Hospital Collections Manager
4 days ago
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Description
The central service organization (CSO) collections manager for all collection and appeal activity within the hospital RCM team. This role has the responsibility to provide overall direction, to identify issues, monitor performance, and assist in problem resolution. Direct interface with all facility clients and stakeholders is a critical part of this role related to key performance indicators, denials, and collection aging and resolution.
- Manages staff to meet departments overall achievement of cash targets, account receivable goals, and quality and productivity measures
- Maintains current knowledge of regulation, state laws, and insurance requirements for the healthcare services provided in the hospitals
- Consistently monitors collections by payer requirements to ensure maximum reimbursement.
- Monitors reports and key performance indicators to ensure client success
- Monitors all A/R from end to end working with clients, payers, and internal stake holders for resolution
- Corresponds with clients in answering questions on services and collection matters, recommending further action required for all delinquent accounts, and proactive
- Understanding of medical terminology and claim forms
- Advanced understanding of healthcare related federal, state, and health plan guidelines
Requirements
- Bachelor's Degree, some college preferred, or equivalent experience Minimum 2 years supervisory experience in healthcare with ability to lead a team and achieve objectives
- Experience with Cerner is required.
- Minimum 2+ years total experience in healthcare Revenue Cycle environment
- Strong organizational and leadership skills with ability to manage daily team workflow.
- Working knowledge of hospital billing systems, payer requirements, and denial management.
- Computer technology proficiency, such as Word, Excel, and Outlook
- Sound judgment and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis
- The ability to communicate effectively, both verbally and in writing, with internal and external clients
- Be able to multi-task and handle competing priorities while meeting or exceeding deadlines
- Ability to work independently and as a member of the team with the ability to identify and resolve complex client problems
- Must possess positive attitude to enhance a cooperative and energetic work environment
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