Payments and Credits Manager
About The Position
The Payments and Credits Manager is responsible for leading and managing the strategic direction of payment and credit balance functions to optimize efficiencies and maximize revenue. This role supervises day-to-day revenue cycle management operations, analyzing and reviewing the payment and credit balance portion of billing services to ensure accuracy and timeliness. The Manager assigns and oversees work related to credit balance accounts and monitors patient accounts to identify trends that may cause balance errors. This role works closely with leadership and other department managers to ensure optimal performance of the entire revenue cycle.
Requirements
- Five plus years’ experience in healthcare billing with a strong working knowledge of coding, third party payer’s billing requirements, authorizations and collections
- Previous Management experience required with experience in staff supervision
- Knowledge in medical terminology
- Detail oriented, self-motivated, a problem solver and a team player
- Ability to navigate multiple computer screens and browsers quickly and accurately
- Ability to excel in a very fast-pace team environment
- Ability to continuously “exceed” company and customer expectation
- Strong communication skills & professional demeanor
- Bachelor’s Degree in Business, Finance, Healthcare preferred or equivalent education, training and experience.
Responsibilities
- Provides daily leadership and operations support to the payments team within Billing Services to include supervision of payment systems/sources and staff to ensure optimal results and work flow.
- Spearheads workflow strategy to efficiently coordinate and mobilize daily import and posting of ERA, patient and lockbox payments.
- Monitors, analyzes, and provides reimbursement reporting on insurance payers to Management.
- Serves as an escalation source and resource to team and other departments and assists in resolving payer issues.
- Supervises and maintains staffing schedules.
- Maintains compliance, policies, trainings, communication and engagement throughout the team.
- Researches, detects trends and resolves a wide variety of complex payments issues to include internal system issues, payer system issues and merchant vendor issues.
- Works closely with other department supervisors and leadership regarding department communications and acts as a liaison between departments, Centers and third party vendors.
- Remains knowledgeable on cash application processes, third party payment requirements and regulatory guidelines at the federal, state and local levels for payer types.
- Identifies possible process improvements & standardization.
- Assists with training, orientation, performance appraisals, and disciplinary actions for assigned personnel.
- Forecast staffing needs and works closely with Human Resources when a need arises to perform candidate interviews and selection.
- Other duties as assigned.
Benefits
- Health Benefits: Medical/Dental/Vision/Life Insurance
- Company Matched 401k Plan
- Employee Stock Ownership Plan
- Paid Time Off + Paid Holidays
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Manager
