Manager, Accounts Receivable

Ovation Healthcare

$70K — $95K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of billing and collections experience in a hospital environment
  • 2+ years in a managerial role
  • Strong analytical skills for resolving complex billing issues
  • Proficiency in healthcare billing software and electronic health records
  • Knowledge of revenue cycle management KPIs and healthcare regulations

Responsibilities

  • Manage daily activities of A/R specialists on-site or remotely
  • Facilitate team follow-up and ensure goal alignment
  • Conduct hands-on training and weekly performance review meetings
  • Review patient accounts for billing accuracy and error resolution
  • Implement strategies to optimize collection rates and manage accounts receivable

Benefits

  • Opportunities for professional development and training
  • Collaborative team environment
  • Exposure to diverse healthcare billing scenarios
  • Ability to make significant improvements in revenue cycle performance
  • Travel opportunities to various client sites
Full Job Description
Summary: Depending on the services offered, the Manager, Accounts Receivable may be responsible foroverseeing the hospitals entire accounts receivable (A/R) operations, ensuring efficient billing,collections, and reimbursement processes, or may be responsible for a portion of the A/R in a cashacceleration or an A/R wind down project. Regardless, the position is responsible for optimizing revenuecycle performance and maximizing cash while maintaining compliance with healthcare regulations andpayer requirementsThe Manager will lead a team of A/R specialists and work collaboratively with other departments to improve cash flow, reduce denials, and enhance financial performance. CPSI experience preferred. Duties and Responsibilities: Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital. Focus the teams efforts and ensure diligent team follow-up are crucial to this position. Leadership capabilities such as answering relevant questions, setting goals, allocation ofresources, monitoring, trending of AR and staff accountability are essential. Hands-on training of staff is a key element of this role. Monitor the status of outstanding patientaccounts, identifying and resolving billing errors and claim denials. Conduct weekly teammeetings driving revenue cycle performance needs and continued training, maintain and track SOPs and process improvement processes. Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patientdemographics, and insurance information. Implement strategies to improve collection rates and reduce outstanding accounts receivable. Follow up on complex payer trends, communicate with Management the volumeand specific issue along with researched payer specific guidelines. Generate regular reports on team performance, including key metrics performance, data toidentify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escalate trends to Management. Mentor and monitor team performance against key metrics goals and monthly collection goals,reduced denials, and productivity met 95% or better. Identify areas for improvement and implement action plan to resolve payer and denialchallenges. Provides information regarding patient accounts in response to inquiries, safeguardingconfidential information in verbal replies and correspondence. Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, WorkersCompensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.) Interprets and follows up on contracts with insurance companies pertaining to rates, discountsand filing instructions. Proper utilization of federal and state credit collection regulations andguidelines Properly handles HR related issues including but not limited to new hire orientation, staffingcoverage, time off approvals, timecards, counseling/discipline, and evaluations. Monitor staffproductivity Coordinates agenda(s?), presents findings on all scheduled conference calls Demonstrated levelof analytical ability required to research/review patient accounts. Prepare and timely submit allCompany and client required reports. Knowledge, Skills, and Abilities: Ability to read and write to perform calculations, prepare reports with supporting documentation. Being hands-on with day-to-day activities which may include all PFS areas of the revenue cycle. Demonstrates understanding of the entire revenue cycle. Assists with problem solving, inquiries,and customer interaction Understands relevant RCM KPIs to analyze and plan strategies to increase cash and reduce ARand AR concepts. An understanding of hospital, clinic, and Business Office Operations. Proficiency in billing software, electronic health records systems, and data analysistools. Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay. Ability to motivate the team, delegate tasks effectively, and promote collaboration. Excellentverbal and written communication skills to interact with patients, insurance companies, andinternal stakeholders. Work Experience, Education or Certificates: Minimum five (5) years of general hospital business office billing and collections experience, with at least2 years of Manager level experience A proficient understanding of medical office or medical terminology training. A high level ofprofessionalism displayed by appearance and conduct. Understand critical access hospital businessoffice operations Strong analytical skills to identify and resolve complex billing issues Note: Specific job responsibilitiesmay vary depending on the size and type of healthcare facility, as well as the complexity of their billingoperations. High school diploma or equivalent; additional training in medical billing or healthcare administration is aplus. CPSI experience preferred. Working Conditions and Physical Requirements: Manual dexterity to enter data into and retrieve data from computer. Ability to communicate verbally and in writing. Ability to sit for long periods of time. Ability to move moderately heavy objects (e.g., manuals,boxes of supplies, and light equipment). Travel Requirements: 70%-80% travel to client site is required

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