Revenue Cycle Operations Manager

The TANYR Operations Manager is versed in payer guidelines and understands the need to stay current on regulatory updates.  They manage a team of staff who work on various clients and/or projects related to improving patient care, increasing efficiency, and ensuring compliance with industry standards.  It is the Operations Manager’s responsibility to maximize revenue as defined by the contractual terms negotiated between TANYR and the client.  The Operations Manager is proficient with all components of revenue cycle management. The Operations Manager understands the relationships between all operational units and communicates with other leaders to ensure consistent revenue cycle management for all TANYR clients. This individual has exceptional communications skills and can readily interface with internal and external stakeholders to communicate status of accounts, deficiencies in processes, and other vital information.

The Operations Managers may also be tasked with developing new ways to improve revenue cycle performance.  This might include implementing new technology or equipment, creating new processes or procedures, or even changing how certain departments interact with one another.

The Operations Manager is expected to complete the following monthly actions:

• Complete requisitions for new employees
• Interview, hire and train (or assign training)
• Recommend and approve pay increases, scheduling changes, and employee leave
• Timely review and approval of timecard punches and weekly timesheets
• Ongoing department training
• Weekly performance tracking and reviews
• Weekly quality tracking and reviews
• Employee discipline and timely follow-up
• Meet department and organizational SLAs
• Facilitate bimonthly L10 meeting with staff
• Creates a culture of accountability and ownership of results through clear expectations

At TANYR, we seek to add only ideal team players who can flourish in our culture and embody the characteristics of our Core Values:

• Loyal to the Company
• Hardworking
• Dedicated to Excellence
• Honesty and Integrity
• Faith

Roles and Responsibilities

• Translates and oversees organizational strategies for assigned goals
• Develops and maintains methods to ensure all third-party correspondence, trends of denials and problems are identified and reported to leadership
• Manages the resolution of client issues and ensures appropriate follow-up is done to manage client relationships
• Assesses team members for potential, strengths and development needs and conducts career development discussions to grow the talent pipeline
• Maintains thorough knowledge of contracts between clients and third-party payors and interprets billing requirements
• Reviews and provide analysis of contract issues that affect reimbursement
• Reviews of monthly ageing reports with managers and assists with developing action plans
• Organizes the department workload and establishes work standards to promote efficiency and productivity
• Maintains appropriate staffing levels
• Manages and administers program policies & procedures
• Availability during department month-end blackout periods
• Oversee monthly close processes, including reporting and account balancing
• Reviews and approvals of contracts or administrative adjustments
• Responsible for monitoring productivity and quality standards for assigned team(s)
• Provides quality service by enforcing quality and customer service standards
• Provides coaching, counseling, and discipline to direct staff
• Organizes workflow and ensures that employees understand their duties or delegated tasks
• Address problems with work quality, issues between employees, and other concerns in an effective, timely manner
• Understands and adheres to state and federal regulations and company policies regarding compliance, integrity, patient privacy, and ethical billing and collection practices
• Advises staff on proper, legal parameters for collections practices; ensures that all billing actions comply with company, local, state, and federal guidelines
• Communicate clearly and professionally, both in written form and orally, with internal and external customers
• Works within specified deadlines and stressful situations
• Develop and communicate client month-end process and expectations and ensure effective communication internally and externally of schedule and status
• Cultivate a positive and collaborative team culture, encouraging professional growth and development
• Allocate resources effectively to meet departmental goals and organizational objectives
• May require periodic travel to sites or client-related meetings
• Assists TANYR departments with meeting all requirements and timelines per service level agreements
• Meet quality, productivity, individual and department goals as determined by TANYR
• Work within specified deadlines and stressful situations
• Responsible for professional and effective verbal and written communication with both internal and external customers
• Work as necessary to meet department goals and objectives
• Perform other tasks or special projects as assigned or deemed necessary
• Cultivate a positive and collaborative team culture, encouraging professional growth and development
• Exhibit a willingness to learn, problem solve and assist others while openly and actively participating in the TANYR culture

Qualifications and Education Requirements

• 4+ years of experience in healthcare revenue cycle management
• 2+ years direct management in home infusion, ambulatory infusion center, and specialty pharmacy experience preferred
• Knowledge of payor medical policy and clinical guidelines
• Extensive knowledge of insurances-PPO, EPO, HMO, Indemnity, Medicare, Medicaid preferred
• Possess strong written and verbal communications skills to communicate effectively with, present information to, and respond to questions from individuals at all levels of the organization
• Ability to independently obtain and interpret information
• Working knowledge and application of metric measurements, basic accounting practices, ICD-10, CPT, HCPCS and NDC coding preferred
• Working knowledge of automated billing systems; experience with CPR+/CareTend/Brightree/Tebra (Kareo)/WeInfuse/Fusebox/InfuseFlow/ChangeHealth/Waystar/EPIC preferred
• Must be detail-oriented with the ability to analyze, organize, prioritize, and multi-task
• Effective interpersonal, written, and verbal communication skills
• Intermediate or Advanced proficiency with Microsoft Office skills, including Word, Excel, and Outlook preferred
• High School Diploma or equivalent (GED)

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer

Benefits at TANYR

Health Insurance

Dental Insurance

Vision Insurance

Long Term Disability paid by TANYR

Term Life Insurance paid by TANYR with option to elect additional coverage

401K with company match

Supplemental Insurance Plans

Paid Time Off

Paid Holidays