AR Manager, Blue Cross (Remote)

Job Description

This position is a REMOTE position.

The Collections Accounts Receivable Manager is primarily responsible for the management and supervision of the Insurance Collections team and ensuring that insurance follow-up and collections activities are successfully completed within department guidelines and federal and state regulatory requirements. The Accounts Receivable Manager is also responsible for implementing and monitoring Collections goals and objectives under the administrative direction of the Operations Director and Chief Operating Officer.

Essential Duties and Responsibilities

• For assigned financial classes/payor groups:

• Effectively manage staff performance and workload

• Analyze and monitor revenue cycle and accounts receivable metrics focusing on collections and accounts receivable measures

• Establish a working relationship with provider representatives to resolve payor issues in a timely manner. Escalate unresolved issues to Collections Operations Director for assistance

• Identify, resolve, and report issues impacting performance objectives

• Responsible for ensuring timely and successful working and resolution of daily correspondence, third party denials, and assigned follow-up work lists

• Responsible for accurate and timely review and approval of transactions including adjustments and write-offs

• Review and work all collections workflow status and exception reports daily, weekly and monthly

• Responsible for oversight of insurance follow-up and development of new programming to improve performance

• Ensure all assigned reports and collector worklists are worked and completed

• Track and communicate insurance follow-up delays and issues for management resolution

May serve as SSC contact for hospital stakeholders and participate in all denials, compliance, and other revenue cycle monthly meetings

• Identify staffing needs and communicate those needs to the Collections Operations Director

• Assure productivity and quality standards are met for each collector assigned to team

• Monitor & report team member goals for quality and productivity performance monthly to provide incentive or perform disciplinary action as required. Coach, counsel and discipline staff with behavior issues

• Conduct interviews of candidates - internal and external for open positions

• Perform quarterly and annual reviews for each staff member

• Provides monthly, quarterly and yearly statistical information regarding insurance follow-up, billing, denials and employee performance

Qualifications

Education:

• Required: Diploma or equivalent

• Preferred: BS degree preferred

Experience:

• Required: Minimum 1 year supervisory experience in hospital, multi-location private medical practices

• Preferred: Minimum 3 years' supervisory experience in multi hospital, multi-location private medical practices preferred

Computer Skills Required:

• Intermediate experience with Microsoft Office Tools or similar Google Platforms; experience with hospital or similar patients accounting systems

• Prior knowledge and use of Artiva, HMS, OnBase, SSI Billing and HARP posting systems are a plus