Accounts Receivable Manager

3 weeks ago

Webster, United States HPH MSO LLC Full time

**JOB SUMMARY**:
The Accounts Receivable Manager is responsible for coordinating billing and collection, maximizing payments and providing direction and oversight of processes impacting cash collections.

**QUALIFICATIONS**:

- High School Diploma or G.E.D. required. Bachelor’s Degree preferred
- Five+ years of full cycle medical billing and collection experience required.
- Three years in a manager/supervisory role required

**OCCUPATIONAL EXPOSURE**:
Office environment

**RESPONSIBILITIES**:

- Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: claim submission, insurance and self-pay collections, refunds and write-off approvals. Key metrics to review include: Accounts Receivable (AR) Days, AR over 120 Days, cash collections, denials, avoidable write-offs, refunds, charge lag, front end work queue volumes, Bad Debt, Chart Completion turnover days, and Delinquency Rate.
- Leads monthly meetings with staff to review key metrics, trends and performance improvement opportunities (staff training, physician coordination, policy/process revisions, etc.)
- Develops goals to link department and revenue cycle initiatives with the organization’s strategy. Supports and maintains a work environment that embodies professional excellence, teamwork, integrity, and organizational alignment.
- Serves as a resource to staff by answering questions and assisting with problems related to the billing and collections..
- Continuously updates, in conjunction with related clinical data collection, appropriate procedures for billing and collections.
- Is responsive to payer billing and claims appeal requirements, and maintains strong relationships with payer provider representatives.
- Assists with and supervises the submission of claims and provides follows-up with third party payers and patients for services received in accordance to Facility Policy and Procedures.
- Maintains current information on claims adjudication and payment policies on all encountered third party payers and government intermediaries.
- Files insurance claims both primary and secondary according to Facility Billing Standards.
- Generates patient statements according to facility policy and procedures.
- Monitors accounts receivable to identify billing errors, coding errors, and timely rebilling.
- Follows-up on past due accounts with patients and payers.
- Reports status of accounts receivable as requested.
- Completes chart audits as per protocol, providing summary to Business Office Director monthly.
- Ensures accurate and timely posting of payments and write offs as well as generation of required cash reports.
- Assists with month end balancing and closing to meet required close date.
- Works closely with the finance team to ensure accuracy of accounts and reconciliations.
- Oversee training of new employees &/or implementation training of new processes for existing employees.
- Demonstrate a strong knowledge of insurance carrier administrative policies including Medicare, Medicaid and Commercial insurances.
- Other duties as assigned by the Business Office Director

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