Manager, Revenue Cycle

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION:

Position Overview
The Manager, Revenue Cycle is responsible for leading the team and driving the strategies of the entire revenue cycle process of a clinical independent lab with integrity and quality. This position requires an extensive understanding of and experience with the medical billing process, Medicare compliance, payer audits, and the independent lab industry and personnel The Manager, Revenue Cycle is responsible for communicating the health of the department to leadership teams via meetings, conference calls, presentations and reports. The role also requires strong skills and experience in personnel management, leading and building teams to foster a culture grounded by the core values of integrity, teamwork, innovation, and quality.
This position is remote.

Essential Duties
include, but are not limited to, the following:

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Monitors billing compliance with all third-party payer regulations.

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Implements and assists with innovative staff education programs.

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Develops and maintains all revenue cycle department’s priorities, procedures, and policies for Exact Sciences.

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Determine appropriate and effective performance metrics and staff requirements for the department to run with efficiency and accuracy while providing outstanding customer service.

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Develops processes and procedures for the efficient and successful flow of interdependent information between the third-party billing vendor, the receivables department and Exact Sciences contact center.

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Designs and execute key strategies and infrastructures to drive collection of earned reimbursement for lab operations.

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Develops processes and policies for exception handling, appeals and denials and balance billing.

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Monitors all client accounts receivable activity and performance and initiates appropriate corrective measures as needed.

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Investigates denial sources, trends, resolves and appeals with cross-functional team involvement.

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Ensures that customer satisfaction, via all personnel, is achieved through courteous and effective communication, problem solving and efficient processes.

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Oversees and manages the daily performance of the revenue cycle department and all

- accounts receivable operations.

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Motivates team on month end goals and metrics. Reports on month end activity to key leadership.

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Promotes and demonstrates a team-oriented environment that fosters effective collaboration within and outside of the department.

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Monitors all departmental processes to ensure compliance with performance metrics and relays this to leadership in a timely, effective manner.

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Hires, coaches, inspires and motivates team; Implements and monitors staff productivity and service performance metrics and reports this to leadership.

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Maintains confidentiality in compliance with HIPAA regulations and ensures that department remains compliant with all relevant regulations.

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Supervise staff including but not limited to organize and prioritize work, write/conduct performance reviews, train/develop, and manage work performance.

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Apply deep familiarity with payer/insurance appeals and reimbursement processes, experience working in the insurance industry and professional billing.

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Apply knowledge and familiarization with the Medicare billing regulations, compliance, and reimbursement methodologies especially in the laboratory environment.

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Apply knowledge of third-party billing service provider (i.e. Xifin, Epic) or revenue cycle management software and outsourced billing organizations.

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Apply strong analytical and forecasting skills with demonstrated ability to plan