Philips Revenue Cycle Manager in Saint Paul, Minnesota

Management and Employee Development (70%)

  • Assists in the development of goals, objectives and best practice guidelines to ensure opportunities for optimal collection of accounts receivable are maximized.

  • Develop and maintain constructive working relationships with payers, branches, departments and other integral parties for the purposes of problem resolution and facilitation of goals and objectives.

  • Manages, develops and mentors team members

  • Develops and ensures metrics are in place to monitor team members, departments and ensure attainment of company and department goals

  • Conducts monthly team and 1:1 meetings with direct reports and conducts quarterly skip level 1:1 meetings with indirect reports.

  • Fosters a team-oriented environment that supports sales, service and administrative needs

  • Ensure team is compliant with company, state and federal rules and regulations

  • Interpret and integrate business strategies into actionable, value-added reimbursement outcomes planning initiatives

  • Ensures positive interaction within team and promotes excellent customer relations for internal and external customers

  • Collaborates with the Training, Insurance, Clinical, Customer Service, Finance and Payer teams to identify opportunities to automate manual processes to minimize errors and enhance quality of work. Processes, Procedures and Systems (20%)

  • Ensures departmental policies, procedures, processes, and work instructions, including specific payer procedures/criteria, are communicated to team and followed; collaborates with Training Team to ensure such policies are current and updated.

  • Evaluate department metrics to determine areas of success and areas needing improvement and implement needed improvements

  • Publishes overall training and audit results to individual contributors and leadership

  • Manager claims billing, denials, appeals and cash collections are timely and accurate

Succession Planning (5%)

  • Develops succession planning to ensure minimum production and quality disruption and to minimize staff turnover by providing development opportunities for direct and indirect reports

  • Conducts quarterly feedback meetings to monitor and ensure progress

  • Collaborates with Training Manager to identify development training for team

Other Duties and Responsibilities: (5%)

  • Attends HIPAA training and other training sessions as required

  • Understand and comply with all applicable company policies and procedures

  • Understand and comply with all applicable local/state/federal regulations related to the medical device and durable medical equipment industries

  • Assists in departmental budget and operating plan development

  • Participates in company meetings, as necessary

  • Assumes the role of subject matter expert in company meetings related to training and auditing

  • Performs other duties as assigned

Required Qualifications:

  • Bachelor’s degree preferred or equivalent leadership experience in a healthcare related industry

  • Minimum five years’ experience in insurance, reimbursement and/or claims billing, preferably with some experience in a Durable Medical Equipment (DME), clinical, or healthcare-related business

  • Knowledge of healthcare compliance and regulatory reimbursement and insurance-related requirements

  • Working knowledge of medical terminology and HCPCS and ICD-10 codes

  • 3+ years of management experience

  • Excellent communication skills, both verbal and written

  • Demonstrated superior customer service skills

  • Process and detail oriented

  • Strong computer skills, with advanced knowledge of word processing, spreadsheet, presentation and database software, such as Microsoft Office.

  • Exceptional analytical and problem solving skills in complex situations

  • Ability to work independently and as part of a team

  • Strong skills in fostering cross-functional working relationships

Physical Requirements of the Position:

Must be able to sit at computer desk in front of a PC Monitor for long periods of time. Position requires use of a PC, telephone, fax, and basic office equipment. Position requires ability to engage in telephone conversations, read medical and insurance information and communicate clearly with all levels of internal and external customers.

In this role, you have the opportunity to

Under the direction of the Sr Manager of Insurance and Reimbursement, the Reimbursement Manager is primarily responsible for all claims billing, denial management, appeals and accounts receivable management. The Reimbursement Manager is responsible for the overall support and implementation of department goals and objectives as they relate to billing and cash collections association with medical claims.

You are responsible for:

Management and Employee Development

  • Assists in the development of goals, objectives and best practice guidelines to ensure opportunities for optimal collection of accounts receivable are maximized.

  • Develop and maintain constructive working relationships with payers, branches, departments and other integral parties for the purposes of problem resolution and facilitation of goals and objectives.

  • Manages, develops and mentors team members

  • Develops and ensures metrics are in place to monitor team members, departments and ensure attainment of company and department goals

  • Conducts monthly team and 1:1 meetings with direct reports and conducts quarterly skip level 1:1 meetings with indirect reports.

  • Fosters a team-oriented environment that supports sales, service and administrative needs

  • Ensure team is compliant with company, state and federal rules and regulations

  • Interpret and integrate business strategies into actionable, value-added reimbursement outcomes planning initiatives

  • Ensures positive interaction within team and promotes excellent customer relations for internal and external customers

  • Collaborates with the Training, Insurance, Clinical, Customer Service, Finance and Payer teams to identify opportunities to automate manual processes to minimize errors and enhance quality of work.

Processes, Procedures and Systems

  • Ensures departmental policies, procedures, processes, and work instructions, including specific payer procedures/criteria, are communicated to team and followed; collaborates with Training Team to ensure such policies are current and updated.

  • Evaluate department metrics to determine areas of success and areas needing improvement and implement needed improvements

  • Publishes overall training and audit results to individual contributors and leadership

  • Manager claims billing, denials, appeals and cash collections are timely and accurate

Succession Planning

  • Develops succession planning to ensure minimum production and quality disruption and to minimize staff turnover by providing development opportunities for direct and indirect reports

  • Conducts quarterly feedback meetings to monitor and ensure progress

  • Collaborates with Training Manager to identify development training for team

You are a part of:

Insurance team – RespirTech

To succeed in this role, you should have the following skills and experience:

  • Bachelor’s degree preferred or equivalent leadership experience in a healthcare related industry

  • Minimum five years’ experience in insurance, reimbursement and/or claims billing, preferably with some experience in a Durable Medical Equipment (DME), clinical, or healthcare-related business

  • Knowledge of healthcare compliance and regulatory reimbursement and insurance-related requirements

  • Working knowledge of medical terminology and HCPCS and ICD-10 codes

  • 3+ years of management experience

  • Excellent communication skills, both verbal and written

  • Demonstrated superior customer service skills

  • Process and detail oriented

  • Strong computer skills, with advanced knowledge of word processing, spreadsheet, presentation and database software, such as Microsoft Office.

  • Exceptional analytical and problem solving skills in complex situations

  • Ability to work independently and as part of a team

  • Strong skills in fostering cross-functional working relationships

In return, we offer you

Sharpen your talents with new challenges in our dynamic organization. As a market-driven company, we’re used to listening to our customers & apply the same thinking to our employees. We offer a competitive salary, outstanding benefits and flexibility in a career with a positive and supportive atmosphere in which to develop your talents further.

Why should you join Philips?

Working at Philips is more than a job. It’s a calling to create a healthier society through meaningful work, focused on improving 3 billion lives a year by delivering innovative solutions across the health continuum at http://www.philips.com/b-dam/corporate/corporateblog/2016/PhilipsChronicDisease_5.jpg . Our people experience a variety of unexpected moments when their lives and careers come together in meaningful ways.

To find out more about what it’s like working for Philips at a personal level, visit the Working at Philips page at http://www.philips.com/a-w/careers/healthtech/working-at-philips/working-at-philips.html on our career website, where you can read stories from our employee blog at http://www.usa.philips.com/a-w/our-people/life-at-philips.html . Once there, you can also learn about our recruitment process at http://www.philips.com/a-w/careers/healthtech.html , or find answers to some of the frequently asked questions at http://www.philips.com/a-w/careers/healthtech/faq.html .

Philips is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex (including pregnancy), sexual orientation, gender identity, national origin, genetic information, creed, citizenship, disability, protected veteran or marital status.

As an equal opportunity employer, Philips is committed to a diverse workforce. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veterans' Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants that require accommodation in the job application process may contact 888-367-7223, option 5, for assistance.