[Hiring] Manager, Accounts Receivable @Ensemble Health Partners

Role Description

The Manager, Accounts Receivable will support the designated leadership team in Revenue Cycle in the selection, direction, and development of Accounts Receivable department team members, and will report to the Director, Revenue Cycle. The Manager will be responsible for:

• Assisting team members with problematic claims and answering questions regarding operational processes.
• Performance and effectiveness of the department's staff.
• Developing short and long-term plans and objectives to improve revenue and manage overall payment and denials trends.
• Working with insurance companies to identify reasons for denied payment for services.
• Collaborating with peers in Coding and Billing to identify, correct, and reduce denials trends.
• Empowering staff to develop methods of process improvement.
• Performing ongoing process improvement of daily activities related to accounts receivable functions.
• Obtaining or generating reports to analyze trends in unpaid claims and denial activity.
• Providing relevant guidance to department Supervisors to resolve internal and external issues.
• Developing and managing departmental budget, including overtime.
• Preparing monthly reports as requested.
• Establishing departmental goals with the staff to optimize performance and meet budgetary goals.
• Collecting, interpreting, and communicating performance data.
• Providing timely communication to peers and team members to ensure continuity across the Revenue Cycle.

Qualifications

• CRCR certification required.
• People Leadership Experience: 3 to 5 years.
• Bachelor's Degree or Equivalent Experience preferred.
• Minimum of three years’ management experience in the healthcare industry.
• Medicare and Medicaid billing experience required.
• Specific HIS computer systems knowledge (i.e., Epic, Cerner, Meditech, etc.) and intermediate experience in using Microsoft Excel.
• Excellent verbal skills.
• Problem-solving skills.
• Critical thinking skills.
• Adaptability to changing procedures and growing environment.
• Proficient knowledge of Medicare, Medicaid, and other third-party payer documentation, coding, and billing regulations.

Requirements

• Advanced Degree preferred.
• 3-5 years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations, or professional billing preferred.
• Knowledge of claims review and analysis.
• Working knowledge of revenue cycle.
• Experience working the DDE Medicare system and using payer websites to investigate claim statuses.
• Working knowledge of medical terminology and/or insurance claim terminology.

Benefits

• Bonus Incentives.
• Paid Certifications.
• Tuition Reimbursement.
• Comprehensive Benefits.
• Career Advancement.
• This position pays between $62,500.00 - $119,700.00 based on experience.