At Independence Physician Management (IPM a subsidiary of UHS Inc.) we're looking for exceptional people who share our vision and values, who share our focus on hard work, enthusiasm, teamwork, loyalty, trust and cooperation. We've embraced these traits and built a team of employees who consistently work to achieve the highest level of service excellence.
People are our most valuable resource at IPM as we are committed to providing high quality acute care and behavioral health services to residents of the communities we serve. We are equally committed to offering our employees unlimited opportunity in an environment that encourages professional development.
The Accounts Receivable (A/R) Manager is responsible for leading and managing all revenue cycle activities related to outstanding insurance accounts receivable, insurance denials, and appeals processes to ensure timely and accurate collections to maximize reimbursement. The A/R Manager meets regularly with department Supervisors to review processes, work flows, and overall team performance.
Leads the department through process improvement opportunities, standardization of work flow (best practices) and performance management through strategic evaluation. Manages Key Performance Indicators (KPIs) to address deficiencies and improve overall department results. Collaborates with CBO and Market leadership to help resolve any barriers to accurate and timely collections including avoidable write-offs identified through denial analysis.
Maintains positive and productive business relations with payer representatives and meets as needed to discuss and resolve barriers to accurate and timely claims payments, claim denials, appeals and other issues pertinent to successful collection efforts. The A/R Manager coaches, counsels and mentors the team in an effort to develop staff and improve teamwork, morale and overall performance and results.
Develops key performance indicators (KPIs)/dashboard for the Provider Accounts Receivable Operations Department to identify denial trends, track performance results and identify opportunities for process improvement, enhanced performance and maximized reimbursement. Develops department goals to support the business objectives established by IPM.
Plans and coordinates department efforts in process improvement activities while driving standardization of work flows (best practices). Effectively communicates process change and solutions to stakeholders. Develops productivity and collections targets, communicates expectations to staff and follows-up with Department Supervisors, as needed, based on results.
Manages denial analysis to identify frequent denial reasons (registration, referrals & authorizations, medical necessity, documentation, provider enrollment). Develops/tracks/reports top denial reasons to Market Managers, Practice Administrators and Managers, and CBO Leadership to minimize avoidable write-offs.
Demonstrates excellent initiative and judgement. Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service.
Cultivates and maintains positive and productive business relationships with CBO leadership, Market Managers, Practice Administrators/Managers, Corporate staff, vendors, and payer representatives. Works collaboratively to improve processes, communicate barriers within revenue cycle and works towards resolution.
Promotes a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the Supervisors. Shows direct and tangible evidence of coaching, mentoring and professional development.
Works collaboratively with IPM Finance to finalize month-end reporting by assisting with reconciliation issues and questions regarding A/R, contractual adjustments and write-offs.
Conducts monthly one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility. Discuss areas of professional development as well as goal tracking/reporting, projects and other pertinent topics. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps and expectations.
Performs other duties as assigned.
Education: Associates Degree or approved equivalent combination of coursework and related experience or extensive related experience is required. Bachelor's degree preferred.
Work experience: Experience (5-8 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Minimum 5 years of direct supervisory experience managerial or administrative experience required.
Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements, remittances, insurance credit and refunds, AR management, contract variances (underpayments) and appeal processes. Thorough understanding of the revenue cycle and how the various components work together.
Excellent verbal/written communication skills.
Strong presentation skills. Proven track record of leadership ability. Results oriented with a proven track record of accomplishing tasks and building high-performing teams.
Project Management. Strong interpersonal and organization skills.
Microsoft Office. Strong computer literacy skills.
Equipment Operated: Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable. Microsoft skills required (i.e., Excel, Power Point).
If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. Independence Physician Management offers competitive compensation commensurate with experience and benefit programs including medical, dental, life insurance, and 401(k).
Independence Physician Management is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails.
All resumes submitted by search firms to any employee at IPM via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Physician Management. No fee will be paid in the event the candidate is hired as a result of the referral or through other means.
Universal Health Services