Senior Staff Accountant

Location: Dover, DE 19901 | Full-time, day shift

Pay Range: $82,950.40 to $128,564.80/yr. based on years of experience

About the Role

Responsible for directing, coordinating, and planning of staff for insurance Accounts Receivable (AR) to ensure efficient and proper billing, account follow-up, account collections, and reconciliation of patient accounts. Must work collaboratively with Employed Physician Practices, Revenue Cycle, and other relevant departments to ensure compliant billing. Adhere to internal controls for applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Leads by example, upholding all values and holding team members and payers accountable.

Responsibilities

• Supervises the assigned team and team members engaged in the department, including interviewing, hiring, performance evaluation, training, and disciplining all system support personnel.
• Delegates tasks as determined appropriate and provides a goal-oriented work environment, establishing clear and concise work procedures and expectations.
• Develops and plans goals and objectives for the department with the PFS Leadership Team. Measures financial and operational performance, maintains monitoring and reporting systems.
• Audit, trend, and benchmark billing/collection functions.
• Manage Accounts Receivable for all insurance AR billed in the Epic HB and PB modules to minimize financial losses.
• Ensures adherence to all governmental and commercial payor rules, regulations, and Corporate policies and procedures. Ensures that accounts receivable activities are meeting productivity, quality, reimbursement goals, and all reimbursement options have been exhausted.
• Monitors vendor performance, as appropriate for any insurance AR vendors.
• Review and respond to patient complaints and legal documents following appropriate customer service and internal policies.
• Complete monthly rounding on direct reports; maintain individual rounding logs and stop-light reports to facilitate communication. Promotes employee engagement for individual teams and the department striving for continuous improvement.
• Responsible for monitoring performance and resolution of all insurance credit balances.
• Reviews quality assurance review results with staff, providing education/training as necessary to address opportunities for improvement.
• Contributes to the development of education materials for new hire and annual training competencies.
• Monthly reporting requirements: AR performance for large payers, physician practices, and vendors. Communicates performance issues and actions being taken to resolve the issues. Escalates to State and Federal agencies when payers are not adhering to regulations.
• Maintains all Epic ARCR certifications in good standing, as applicable.
• Reviews all requests for system changes to determine the impact on payers and processes under the position’s span of control. Ensures supporting research and documentation are accurate and properly validated.
• Responsible for access requests and maintenance, including but not limited to Medicare Novitasphere and Medicaid portals.
• All other duties as assigned within the scope and range of job responsibilities.

Requirements

• Bachelor’s Degree in Business or related field. In lieu of a bachelor’s degree, will accept a High School Diploma or GED with eight (8) years of Revenue Cycle progressive leadership experience (four years of experience for a verified associate’s degree).
• Five years in patient accounting, third-party reimbursement, or related field, to include a minimum of three (3) years of experience in a supervisor or leadership role.

Preferred Qualifications

• Certified Patient Account Manager or Certified Revenue Cycle Representative credential(s).
• Seven years in patient accounting, third-party reimbursement, or related field, to include a minimum of five (5) years of experience in a supervisor or leadership role.

Why Join Net2Source?

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