Accounts Receivable Manager

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Oversee the daily operations of staff, whether on-site or remotely, for a client hospital.

• Direct the team's focus and ensure effective follow-up is vital to this role.

• Essential leadership skills include addressing relevant queries, setting objectives, resource allocation, monitoring, analyzing accounts receivable trends, and ensuring staff accountability.

• Providing hands-on training to staff is a critical aspect of this position.

• Track the status of outstanding patient accounts, pinpointing and rectifying billing errors and claim denials.

• Organize weekly team meetings to address revenue cycle performance needs, continue training, and maintain and monitor standard operating procedures and process improvements.

• Perform comprehensive reviews of patient accounts to verify the accuracy of billing codes, patient demographics, and insurance details.

• Develop strategies to enhance collection rates and minimize outstanding accounts receivable.

• Investigate complex payer trends, communicating with management about the volume and specific issues, along with researched payer-specific guidelines.

• Produce regular reports on team performance, including key metrics, data to identify potential challenges, and formulate solutions to enhance efficiency and revenue cycle management, collaborating with management and escalating trends as necessary.

• Guide and evaluate team performance against key metric goals and monthly collection targets, aiming for a reduction in denials and achieving a productivity rate of 95% or higher.

• Recognize areas needing improvement and execute action plans to address payer and denial challenges.

• Provide information regarding patient accounts in response to inquiries, ensuring the confidentiality of information is maintained in verbal communications and written correspondence.

• Supervise daily billing and collections across all accounts receivable financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self-pays, etc.).

• Interpret and follow up on contracts with insurance companies regarding rates, discounts, and filing instructions.

• Ensure proper adherence to federal and state credit collection regulations and guidelines.

• Effectively manage HR-related issues including, but not limited to, new hire orientation, staffing coverage, time-off approvals, timecard management, counseling/discipline, and evaluations.

• Assess staff productivity.

• Coordinate agendas and present findings during all scheduled conference calls.

⛳️ Requirements

• At least five (5) years of experience in general hospital business office billing and collections, including a minimum of 2 years in a managerial role.

• A solid understanding of medical office operations or medical terminology training.

• Demonstrate a high level of professionalism in appearance and conduct.

• Comprehend the operations of critical access hospital business offices.

• Possess strong analytical abilities to identify and resolve complex billing issues.

• CPSI experience is preferred.

🏝️ Benefits

• Travel to the client site is required, ranging from 70% to 80%.