variances/causes,

Sustainability

Determines priorities and organizes work/time to meet them,

Follows sound employee retention techniques, effective selection and interviewing, recognition, fair and timely discipline, ongoing performance feedback

Interacts constructively, tactfully/diplomatically with others and resolves conflicts effectively

Demonstrates cultural competency and ability to maintain a diverse workforce

Execution

Completes tasks and assignments in a timely, accurate, efficient manner,

Remains positive and focused despite obstacles and setbacks,

Demonstrates a sense of urgency in completing assignments,

Organizes multiple assignments/ projects simultaneously to accomplish goals,

Job Functions

Key Performance Indicators

Supervises the timely identification, research, and resolution any issues that may cause delays in payment or account resolution,

Perform high level account receivable review and analysis to support department and A/R management,

Responsible for reporting any detected trends in payments or denials, as well as procedural problems and makes recommendations regarding the correction of these trends or problems,

Monitor internal processes for all functions of the unit, revise and develop consistent protocols for all business that meet the needs and are aligned appropriately with the core values of the organization,

Additional Information:

At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees’ physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
• ….and more!

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

RWJBarnabas Health is an Equal Opportunity Employer