Guidesoft Inc. dba Knowledge Services

  • 56506 Revenue Cycle Manager

    Posted Date 7 days ago(10/10/2018 12:17 PM)
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  • Overview

    Knowledge Services is seeking a Revenue Cycle Manager in Nashville TN.


    Knowledge Services,  established in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices throughout North America.  Founded by Julie Bielawski, CEO, Guidesoft, Inc. DBA Knowledge Services is an industry leader in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National Recruitment, and Staffing Services.  We provide outstanding services to major organizations in various industries, including; IT, Healthcare, Entertainment, Media, Federal and State Governments, Public Utilities, Telecom, Manufacturing and more.


    As such, Knowledge Services is committed to providing opportunities for growth – in our company, in each team member and in our relationships.  We believe titles do not define a person, but provide a framework to each person’s endless potential.  Our focus on improving our team, product and processes drive us every day.  We are guided by our four Pillars that set the foundation of who we are and how we conduct business:  Knowledge, Integrity, Innovation, and Service. 


    Knowledge Services has benefit offerings to include the following!


    • Medical, dental, and vision coverage
    • Voluntary Life and AD&D coverage
    • Pet Insurance
    • Ticket and Event discounts!
    • The above are available provided contractors meet eligibility requirements


    • This position is responsible for the day to day billing and revenue cycle processes with special attention
      to billing outcomes and coding performance. This includes working with the billing company,
      departmental staff and physicians to assure optimum billing performance.

      Primary Responsibilities:
    •  Manage the day to day billing operations within the Department with special emphasis on the front
      end systems to assure that all information provided to billing company is accurate and timely across all
      divisions and locations. This may include registration, scheduling, referral management, co-pay
      collection, self-pay collection, systems set up and issues.
    •  Works collaboratively with the IS team to ensure systems integrity for revenue cycle functions. Responsible for denial work file management, collaborating with divisional managers and staff to ensure claims processing occurs in a timely manner. Coordinates edit code training for front end staff.
    •  Responsible for entire pipeline of charge capture activities from encounter form development and
      review to correct coding and oversight for ensuring accurate reimbursement for services billed.
      Responsible for driving process improvement initiatives related to front end revenue cycle functions, in
      collaboration with the operations leadership and divisional managers.
    •  Oversees and provides input to ensure all systems are functional in categories such as dictionary file,
      data elements, interface and mapping, payer specificity including configuring the system to individual payer companion guide requirements, file transmission, billing area set,
      adding/deleting ICD-10 and CPT codes, etc.
    •  Serves as a key resource for changes in payment and coding guidelines from all payers. Educates and
      reeducates them on these continual updates. Responsible for constant and continual education of the
      physicians on coding changes.
    •  Coordinates and facilitates compliance audits for the department. Directs internal compliance reviews
      conducted by the department coders. Provides feedback and education to physicians on coding errors
      for both procedure and E&M services. Verifies that fee schedules are appropriate against insurance
      payers' allowable fees.
    •  Analyzes monthly Appeals reports, tracking work effort by the billing vendor to ensure collections
      activity on a regular basis. Analyzes weekly charges and payments data to ensure billing vendor is on
      track to meet established targets for productivity. Reviews EOBs as needed to determine/address payer
      problems. Coordinates efforts regarding authorization issues.

    M-F 8-4:30



    • Bachelor's degree required.
    • Certificate 1 preferred: Certified Professional Coder.
    • 8-10 years related work experience required and 5-8 years supervisory/management experience required.
    • Knowledge of ICD-10 and CPT coding.
    • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or
    • Access and other web-based applications. May produce complex documents, perform analysis and
      maintain databases.
    • Competencies:
    •  Decision Making: Ability to make decisions that are guided by precedents, policies and objectives.
    • Regularly makes decisions and recommendations on issues affecting a department or functional area.
    • Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring,
      requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
    •  Independence of Action: Ability to set goals and priorities for functional area. May make
      recommendations for department policies, practices and programs. 


    Physical Requirements:

    • Job frequently requires sitting, handling objects with hands.
    • Job occasionally requires standing, walking, reaching, talking, hearing, and lifting up to 25 pounds.
    • Vision requirements:  Ability to see information in print and/or electronically.


    We are an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, age, national origin or disability.


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