Manager, Accounts Receivable

Ovation Healthcare • Brentwood, TN

108d

About The Position

We are seeking an experienced, focused A/R Manager with at least five (5) years of progressive hospital business office collections experience in a 250+ bed acute care hospital. Key success factors: Direct experience in leading teams of 10+ members to collect insurance A/R, drive cash, and increase productivity. Primary experience in billing, claims edit resolution, etc. is helpful. Strong training background and QA background. Applicants with at least 2+ years of experience with Epic and strong end-user knowledge of WQs and other Epic functionality will be given preference. Experience with bolt-on automated workflow tools. Experience with payer rules and regulations. Intermediate Excel skills preferred.

Requirements

• At least five (5) years of progressive hospital business office collections experience in a 250+ bed acute care hospital.
• Direct experience in leading teams of 10+ members.
• Experience in billing, claims edit resolution.
• Strong training background and QA background.
• At least 2+ years of experience with Epic.
• Strong end-user knowledge of WQs and other Epic functionality.
• Experience with bolt-on automated workflow tools.
• Experience with payer rules and regulations.
• Intermediate Excel skills.

Responsibilities

• Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital.
• Focus the team’s efforts and ensure diligent team follow-up.
• Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability.
• Hands-on training of staff.
• Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials.
• Conduct weekly team meetings driving revenue cycle performance needs and continued training.
• Maintain and track SOP’s and process improvement processes.
• Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information.
• Implement strategies to improve collection rates and reduce outstanding accounts receivable.
• Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.
• Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management.
• Mentor and monitor team performance against key metrics goals and monthly collection goals.
• Identify areas for improvement and implement action plan to resolve payer and denial challenges.
• Provide information regarding patient accounts in response to inquiries, safeguarding confidential information.
• Oversee daily billing and collections for all AR financial classes.
• Interpret and follow up on contracts with insurance companies pertaining to rates, discounts and filing instructions.
• Proper utilization of federal and state credit collection regulations and guidelines.
• Handle HR related issues including new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.
• Monitor staff productivity.
• Coordinate agenda(s), present findings on all scheduled conference calls.
• Demonstrate analytical ability required to research/review patient accounts.
• Prepare and timely submit all Company and client required reports.

What This Job Offers

• Number of Employees: 101-250 employees