Accounts Receivable Manager
Schumacher Group: Business Opportunities - Lafayette, LA

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Actively manage all aspects of the Account Receivables Management to achieve and maintain adjudication goals set by senior management. This includes directing and supervising all staff within the department.

Job Responsibilities Primary Functions: *
  • Coordinate efforts of your assigned A/R follow-up team, independently and as a team with other departments, to achieve adjudication and other goals set for the department. *
  • Monitor ETM outcomes and hold staff members accountable to established targets and thresholds *
  • Direct work efforts of staff members *
  • Coordinate with offshore management to effectively work all tasks allocated to them and resolve any issues affecting reimbursement and/or adjudication *
  • General A/R management and upstream reporting on health of A/R *
  • Manage to defined goals *
  • Develop reporting to proactively monitor A/R to identify and resolve issues affecting reimbursement and/or adjudication *
  • Monitor, understand and communicate to Director trends by state/payor/facility, including but not limited to: * Denials * No Activity * Adjudication time * Review aging by state/facility/payor
  • Development and implementation of initiatives, including interaction with billing support department and IT
  • Project oversight and management, including interaction with billing support and IT
  • Provide a communication bridge to other departments to resolve issues that arise with provider enrollment, demographic quality, claim forms etc.
  • Work with the Quality Assurance Department to develop methods of monitoring the quality of the offshore work performed. Monitor results and take corrective actions as necessary
  • Provide leadership development for the client representatives in managing their workflow and overall health of department A/R. Monitor each representative’s performance daily to provide frequent and constructive feedback to keep them on the right track.
  • Manage the administrative aspects of the department, including but not limited to:
    • Development of policies and procedures for department
    • Maintenance of working files
    • Acquisition and maintenance of the tools and supplied required by the department
  • Manage all personnel aspects of the department, including
    • Maintenance of adequate staffing levels
    • Performance reviews done on time
    • Counseling sessions and disciplinary write-ups
  • Maintaining open lines of communication to assure personnel issues are being handled in a timely and appropriate manner
Secondary Functions: *
  • Participate in various committees as required *
  • Participate in problem resolution at all levels *
  • Be a role model within the department by exhibiting mature leadership qualities such as a positive outlook, confidentiality, respect, and team spirit. *
  • Attend meetings as required *
  • Assure that HIPAA compliance guidelines are followed *
  • All other duties as assigned

Educational Qualifications
  • High school diploma

Previous Experience
  • Minimum of three years experience managing employees
  • Minimum of three years experience in Part B claims adjudication, including but not limited to:
    • Explanation of Benefit forms (EOB)
    • Credit balances (discounts and refunds)
    • Insurance carrier billing requirements
    • Collections
    • Provider enrollment
Special Skills
  • Strong analytical and problem solving skills.
  • Strong desktop PC skills in Excel
  • Ability to work well in a team environment
  • Professional attitude and demeanor
  • Strong working knowledge of the GE Centricity Business system (aka Flowcast) and coordinating modules, is preferred
  • Must be extremely detail oriented and organized, a self–starter capable of tracking to deadlines and meeting goals.
  • Ability to work autonomously and as a team member, with little supervision required once a goal is assigned.
  • Excellent verbal, written, and interpersonal communications skills.
  • May require sitting for long periods of time; also stooping, bending, and reaching for files and supplies.
  • Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, run a copier and other office equipment as necessary.
  • Vision must be correctable to 20/20.