Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.

Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients’ chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period. 

Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.

Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year in a row! Bluestone also achieved Top Workplace USA 2021-2024! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves-medicare-26-6-million/) as measured by the overall savings per Medicare beneficiary.

Position Overview :

The Revenue Cycle Manager leads our billing, posting and coding teams at Bluestone.  This includes o rganizing workflow and ensuring that employees understand their duties or delegated tasks, monitoring employee productivity, and providing constructive feedback and coaching to Revenue Cycle staff.

The Manager ensures that the process and procedures are in place for posting and reconciling patient and insurance payments, managing denials, and management/collection of patient balances.

Schedule: Full time position, regular business hours.

Location: This hybrid role must be located in one of our markets in Minnesota, Wisconsin or Florida. This role will primarily work remote and will manage a remote team but there is an expectation to come on-site on a occasional basis for meetings or management collaboration.

Salary: $73,000 - $90,000. Salary will be commensurate with experience.

Responsibilities :

• Manage, supervise, and monitor daily workflow of teams

• Ensure the accuracy of payment and denial posting and reconciliation

• Monitor and report payment interruptions

• Manage coding team that works with service review documentation and claim correction/denials

• Review and maintain best practices to balance EFT receipts, postings, and adjustments 

• Develop and manage team performance goals and metrics

• Assist with analysis of posting KPIs

• Works with managements to identify posting initiatives and areas for improvement

• Monitor and report any coding, billing, payer, or compliance issues

• Review and approve all adjustments to patient accounts for collections and payment plans

• Provide coverage and support to other Departments/Supervisors as needed

• Monitor and provide continual education to team of contractual changes and payer guideline

• Develop and manage team performance goals and metrics; assist in analysis of KPI’s

• Develop and maintain SOPs for team processes and practices

• Works with senior leadership to identify department initiatives and areas for improvement

• Manage and maintain AR Aging

  Qualifications :

  Education/Certification/Experience

• Bachelor’s degree in Business, Finance or related field preferred

• 7 – 10 years of experience in medical revenue cycle department with at least two years as a supervisor or manager preferred

• Experience with posting and reconciling insurance payments and adjustments

• Experience with process improvement or project management preferred

• EMR experience required, Aprima preferred

  Knowledge/Skills/Abilities

• Excellent oral and written communications skills

• Demonstrated ability to achieve results through managing others

• Strong interpersonal and technical skills

• Skill in identifying and resolving problems

• Proficient at verbal and written communication

• Ability to work independently to meet company goals and timelines

• Ability to deal with change and ambiguity

• Detail oriented and accurate

• Strong computer skills, including Microsoft Excel and Google Sheets

• Demonstrated ability to read, write, speak, and understand the English language

  Bluestone Benefits :

• Health Insurance

• Dental Insurance

• Vision Materials Insurance

• Company paid Life Insurance

• Company paid Short and Long-term Disability

• Health Savings Account (with employer contribution)

• Flexible Spending Account (FSA) 

• Retirement plan with 4% matching contributions

• Eight (8) paid holidays for office closures plus two (2) floating holidays

• Three weeks (15 Days) Paid Time Off (PTO)

• Company sponsored cell phone and laptop

• Regular business hours

   

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