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The Revenue Cycle Manager is responsible for overseeing revenue cycle management including billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and billing-related issues resolved promptly. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This position must be aware of payer regulations and guidelines.  Please Note: This position is on-site at our office in Middletown, PA.

Job Responsibilities:

• Responsible for providing high quality service to all clients as it relates to revenue cycle management
• Manage the day-to-day operations of the billing department
• Guide the daily, weekly and monthly financial reporting
• Manage team members as assigned
• Assist in recruitment and hiring of all operations personnel
• As a leader in the organization, demonstrate appropriate conduct and positive attitude to foster creativity, innovation and a culture of success
• Assist team members with problem resolution
• Ensure effective communication with both internal and external stakeholders
• Interact daily with team members to ensure accurate transfer of information
• Track and monitor the claim volumes billed to all payers and report weekly
• Initiate all communication with payers on behalf of our clients
• Document all interaction with payers
• Adhere to all company policies and procedures
• Conduct business in a safe, compliant and secure manner as it relates to HIPAA and patient privacy
• Other duties as assigned

Required Education and Qualifications:

• A bachelor’s degree and 5-7 years of related work experience
• Knowledge of third-party payer requirements including federal, state, and Commercial
• Proven experience in healthcare billing, including Medicaid and Managed Care
• Knowledge of basic insurance policies, procedures, and reimbursement practices
• Experience supervising staff
• Prior experience with process development and execution
• Excellent communication and interpersonal skills

About ZMark Health:

Founded by Matt in October 2020, ZMark Health brings over 20 years of expertise in healthcare reimbursement, finance, and managed services. With a strong focus on growth and client success, Matt has assembled a team of skilled leaders and professionals who are dedicated to delivering exceptional results. As we continue to expand, we’re looking for outstanding and talented individuals to join our team and contribute to our mission.

The Accounts Receivable Specialist is responsible for the accurate and timely collection of claims and managing consumer accounts. This position will work independently and will be expected to be skilled in investigating unpaid claims with proper resolution of errors to obtain payment. Please Note: This position is on-site at our office in Middletown, PA.

Job Responsibilities:

• Manage the comprehensive collection efforts for assigned payers
• Detailed investigation of unpaid claims and an understanding of proper escalation both internally and externally
• For patients with secondary insurance, submit claims as needed
• Collaborate with all internal team members to guide the AR recovery process effectively and efficiently
• Ensure effective communication with both internal and external stakeholders
• Interact daily with client team members to ensure accurate transfer of patient information for verification purposes
• Document all interactions with payers
• Adhere to all company policies and procedures
• Conduct business in a safe, compliant, and secure manner as it relates to HIPAA and patient privacy
• Other duties as assigned

Required Education and Qualifications:

• High School diploma or equivalent and 3-5 years of related work experience
• Knowledge of third-party payer requirements including federal, state, and Commercial
• Proven experience in healthcare billing, including Medicaid and Managed Care
• Experience with various EMR systems is preferred
• Knowledge of basic insurance policies, procedures, and reimbursement practices
• High level of organization in daily activities
• Prior experience with process development and execution
• Excellent communication and interpersonal skills
• Computer literacy and working knowledge of Microsoft Office, with a focus on Excel

Please Note: This position is on-site at our office in Middletown, PA.