Manager, Accounts Receivable

Duties and Responsibilities

• Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital.
• Focus the team’s efforts and ensure diligent team follow-up are crucial to this position.
• Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential.
• Hands-on training of staff is a key element of this role.
• Maintain and track SOP’s and process improvement processes.
• Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information.
• Implement strategies to improve collection rates and reduce outstanding accounts receivable.
• Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.
• Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management.
• Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better.
• Identify areas for improvement and implement action plan to resolve payer and denial challenges.
• Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
• Oversee daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.).
• Interpret and follow up on contracts with insurance companies pertaining to rates, discounts and filing instructions.
• Properly handle HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.
• Monitor staff productivity.
• Coordinate agenda(s), present findings on all scheduled conference calls.

Knowledge, Skills, and Abilities

• Ability to read and write to perform calculations, prepare reports with supporting documentation.
• Being hands-on with day-to-day activities which may include all PFS areas of the revenue cycle.
• Demonstrates understanding of the entire revenue cycle.
• Assists with problem solving, inquiries, and customer interaction.
• Understands relevant RCM KPIs to analyze and plan strategies to increase cash and reduce AR and AR concepts.
• A proficient understanding of medical office or medical terminology training.
• A high level of professionalism displayed by appearance and conduct.
• Understand critical access hospital business office operations.
• Strong analytical skills to identify and resolve complex billing issues.

Work Experience, Education or Certificates

• Minimum five (5) years of general hospital business office billing and collections experience, with at least 2 years of Manager level experience.
• A proficient understanding of medical billing or healthcare administration is a plus.