Regional Manager, Revenue Cycle Management

Mednax Knoxville , TN 37902

Posted 5 months ago

Overview

MEDNAX has grown from a single medical practice to a trusted health solutions partner with more than 10,000 employees and a presence in 50 states. Through our family of companies, we provide:

  • physician services spanning the continuum of patient care
  • revenue cycle management solutions
  • performance improvement consulting

We invite you to grow with us and help shape the future of health care.

The Regional Manager, Revenue Cycle Management is responsible for assisting the Regional Director of Patient Accounts, by providing comprehensive oversight of the collections of all accounts receivable within their department. The Regional Manager will implement strategies to effectively meet departmental goals, including: accounts receivable, cash collections, denials, DSO, department productivity, and quality metrics.

The ideal Regional Manager must be able to supervise and mentor Managers, Account Specialists, and Collectors, ensuring all policies and procedures remain in compliance on a consistent basis. The successful candidate will possess several years of healthcare management experience, must have strong communication, problem solving, and decision making skills as well as proficiency in MS Word and Excel. Experience with GPMS and NextGen is preferred but not a requirement.

Responsibilities

  • Collectively knows how to effectively collect on pass due accounts.

  • Coaches and assists assigned personnel to maximize productivity and teamwork which includes providing work direction, managing performance, supporting training and development, administering company policies and fostering positive employee relations;

  • Coordinates activities related to insurance claim processing with other departments to ensure activities are efficient and consistent with the rest of the organization;

  • Communicates insurance claim filing and collection problems and issues to supervisor and makes recommendations regarding changes to insurance claim filing approaches, policies and procedures. Advises staff within and outside the department of changes;

  • Audits accounts processed by Claims Analysts to ensure that accounts are addressed and processed in a timely and correct manner. Provides back-up support as needed;

  • Coordinates activities related to collection of accounts with other departments to ensure activities are efficient and consistent with the rest of the organization;

  • Assists the Accounts Receivable Department with resolving claims issues related to insurance coverage;

  • Keeps up to date with health care practices, laws and regulations related to insurance claims filing procedures and trends through participation in professional development activities;

  • Reviews hardship applications received from patients to determine if a discount should be granted;

  • Reviews bankruptcy notices and applies them to the correct accounts;

  • Serves as a liaison between the organization and outside collection agencies;

  • Prepares monthly productivity reports for Accounts Receivable Department;

  • Prepares monthly AGE reports to assist the Accounts Receivable Department in collecting accounts;

  • Reviews and approves accounts to be sent to bad debt collections;

  • Responds to attorney's requests for medical records and bills;

  • Distributes correspondence to appropriate personnel;

  • Maintains office, department and operational procedures and standards consistently;

  • Maintains a high level of confidentiality, ethical, and professional standards;

  • Performs assignments accurately and on time, as directed;

  • Maintains individual productivity and performance standards;

  • Interfaces with external and internal customers to ensure optimal efficiency of service;

  • Reports to work, meetings and professional obligations on time.

  • Participates in administrative staff meetings and attends other meetings and seminars.

  • Assists in evaluation of reports, decisions, and results of department in relation to established goals.

  • Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.

  • Serves as a member of the Collection Department Team. Performs duties necessary to ensure the team's projects/goals are completed.

  • Takes ownership of special projects, researches data and follows through with detailed action plans.

  • Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.

  • Performs other related duties as required and assigned.

  • Adheres to MEDNAX Services, Inc., Department and HR policies and procedures.

  • Perform other duties as assigned or requested.

Qualifications

BA/BS degree along with a minimum of 3-5 years of related experience in the Patient Accounts field along with at least 1-3 years of experience directly related to managing RCM accounts receivables.

MEDNAX IS AN Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

#LI-SM1


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Regional Manager, Revenue Cycle Management

Mednax