At Axia Women’s Health, recognized as a Great Place to Work for a 4th year in a row, our vision is to lead the way in improving women's health. At the core of achieving this is a caring, connected, and progressive community of over 400 providers across nearly 200 women's health centers in New Jersey, Pennsylvania, Indiana and Kentucky. The rapidly growing network spans OB/GYN physicians, breast health centers, high-risk pregnancy centers, two laboratories, urogynecology care, and fertility centers. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives.
The Revenue Performance Manager is a professional person with analytical, communication, and problem-solving skills that empower proactivity in identifying and addressing opportunities for improvement in Revenue Cycle Management performance across Axia’s care centers. Success is measured by how effective we are in helping our care centers implement RCM Best Practices that result in achieving RCM performance targets. This position is a liaison between RCM resources in coding, billing, accounts receivable management, and cash posting as well as care center physicians, managers, and staff and is an engaging and confident individual who will embody our employee-oriented, high-performance culture that emphasizes empowerment, quality, productivity, goal attainment and ongoing development of a superior workforce.
Essential Functions:
- Work remotely during daytime business hours; interact via phone, Zoom, and Microsoft Teams. Some travel to care centers may be required.
- Act as liaison between care centers and RCM resources; handle complex assignments requiring innovative thinking.
- Assist care centers with RCM-related questions, services, and issue resolution.
- Perform root cause analysis with thorough knowledge of the claim lifecycle.
- Analyze eCW and Tableau reports quarterly to identify opportunities related to RCM performance targets.
- Identify payer inconsistencies and denial patterns quarterly.
- Communicate performance and improvement opportunities to care center staff and RCM teams.
- Interpret Explanation of Benefits (EOBs) to determine payments, deductibles, co-insurance, and adjudication accuracy.
- Train new and current colleagues in RCM billing policies and procedures.
Additional Responsibilities:
- Assist in creating new policies and procedures to improve RCM performance.
- Support team projects and collaborate with coworkers and managers.
- Perform other RCM-related duties as assigned.
Skills:
- Thorough knowledge of medical claims lifecycle and root cause analysis.
- Proficiency in MS Office (Word, Excel, PowerPoint, Outlook) and internet research.
- Proven problem-solving skills.
- Excellent communication skills (written and verbal).
- Strong time-management skills.
- Team-oriented and collaborative.
- Ability to maintain confidentiality.
- Awareness of federal/state regulations in medical billing and coding.
- Knowledge of a second language preferred.
Experience and Education:
- High school diploma or equivalent required; undergraduate degree preferred.
- AAPC Medical Billing certification highly preferred.
- Minimum 3 years’ recent experience in practice management or medical billing/customer service.
- Specialized knowledge in medical billing, coding, HIPAA, payer guidelines, and federal regulations.
- Experience with eClinicalWorks highly preferred.
The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.
Full Time Benefits Summary:
- Full time benefit-eligibility beginning the first of the month after hire
- Immediate 401(k) matching contribution with no vesting period
- Generous PTO offering with additional time off for volunteering
- Choice of multiple medical insurance plans to best meet your needs
- Access to Axia providers at little to no cost through Axia’s medical insurance
- Axia-paid life insurance, short term and long term disability
- Free counseling for colleagues and family members, including parents and parents-in-law
- Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program
- Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w/ employer contribution, identity theft, long term care, pet insurance and more!
At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Applicants must be currently authorized to work in the United States on a full-time basis.
