Director, Accounts Receivable - Patient Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)
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About The Position
The Accounts Receivable Director has the primary responsibility for all facets of accounts receivable (AR) collections and management. This includes comprehensive work flow through to liquidation, dispute management, analysis and in-depth AR trending, follow-up tactics and techniques and on-going staff education. Oversee all collections-related functions and outsourced vendors. Ensure all accounts have insurance coverage verification, correct insurance plan code assigned and setup. Monitor proper referral or authorization processes to maximize cash and limit disputed inventory. Work with payers directly on inventory and aging. Manage department in compliance with established policies and procedures. Oversee customer-focused collection self pay and balance after insurance and aiding patients with financial assistance application and approvals. Focus on core collections and minimize aging of inventory. Monitor credit balance reporting to ensure compliance with Variance Policy and State regulations, including AB1455. Review and approve refunds, write-offs and adjustments on accounts and ensure departmental and hospital policy regarding approval levels. Continually data mine to identify payer issues, trends and escalate as necessary and in support of long-term strategy development for revenue cycle initiatives. Monitors staff performance with monthly management operating reports. Develop and manage budget requirements. Hire, continually monitor, train staff on collections practices and techniques to drive best-in-class collections and dispute results. Manage payer and legal relationships and results to liquidate AR within established standards. Continually monitor inventory by payer and deliver accountable results of Net to 90/120 calculation and provide documentation for staff follow-up activities. Identify and implement improved workflow and procedures. Create and implement new procedures to respond to internal and external needs in a timely fashion. Monitor and ensure that issues with health plans are prioritized, communicated and resolved in a timely fashion.
