Sr Mgr Revenue Cycle AR

MedQuest Associates LLC•Alpharetta, GA

5d•Hybrid

About The Position

This Senior Manager of Revenue Cycle Accounts Receivable (AR) is responsible for the day-to-day management of all insurance Accounts Receivables. This includes the complete adjudication of all outstanding Insurance claims and denied insurance claims in accordance with MedQuest Business Standards.

Requirements

Bachelor’s Degree in Business, Finance or related function required OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis
Minimum 6 years of progressive experience in health care revenue cycle
Minimum 2 years of supervisory experience

Responsibilities

Creates a shared vision by words and actions; models behaviors and sets the tone that mission and values guide decision making.
Aligns others with MedQuest's mission, vision, and values.
Continuously strives to modify departmental operations to enhance delivery of the ‘Remarkable Patient Experience’ and communicates ongoing customer needs to leadership.
Demonstrates leadership knowledge and skills, exemplifies honesty, integrity, fairness and trust.
Delegates appropriately and involves staff in decision-making. Makes each individual feel his/her work is important and aligns the energy and resources to achieve desired results.
Assures all competencies are demonstrated at the lead and staff levels.
Participate with Director/Manager in annual reviews, interviews, and personnel actions
Manage the workflows and processes for the AR team ensuring all insurance claims are filed and processed timely. Ensuring reimbursements match to expected rates for services.
Actively participate in all JOC Novant calls using as a forum to resolve issues and keep current on changes with payors.
Approve all Level 1 and Level 2 adjustments to patient accounts.
Collaborate with Novant Analysts on all EPIC upgrades and shares with team pertinent changes to workflow or processes.
Management of system rules and workflows within the Health Information system(s).
Liaison with other Revenue Cycle teams, Scheduling/Precertification, and our Center Managers to discuss and resolve issues related to decreasing denials and maximizing payments.
Develops recommendations and presents proposals to Director to include process improvements, policy and procedures modifications, and training recommendations.
Leads change and demonstrates improvements in processes where results are not optimal. Involves stakeholders in the change process when improvement efforts impact other business units.
Ensure adherence to payer rules, insurance billing regulations, and internal financial controls; prepare reports for management.
Ensure timely completion of Insurance refunds/Credits.
Other duties as assigned or modified at Managers discretion