Overview
Responsible for the management and development of the heath system hospital accounts receivable portfolio. This includes rural health, work comp, TPL and small business units (SBUs). Is accountable for billing, denials, no response, cash posting, credit balances, recovery audits, bad debt and allowance discrepancies. Oversees the business office operations including vendors to ensure effective and efficient revenue cycle management. Supports and directs all strategic and tactical visions in the development of the health systems initiatives related to hospital accounts receivable. Provides subject matter expertise in the planning, coordinating and direction of all activities associated with areas of responsibility. Accountable for protecting the account receivables assets by ensuring that processes and systems are utilized that promote strong cash collections, minimizes bad debt and provides an excellent patient experience.
Responsibilities
Directs and manages SBU's to ensure accounts are billed and collected appropriately from patient and applicable payment source. Oversees and monitors payment posting, credit balances, allowance discrepancy, statement generation and the bad debt portfolio for all SBU's. Oversees and develops a high functioning HB insurance accounts receivable team that includes managers and supervisors that support delegation and oversight. Directs and manages HB insurance accounts receivable to ensure accounts are billed and collected by appropriate payer. Monitors no response, denials, credit balances, coverage changes and allowance discrepancies. Ensures smooth operation of all departmental functions according to approved policies and in accordance with all state and federal law and applicable accreditation standards. Responsible for all Medicare and Medicaid Recovery Audits and reporting. Establishes and ensures that the overall objectives relating to Top Decile Performance and the Carle Experience are achieved. Maintains appropriate internal controls and safeguards over accounts receivable records. Provides leadership, vision, and management to assigned department(s) in collaboration with the Senior Vice President, Financial Operations and Supply Chain. Sets departmental strategic direction and goals and develops appropriate tactical plans to meet them. Monitors employee performance and ensures timely communications for the purpose of goal setting, performance evaluations, wage increases and continued personnel actions. Establishes and maintains and active relationship with vendors that support the overall workflows and procedures utilized by Carle Health. Develops, analyzes, and manages capital and operating budgets within agreed upon standards. Develops, manages, and implements strategies related to the billing processes and financial data flow. Adheres to and enforces Carle Administrative and Departmental policies and procedures. Analyzes financial data to identify and monitor performance and establish financial benchmarks for the department. Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement. Oversees the development, review, and revision of department policies and procedures. All other duties as assigned.
Qualifications
Certifications: , Education: Bachelor's Degree: Accounting; Bachelor's Degree: Finance; Bachelor's Degree: Business Management; Bachelor's Degree: Related Field, Work Experience: Healthcare leadership; Accounts receivable leadership
Salary RangeThe compensation range for this position is $55.9per hour - $96.15per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
