Asst Mgr, Revenue Operations

Under the general direction of the Revenue Operations Manager, the Revenue Operations Assistant Manager assists the Revenue Operations Manager in achieving revenue and collections objectives and goals for the unit.
Oversee and monitor activities of assigned unit
Work on revenue management projects
Perform supervisory functions of hiring staff , corrective action and performance evaluation
Provide on the job training and orientation for employees
Responsible for overseeing and assisting program staff to ensure that revenue projects are completed as directed
Develop and implement procedures and guidelines to accomplish project objectives and goals
Evaluate unit policies and procedures and make suggestions for improvement to the Revenue Operations Manager
Review and analyze data concerning assigned projects in order to determine progress and effectiveness and make recommendations for changes in procedures
Respond to inquiries from EOHHS staff and others concerning assigned projects
Perform related duties such as maintaining records, preparing reports and presenting reports
Interact on a professional level with EOHHS and other government agencies
Work individually as well as being a team member
Work internally and externally to resolve discrepancies for projects
Other duties as assigned
Bachelor's degree in Finance, Public Administration, Business or related field, or equivalent
5 years experience in fiscal management, finance or public administration
Proven skills in financial management or operational management
Thorough knowledge of funding and revenue sources for health and human service programs
Thorough knowledge of the federal and Massachusetts state regulations associated with the federal entitlement and block grant programs
Experience with contract development and management
Strong management and leadership skills
Additional Information
5 years of claims experience
Medicaid claims billing or payor experience
Strong knowledge and applied business experience with health insurance regulations and billing guidelines, third party liability, Medicaid and Medicare eligibility and benefits and CMS regulations
Knowledge of HIPAA transactions, EDI transactions, and XML
Demonstrated experience with system test cycles (UAT and Model Office)
Demonstrated experience/skills with Data Warehouse concepts and Cognos or other reporting tools
Working knowledge of claims processing systems, and standardized code sets: HCPCS, CPT-4 and ICD-9 / ICD10
Highly proficient in Microsoft Office suite (Access, Excel, PowerPoint, Word)
Outstanding interpersonal communication and team building skills are required
Ability to apply critical thinking to complex problems
Ability to manage multiple projects simultaneously
Proven experience with business process improvement
Highly motivated individual with proven experience in producing high quality results in a dynamic operations setting

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