Manager, Accounts Receivable

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

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. The Manager, Accounts Receivable is responsible for performance and effectiveness of the department's staff. The Manager, Accounts Receivable will be responsible for developing short and long-term plans and objectives to improve revenue and manage overall payment and denials trends. Additionally, they will be responsible for working with insurance companies to identify reasons for denied payment for services. The Manager will work with their peers in Coding and Billing to identify, correct, and reduce denials trends related to their respective departments. They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements.

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

• Performs ongoing process improvement of daily activities related to accounts receivable functions to ensure processes are performed efficiently and effectively.
• Obtains or generates reports to analyze trends in unpaid claims and denial activity; works with appropriate departments to resolve recurring issues and correct the underlying causes for errors; Provides relevant guidance to department Supervisors to resolve internal and external issues
• Develops and manages departmental budget, including overtime. Prepares monthly reports as requested. Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.
• Collects, interprets, and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals.
• Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.
• Provides timely communication to peers and team members to ensure continuity across the Revenue Cycle of any new programs, payers, clients, directives. Plans agendas and leads meetings, as appropriate, to enhance communication, including providing notes from meetings to all attendees.
• This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

• CRCR,

People Leadership Experience

• 3 to 5 Years

Preferred Area of Study

• Bachelors Degree or Equivalent Experience

Expected Knowledge, Skills, and Abilities

• Minimum Years and Type of Experience: Three years’ management experience in healthcare industry.
• Medicare and Medicaid billing experience required.
• Must have specific HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc) and intermediate experience in using Microsoft Excel.
• Excellent Verbal skills.
• Problem solving skills, the ability to look at account and determine a plan of action for collection.
• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
• Adaptability to changing procedures and growing environment.
• Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations

Other Knowledge, Skills, and Abilities Preferred:

• Advanced Degree.
• 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.