Revenue Cycle AR Manager
7 days ago
Tandym Group has an immediate opportunity for an Epic A/R Manager with a client in Texas. This role will be focused on improving A/R performance for a health system undergoing an Epic transformation.
Responsibilities:
- Manages and oversees all revenue cycle activities related to billing, collection, denial management, insurance follow up.
- Performs statistical data analysis, and prepares trending reports of key A/R performance metrics.
- Develops strategic plans for the A/R team and ensures that goals and objectives are properly defined and clearly established.
- Monitors, tracks, and evaluates staff productivity and performance.
- Promotes best practices in automation and workflow management used for claims submission and collection activities.
- Utilizes information technology to improve recoveries and reduce accounts receivables. Assists with the development of front end edits based on denial trends.
- Collaborates with key stakeholders within the revenue cycle to develop effective policies and procedures to ensure operational efficiency.
- Develops effective working relationships with insurance carriers, subcontractors, provider enrollment, managed care and the Office of Compliance.
- Assist with the development of quality assurance protocols and manage results.
Must Have Experience:
- Minimum of 10 years in Revenue Cycle operations.
- 3+ years of managerial experience withinHB A/R management (experience managing the management/supervisory layer over collections).
- Understanding of how to drive performance for both A/R supervisors and individual contributors.
- Understanding of how a Hospital Revenue Cycle Business office works.
- Understands the difference between and nuances of different insurance companies
- Expert level knowledge of back-end revenue cycle process including patient access, claims, denials management, appeals, billing, collections and follow-up.
- Understands that collecting on denials is different than collecting claims in the 0-60 bucket.
- Experience within a large hospital or integrated healthcare delivery system.
- Strong experience utilizing Epic for Revenue Cycle operations.
- Experience with utilizing Epic Reporting and working with claims data
- Identify trends, root causes and opportunities for A/R performance improvement.
- Familiarity with Revenue Cycle Operations Process Improvement
- How to best utilize Epic
- Streamline current workflows
Nice To Have Experience:
- Experience with Meditech.
- Any Revenue Cycle certifications such as CRCR (Certified Revenue Cycle Representative)
- Training Experience
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