A/R Management Director - Digitech - Remote

Sarnova

1d•Remote

About The Position

The Director of A/R Management is responsible for leading and managing all revenue cycles related to outstanding insurance accounts receivable, insurance denials and appeals processes to ensure timely and accurate collections to maximize reimbursement. The Director meets regularly with department managers to review processes, standardize workflows and monitor overall team performance. Additional responsibilities include management and oversight of Key Performance Indicators (KPIs), addressing deficiencies which will improve overall department results. Maintains positive and productive business relations with payer representatives to discuss and resolve barriers to accurate and timely claims payments.

Requirements

High School Diploma or equivalent required; Associate degree strongly preferred
Minimum 8 years working in healthcare billing, health insurance or equivalent operations work environment
2 to 5 years of direct supervisory experience required
Working knowledge of billing, claim submissions requirements, remittances, insurance credits and refunds, A/R management, contract variances and appeal processes within the Healthcare industry
Excellent verbal / written communication skills with all levels: executives, peers, associates and clients
Strong computer skills, including Microsoft Word, Excel, PowerPoint and Outlook
Proven process improvement methodology and proven success in driving change management
Proven ability to attract, develop and retain associates that drives a culture of accountability and continuous improvement
High-level leadership and decision-making skills
Detail oriented and organized, with exceptional prioritization skills
Must have the ability to work in a fast-paced environment
Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Responsibilities

Demonstrates strong leadership guidance with internal business partners, insurance companies, government entities, patients and external clients
Strong leadership support and oversight of the A/R Management team which will ensure metrics are in place to drive effectiveness and efficiency in areas of responsibility
Responsible for building and retaining a high-performance team; ensures clear goal alignment within the team and drive performance management to policies
Develop training programs for the specific needs for growth of A/R Management team
Drive cash flow through receivables management by establishing effective organizational process and policy.
Meet weekly with all A/R Managers to review work flow, deficiencies within the process and staffing concerns
Identify staff deficiencies and ensure proper training is provided
Continuously evaluate the effectiveness of the team, empowering the team to have the courage to test status quo and demonstrate a continuous improvement mindset
Lead new project implementations through to a successful outcome driving efficiencies
Ensure there is open communications on any issues providing solutions for resolutions
Review any team interpersonal conflicts with HR for direction working towards resolution
Ensures all follow-up is performed timely and accurately to prevent/limit potential claim denials and avoid issues with timely filing deadlines
Handle high level problem accounts which deals directly with payer, patient, or third party
Serves as a clear and effective conduit of the technical knowledge on processing issues
Works with Management to establish productivity standards for area of responsibility and monitors the standards
Develop processes to improve cash flow and downsize receivables
Prepare monthly, quarterly, annual and ad-hoc reporting for upper management
Develop metrics, goals and KPI’s to measure and track business results
Additional job duties as assigned