Behavior Health Accounts Receivable Manager

Position: Behavioral Health Accounts Receivable Manager (Remote)

FLSA Status: Full time, Exempt

Reports to: Director Collections, Behavioral Health

Job Description:

The AR Manager helps motivate front-line onshore/offshore collectors to ensure they meet operational goals. The AR Manager will be responsible for providing direction and guidance to Collections Staff. Will be involved in allocating and checking the work of other members of the team. Will play a mentoring role, coordinating tasks for the team and/or checking on completion and quality of work. The ideal candidate has passion and drive, intelligence and integrity, high attention to detail, professionalism and excellent follow-up skills to increase revenue for our customers. The position requires a thorough knowledge of the healthcare industry and an effective strategy working with insurance carriers to get claims paid. The AR Manager plays a vital role within the company to work alongside the Collections Director and in conjunction with the Lead Collection Specialist and offshore Collections Leadership to accomplish departmental goals and support company mission.

Responsibilities:

• Assist in day-to-day operations of the Collections Department to ensure smooth workflow and to achieve predetermined goals.

• Assist Director of Collections with coaching a team of onshore/offshore Collections Specialists in a manner that ensures high volume revenue collections.

• Builds effective and strong teams committed to achieving organizational goals.

• Motivate and guides Collections staff to clarify each collector's workload and assigned accounts

• Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed according to members plans

• Identifies denial reasons, and follows appeal process to get claims paid

• Performs high volume collection phone calls to insurance companies

• Accesses payer online resources to expedite claims follow up and ensure claims are on file and processing

• Follows EOB protocol, retrieve documentation to ensure paid accounts are closed

• Accesses billing software (Collaborate MD/Advanced MD/Kareo) to analyze rejection reasons and communicate findings

• Communicates billing/coding errors and completes resubmission request

• Identifies and reports changes and trends in carrier guidelines and reimbursement patterns

• Executes and delivers special projects from management and other duties as assigned

• Corresponds with third party rate negotiation companies to expedite claim process

• Accesses EMR, retrieves medical records and follows protocol

• Adheres to documentation protocol, notates accounts and reports appropriately

• Organizes daily and weekly production/action reports in file share

• Participates in companywide and departmental meetings

• Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals

• Understands and complies with all HIPAA rules and regulations

Requirements/Qualifications:

• 3-5 years High Volume corporate Collections experience

• 3 years supervisory experience in healthcare RCM/billing, collections, preferably in Behavioral Health

• May be required to work additional and/or off hours as necessary

• Cross trained experience in front end to back-end RCM procedures

• Experience working with online payer resources

• Accounts Receivable knowledge/experience a plus

• Strong attention to detail, goal oriented

• Commitment to excellent customer service

• Ability to work efficiently within deadlines

• Excellent written and verbal communication abilities

• Strong interpersonal skills and ability to work in a team environment

• Ability to prioritize and manage multiple responsibilities

• Adheres to all policies and procedures as outlined in the Employee Handbook

• Proficiency using Microsoft Office products

Supervisory Responsibility

This position does have supervisory duties

Work Environment

This job operates in a remote work environment. This role routinely uses standard office equipment and monitors.

Benefits: As an eligible employee, you will receive a competitive salary and optional benefits including medical, dental and vision insurance, short and long-term disability coverage, life insurance, retirement plans, paid time off and paid holidays.

Coronis Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.