A/R Manager

Hunt Regional Healthcare•Greenville, TX

About The Position

POSITION SUMMARYSupports and is responsible for coordinating activities in the accounts receivable area within the Patient Financial Service department. Areas of focus include customer service, day-to-day employee interaction, workload assignments, and payer challenges. Oversees credit balance, account follow-up, and collections to assist in cash flow and managing aging A/R, collection strategies, and bad debt activity. Coordinates account receivable strategies, initiates billing and collections on the past due A/R claims, "At Risk" claims review, and the compilation of A/R reports. Active with the account management processes. Routinely works with collection-related vendors. Interpret and ensure compliance guidelines are followedaccording to federal regulations. Completes special projects upon request.POSITION SUPERVISORY RESPONSIBILITIESReports To:Patient Accounts ManagerSupervises:Biller/Collectors and applicable Lead(s).Assist with other PFS staff oversight when needed.POSITION REQUIREMENTSMinimum EducationHigh School graduate or equivalent.Minimum Work ExperienceThree years experience in a patient accounting and insurance environment required.Required Licenses/CertificationsNoneRequired Skills, Knowledge, and AbilitiesMust possess good patient and customer service skills. Demonstrates leadership skills. Ability to be a motivator, initiator, and "team builder". Must be a critical thinker, problem solver, and able to set and achieve goals. Knowledge and experience with accounts receivable management and payer guidelines. Computer knowledge includes experience with automated systems. Ability to operate office equipment, such as copy machines, fax machines, and printers. Possess the ability to interpret and generate written correspondence utilizing proper grammar, spelling, and composition skills. Excellent troubleshooting skills, with the ability to communicate resolutions to customers. In-depth knowledge of the Revenue Cycle and related workflows. Must have good written and verbal communication skills.Preferred QualificationSome college. Supervisory skills. Medical terminology.JOB SPECIFIC FUNCTIONS1. Demonstrates an understanding of and adherence to the HMHD Compliance Plan.2. Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.3. Attends the required corporate integrity and compliance training and education programs.4. Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.5. Complies with all HIPAA standards.6. Demonstrates effectiveness in providing staff members with day-to-day coaching and feedback relative to their major responsibilities and performance standards; reviews performance standards for all staff members on an annual basis as appropriate7. Demonstrates good leadership by keeping the respective direct manager and/or director informed of departmental activities, needs, problems, and administrative matters8. Communicates with staff members via staff meetings and/or informal meetings and email in a professional and effective manner 9. Consistently demonstrates an ability to assess situations, consider alternatives, and choose the appropriate course of action10. Strives to recognize and evaluate personal strengths and weaknesses; handles personal and professional frustrations appropriately11. Maintains knowledge of current regulatory standards as they pertain to the department(s) and assures compliance and communication of standards to staff12. Demonstrates an ability to assess performance improvement opportunities, productivity standards and targets, and respond with specific action plans as deemed necessary13. Assists manager and/or director with prospective hire interview process 14. Continually strive to provide an environment that promotes retention by providing fair and equitable feed-back to employees, including recognition for good performance, and provide productive coaching as needed to assist employees to be successful 15. Address and return patient, customer and employee inquiries or concerns in a timely manner16. Assist with implementation of strategies to maximize reimbursement in patient accounting. Generate and interpret reports to take advantage of resources17. Assign and monitor workload volume and adjust as needed18. Demonstrates an overall understanding of the Revenue Cycle19. Resolve issues and/or concerns amicably in a timely manner and involves PFS Leader(s) when needed20. Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication21. Adaptable and responsive to change22. Demonstrates a positive attitude in all assigned task and towards others23. Monitors aging A/R and works with staff on active follow-up and to maximize timely reimbursement 24. Displays knowledge regarding Medicare, Medicaid, Managed Care and other payer guidelines25. Assist with payer challenges26. Coordinates efforts with PFS vendors, and periodically monitors activity and oversees reconciliation functions27. Assist with root cause analysis when errors and trends are noted and address accordingly28. Monitors and controls non-payments, delayed or delinquent payments, and other "At Risk" claims 29. Upon request, complete research and present findings to Manager, Director or appropriate Revenue Cycle or applicable Committees30. Assist with gathering of data and coordination when audit request are received (i.e. internal audits, external audits, Medicare, Medicaid, etc.)31. Completes portal enrollment applications to ensure portal access for payers32. Assist with root cause analysis when errors and trends are noted33. Perform special duties and projects as assigned.

Requirements

High School graduate or equivalent.
Three years experience in a patient accounting and insurance environment required.
Must possess good patient and customer service skills.
Demonstrates leadership skills.
Ability to be a motivator, initiator, and "team builder".
Must be a critical thinker, problem solver, and able to set and achieve goals.
Knowledge and experience with accounts receivable management and payer guidelines.
Computer knowledge includes experience with automated systems.
Ability to operate office equipment, such as copy machines, fax machines, and printers.
Possess the ability to interpret and generate written correspondence utilizing proper grammar, spelling, and composition skills.
Excellent troubleshooting skills, with the ability to communicate resolutions to customers.
In-depth knowledge of the Revenue Cycle and related workflows.
Must have good written and verbal communication skills.

Nice To Haves

Some college.
Supervisory skills.
Medical terminology.

Responsibilities

Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
Attends the required corporate integrity and compliance training and education programs.
Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
Complies with all HIPAA standards.
Demonstrates effectiveness in providing staff members with day-to-day coaching and feedback relative to their major responsibilities and performance standards; reviews performance standards for all staff members on an annual basis as appropriate
Demonstrates good leadership by keeping the respective direct manager and/or director informed of departmental activities, needs, problems, and administrative matters
Communicates with staff members via staff meetings and/or informal meetings and email in a professional and effective manner
Consistently demonstrates an ability to assess situations, consider alternatives, and choose the appropriate course of action
Strives to recognize and evaluate personal strengths and weaknesses; handles personal and professional frustrations appropriately
Maintains knowledge of current regulatory standards as they pertain to the department(s) and assures compliance and communication of standards to staff
Demonstrates an ability to assess performance improvement opportunities, productivity standards and targets, and respond with specific action plans as deemed necessary
Assists manager and/or director with prospective hire interview process
Continually strive to provide an environment that promotes retention by providing fair and equitable feed-back to employees, including recognition for good performance, and provide productive coaching as needed to assist employees to be successful
Address and return patient, customer and employee inquiries or concerns in a timely manner
Assist with implementation of strategies to maximize reimbursement in patient accounting. Generate and interpret reports to take advantage of resources
Assign and monitor workload volume and adjust as needed
Demonstrates an overall understanding of the Revenue Cycle
Resolve issues and/or concerns amicably in a timely manner and involves PFS Leader(s) when needed
Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication
Adaptable and responsive to change
Demonstrates a positive attitude in all assigned task and towards others
Monitors aging A/R and works with staff on active follow-up and to maximize timely reimbursement
Displays knowledge regarding Medicare, Medicaid, Managed Care and other payer guidelines
Assist with payer challenges
Coordinates efforts with PFS vendors, and periodically monitors activity and oversees reconciliation functions
Assist with root cause analysis when errors and trends are noted and address accordingly
Monitors and controls non-payments, delayed or delinquent payments, and other "At Risk" claims
Upon request, complete research and present findings to Manager, Director or appropriate Revenue Cycle or applicable Committees
Assist with gathering of data and coordination when audit request are received (i.e. internal audits, external audits, Medicare, Medicaid, etc.)
Completes portal enrollment applications to ensure portal access for payers
Assist with root cause analysis when errors and trends are noted
Perform special duties and projects as assigned.