The Accounts Receivable Manager is responsible for the supervision of all staff assigned and is accountable for the daily billing and follows up on all accounts assigned.  The manager will work with both staff and third party insurers to ensure that all claims are billed appropriately and that staff is effectively trained.  The manager is expected to work independently and seek advice when unsure of the desired outcome or approach to take.  The manager is expected to administer both hospital and departmental polices appropriately and consistently. 

 

Responsible for developing, interpreting, setting and enforcing policies and procedures for the section.  Handles the challenging customers (patients, insurance companies, other healthcare providers, and physicians) and adverse situations that the account specialists can not resolve.  Responsible for keeping accurate and up to date information on the policies and claim submission procedures of all participating insurance carriers and for sharing this information with other hospital departments. To initiate and develop Quality Improvement Teams who work independently to improve the work environment and develop the training programs to educate billing department staff.

 

Responsible for continually developing team building skills and giving subordinates the initiative to take ownership of assigned duties. Creates an atmosphere where employee's responsibilities can spark curiosity and encourage self motivated goals towards our Mission Statement. Concurrently analyzes accounts receivable activity, practitioner documentation, productivity and credentialing to insure appropriate reimbursement and to meet marketing objectives. Reports findings, irregularities or trends to their direct manager/director and other relevant department heads. Activities will include the ability to change job responsibilities as needed to facilitate the requirements set down by governing agencies and the needs of the hospital at that time.

 

EDUCATION AND EXPERIENCE REQUIREMENTS

 Education: Bachelor’s degree in Business Administration or a related field is preferred. 

Experience: Five to seven years of progressive management accountability and thorough understanding of third party billing regulations and reimbursement is a necessity.  Previous experience with provider billing system is desirable.

Must have excellent interpersonal and communication skills. Knowledge and comprehension of hospital policy required. Experience and proficiency in database management, spreadsheet (Excel Preferred), generating standard reports, Windows based software, accuracy and speed on a keyboard required. Basic accounting skills are required.  Must be personable, cordial and professional in a variety of settings. Should be objective and calm when resolving issues with customers and fellow employees.  Must display a desire to learn and expand to better facilitate personal and professional growth. One should be able to be flexible with change and pursue each new task with optimism that goals will be achieved. Should show leadership qualities that will stand as an example to employee’s and customers alike. Must be able to deal effectively with challenges and problems, be fair when enforcing policies and procedures, and give positive feedback to keep employees motivated. Should facilitate team-based approach to solving problems.

 

PRIMARY RESPONSIBILITIES OF THE POSITION:

Ability to work independently, requesting assistance when needed, meeting deadlines Ability to anticipate problems and work to solve them Work is accurate and thorough, attention to detail is evident Coordinate and cooperate with relevant departments for resolution of operational issues, when identified Updates relevant departments of procedural changes with insurance carriers that may impact workflow, and provides assistance in improving work flow. Maintains current knowledge and skills necessary to perform competently Responds promptly to customers’ needs. Discusses patient and staff related issues only in a confidential manner and setting, and only with those who have the right to know Assists in maintaining the integrity and confidentiality of all data. Communicate effectively and professionally. Treat others with consideration, courtesy, and respect, even in stressful situations. Must have excellent communication skills - both oral and written. Communication with insurance carriers, staff, colleagues, other healthcare providers, lawyers, and physicians will be required. Handles and processes all calls into Billing/Follow-up that the Customer Service Representatives cannot resolve. Responsible for ensuring that all information, which is required for payment of the claims, will be obtained by staff prior to the submission of the claims. Primary and Secondary claims are sent timely and accurately and within timely filing requirements by payor. Constantly seeks new and better ways of processing the claims for faster processing. Reassigns staff as required by the workflow. Responsible for the training of all new employees on all aspects of their duties so they achieve higher job satisfaction and excellence Produce reports/graphs to review and analyze the monthly accounts and dollars taken in to keep the AR Days within acceptable levels. Monitors and reports on the cash collection productivity of the various components of the accounts receivable process. Runs ADHOC reports, analyzes the data on aged accounts and takes appropriate action to resolve any inadequacies.  Periodically audits individual account detail for each staff member to ensure compliance Monitors that the receivable management workstation, work list or target files will be completed on a weekly basis (appropriate activity coding will be utilized to generate automated follow up lists). Maintains good working knowledge of the applicable billing and scrubber systems including but not limited to Soarian Financials, Omnipro, HDX, SSI, Code Correct, Microsoft Office, Windows software, and other systems required.  Assists employees with system-related questions. Able to build a TEAM environment of caring and cooperation. ‘Players’ who work well together Ability to address difficult workers and turn problems into opportunities for improvement/teamwork.  Mediate disputes both internal and external Has the ability to lead meetings that stay on track and move everyone into action. Communicate clear expectations and give meaningful feedback. Motivate the employees to support each other and share in a "can do" attitude. Coaching the team to a higher level of productivity. Reviews and maintains all documentation required by our auditor staff or provider contracts. Participates in special purpose audits (internal and external) to ensure positive interdepartmental relations, assist with cost analysis studies, and ensure positive external auditor relations. Be able to present all information as required in a timely and accurate manner. Maintains records of all payments for 7 full years. Abides by and supports all Ellis policies – including, but not limited to, Code of Conduct, HIPAA, PHI, Attendance, & Dress Code (Employee Handbook) Actively participates in all efforts to maintain a safe, clean environment. Maintains knowledge of hospital Standard Operating and Procedures. Continuing education records will be completed and forwarded to Human Resources Department annually regarding mandatory educational requirements. Completes annual health assessment form as required, maintain current inoculations. Willingly performs all aspects of the duties assigned

 

PHYSICAL REQUIREMENTS:

Should be able to push/pull, lift/move 15 lb., be able to perform moderately difficult manual manipulations such as using a keyboard, writing, and filing for extended periods of time, must be able to perform tasks which require hand-eye coordination such as data entry, typing and using photo copiers.  Mobility requirements may include the ability to be stationary at a workstation for a prolonged period time in addition to being able to squat or be mobile for a reasonable length of time and distance.  Communication requirements include the ability to comprehend the spoken English language in addition to being able to communicate and read the English language.

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex/gender, age, national origin, disability, genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, or domestic violence victim status.

Salary Range:  $31.50-47.26   /hour                   Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.