[Hiring] Manager, Accounts Receivable @Ovation Healthcare

Role Description

Depending on the services offered, the Manager, Accounts Receivable may be responsible for overseeing the hospital’s entire accounts receivable (A/R) operations, ensuring efficient billing, collections, and reimbursement processes, or may be responsible for a portion of the A/R in a cash acceleration or an A/R wind down project. Regardless, the position 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 work collaboratively with other departments to improve cash flow, reduce denials, and enhance financial performance.

Duties and 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 are crucial to this position.
• Demonstrate leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and 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 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 and communicate with Management about volume and specific issues 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, 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 in verbal replies and correspondence.
• 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.
• Properly handle HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.
• Monitor staff productivity.
• Coordinate agenda(s) and present findings on all scheduled conference calls.
• Demonstrate a level of analytical ability required to research/review patient accounts.
• Prepare and timely submit all Company and client required reports.

Qualifications

• Ability to read and write to perform calculations, prepare reports with supporting documentation.
• Being 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.
• 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.

Requirements

• Minimum five (5) years of general hospital business office billing and collections experience, with at least 2 years of Manager level experience.
• A proficient understanding of medical office or medical terminology training.
• A high level of professionalism displayed by appearance and conduct.
• Understand critical access hospital business office operations.
• Strong analytical skills to identify and resolve complex billing issues.
• High school diploma or equivalent; additional training in medical billing or healthcare administration is a plus.
• CPSI experience preferred.

Working Conditions and Physical Requirements

• 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).
• Less than 10% travel to client site(s) required.