Corp H&W/Sr Accounts Receivable Manager

Responsible for leading, directing, managing, and evaluating all activities related to the revenue cycle to ensure prompt, appropriate payment from patients and third-party payers. Accountable for staying up to date on government policies and procedures as it relates to reimbursement to ensure that company conforms to applicable guidelines and regulations. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.

MINIMUM

• Vocational/Technical degree

• 5+ years of experience in a leadership role in an accounts receivable department for a healthcare provider organization

• 5+ years of experience and thorough knowledge of CMS rules and regulations

• Ability to effectively interact professionally with senior leaders

• Strong written and oral communication skills

• Strong computer skills including Word, PowerPoint, Excel, Outlook and Teams

• Ability to manage multiple priorities and effectively achieve desired outcomes

• Excellent analytical, critical thinking, organizational and time management skills with attention to detail, accuracy, and follow-through

DESIRED PREVIOUS JOB EXPERIENCE/EDUCATION

• Bachelor's degree

• Oversee and direct Payment Posting, Customer Service, Data Entry, Billing & Collection, Refunds, and Insurance Follow-up

• Coordinate managed care contracting reviews in conjunction with the payer relations consultant or coordinator

• Lead policy and procedure development and participate in process improvement initiatives

• Analyze and resolve operational issues within claims processing including financial analysis, staffing analysis, and financial reporting

• Comply with federal and state laws, and company policies and procedures

• Implement process and technological improvements in anticipation of future organizational growth

• Monitor all statistical reports to identify trends and assess deficiencies

• Maintain bad debt at or below target departmental metrics

• Benchmark the ongoing accounts receivables and drive improvements to Key Performance Indicators

• Develop strategic plans and programs for the revenue cycle team and ensure that goals and objectives of the team are properly defined and clearly established

• Improve overall performance in cash collections, days in accounts receivable and net collection rates

• Direct and review process improvement and training materials for accounts receivable staff

• Investigate escalated patient complaints and compliance issues related to billing

• Work with accounting on financial reporting and interfacing of activity into the general ledger

• Analyze and work with department supervisors to resolve operational issues within claims processing including financial analysis, staffing analysis, and financial reporting

• Maintain a thorough understanding of the following topics as they relate to accounts receivable (A/R) operations: conditions of participation and payment for Medicare and Medicaid, information systems, and company policies and procedures

• Supervise and coach direct reports in the performance of their duties; complete performance reviews and provide feedback to direct reports

• Must be able to perform the essential job functions of this position with or without reasonable accommodation