Position Overview:
The Accounts Receivable Manager is a member of the revenue cycle leadership team and is directly responsible for operations and best practice expertise to ensure superior results. This position’s responsibilities include direct oversight for the performance of Accounts Receivable, Denial and Cash Posting teams, but not limited to, client team members, physicians, vendors, payers and other members that impact services provided to clients. The Manager is also responsible for the recruitment of high performing staff, staff recognition and disciplinary action. The manger coordinates and ensures that all revenue cycle activities are completed effectively and efficiently; in a manner that consistently meets or exceeds expected outcomes. This position requires that you reside in Texas and are in the Central Standard Time Zone.
Principles, Duties, Responsibilities, and Expectations:
The duties identified below are the essential functions of the position, this is not an inclusive list and other duties may be assigned.
· Perform as an expert for the RCM department on all issues related to collections, denials and payment posting.
· Lead, guide and manage a team of RCM professionals/assigned team to achieve daily, weekly, and monthly Key Performance Indicators (KPI’s) metrics of Revenue Cycle Operations are achieved, and quality standards are met.
· Hold self and team members accountable for knowledge of, and full compliance with, performance standards as listed on all team member job descriptions.
· Demonstrate strong organizational skills, including attention to all detail for the full scope of all aspects of daily team functions.
· Address concerns and conflicts with coworkers and team members in a constructive manner. Identify and compliment team members on specific areas in which they are performing well.
· Problem solves with team members and remove barriers to help improve work processes.
· Cooperate with other departments in pursuing opportunities for improvement.
· Assist leadership in the development, implementation and analysis of protocols, standards/work methodology and policies to remain consistent with industry trends and company objectives.
· Monitor payor performance and outcomes for efficient account resolution. Engage in researching payer websites/payer policies and other reputable online resources to assist as needed with claim/account resolution.
· Monitor AR details/reports to identify aging and payer trends including collaboration with Billing to improve clean claim resolution.
· Provide direct supervision and staff development to assure productivity and quality of job performance in keeping with the goals and objectives of the company and client.
· Conduct department staff meetings periodically to distribute information relative to department and to solicit/foster suggestions among the team, client, and management.
· Promote staff development during in-services and/or workshops.
· Analyze daily accounts receivable and assign projects and assignments accordingly.
· Establish processes to monitor staff performance. Hold team members accountable for customer service and other performance standards. Provide sufficient feedback to
correct/enhance work performance consistent with company goals and objectives and recommend corrective actions when appropriate.
· Recommend strategies to improve outcomes and processes. Attend seminars and insurance in service meetings/webinars and other educational activities to stay current on industry standards and practices.
· Provide new team members with a complete orientation and annual performance evaluations.
· Continue to be motivated to participate in continued growth and development of the Revenue Cycle.
Qualifications:
A minimum of 5 years’ experience of RCM experience within a medical billing and collection company is required. With a minimum of 2 years’ experience in a supervisory role. In addition, knowledge through hands-on experience in billing, collections, denials, payment posting, Patient Accounting systems, clearinghouses/claim submissions and rejections and an overall knowledge of insurance portals, is needed.
Knowledge and Skills Required:
· Strong leadership skills with the ability to motivate a team in a fast-paced evolving environment.
· Strong analytical and technical skills.
· Ability to complete work independently and prioritize work, this includes working in a team environment.
· Possess an understanding of HIPAA as it relates to Personal Health Information (PHI).
· Basic Knowledge of general accounting principles and standards.
· Basic Knowledge of ICD-10 and CPT guidelines in accordance with federal and payer guidelines, includes use of modifiers, NCCI edits, CMS LCD (Local Coverage Determination and CMS Articles.
· Knowledge of insurance reimbursement practices and overall/general through understanding of revenue cycle management (RCM)
· Basic understanding of medical terminology and experience in various reimbursement/billing methodologies.
· Intermediate skills in Microsoft Office (Word, Excel.)
· Excellent communication and problem-solving skills, as well as sound judgment.
Job Type: Full-time
Pay: $50,000.00 - $65,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
- No nights
- No weekends
Application Question(s):
- Do you live in the state of Texas, in Central Standard Time Zone?
Experience:
- RCM in hospital billing: 5 years (Required)
Location:
Work Location: Remote