Manager, Accounts Receivable
Manager, Accounts Receivable
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Job Description
Welcome to Ovation Healthcare!
At Ovation Healthcare (formerly QHR Health) weve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcares vision is to be a dynamic integrated professional services company delivering innovative and executable solutions through experience and thought leadership while valuing trust respect and customer focused behavior.
Were looking for talented motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcares corporateheadquartersis located in Brentwood TN. For more information visit.
Summary:
Depending on the services offered the Manager Accounts Receivable may be responsible foroverseeing the hospitals entire accounts receivable (A/R) operations ensuring efficient billingcollections 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.
Duties andResponsibilities:
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 goalsreduced 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 inquiriesand 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 levelofprofessionalismdisplayed 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.
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. manualsboxes of supplies and light equipment).
Travel Requirements:
70%-80% travel to client site is required
Required Experience:
Manager
Employment Type
Full-Time
