We are seeking an experienced, highly-motivated Accounts Receivable Manager with excellent critical-thinking skills to assume Billing, Collections, Denials/Underpayments and Follow-up responsibilities for Governmental and Non-Governmental AR, including, but not limited to, Managed Care, Commercial, Bad Debt and Self-pay.
The Manager will be responsible for the day-to-day management, direction and coordination of a high-performance Patient Accounts team. The position will provide oversight of supervisors and front-line staff. The Manager will ensure all PFS targets are met or exceeded. The Manager will be responsible for statistical analysis, trending and reporting of daily, weekly and monthly metrics to manage hospital AR. The Manager will be responsible for establishing effective workload distribution and maximizing technology solutions. The Manager will stay informed and ensure departmental education with regard to organization, statutory, federal and payer regulations and compliance. The manager will collaborate with stakeholders to ensure policies and procedures are in place and are followed. Prepares reports, sets goals and targets, understands trends and takes appropriate action.
Baccalaureate degree in business administration, finance, accounting, healthcare administration or a related field or related or equivalent education, training and/or experience required. Minimum of three (3) years experience in medical or hospital professional charging and billing functions, with at least two years of direct supervisory experience in a Patient Accounts setting required.
Strong knowledge of Government and Non-government billing and reimbursement methodologies.
Knowledge of Federal and State regulations, i.e., ERISA, HIPAA, etc.
Strong knowledge of Dispute/Denials Management.
Demonstrable Contract Interpretation skills as related to health claim reimbursement.
Demonstrable proficiency in standard Office software including document, spreadsheet and database applications.
Advanced knowledge of self-pay collections, financial assessments, liability claims, lien and bankruptcy filing practices.
Excellent written and verbal communication skills.
Excellent organizational skills.