Manager, Accounts Receivable

Ovation Healthcare•Crest, CA

1d•Hybrid

About The Position

Ovation Healthcare is seeking a Manager, Accounts Receivable to oversee hospital A/R operations, ensuring efficient billing, collections, and reimbursement processes. This role is responsible for optimizing revenue cycle performance and maximizing cash while maintaining compliance with healthcare regulations and payer requirements. The Manager will lead a team of A/R specialists and collaborate with other departments to improve cash flow, reduce denials, and enhance financial performance. This position may focus on the entire A/R or a portion of it for cash acceleration or A/R wind down projects.

Requirements

Minimum five (5) years of general hospital business office billing and collections experience.
At least 2 years of Manager level experience.
Ability to read and write to perform calculations, prepare reports with supporting documentation.
Hands-on with day-to-day activities which may include all PFS areas of the revenue cycle.
Demonstrates understanding of the entire revenue cycle.
Assists with problem solving, inquiries, and customer interaction.
Understands relevant RCM KPIs to analyze and plan strategies to increase cash and reduce AR and AR concepts.
An understanding of hospital, clinic, and Business Office Operations.
Proficiency in billing software, electronic health records systems, and data analysis tools.
Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay.
Ability to motivate the team, delegate tasks effectively, and promote collaboration.
Excellent verbal and written communication skills to interact with patients, insurance companies, and internal stakeholders.
Strong analytical skills to identify and resolve complex billing issues.
High school diploma or equivalent.
Manual dexterity to enter data into and retrieve data from computer.
Ability to communicate verbally and in writing.
Ability to sit for long periods of time.
Ability to move moderately heavy objects (e.g., manuals, boxes of supplies, and light equipment).

Nice To Haves

Additional training in medical billing or healthcare administration is a plus.
CPSI experience preferred.
Understand critical access hospital business office operations.

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.
Provide leadership, answer questions, set goals, allocate resources, monitor and trend AR, and ensure staff accountability.
Provide hands-on training of staff.
Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials.
Conduct weekly team meetings to drive 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, data to identify potential issues, and develop solutions to improve efficiency and revenue cycle management.
Escalate trends to Management.
Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better.
Identify areas for improvement and implement action plans 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 (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.).
Interpret and follow up on contracts with insurance companies pertaining to rates, discounts and filing instructions.
Ensure 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 agendas and 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.