[Remote] Manager, Accounts Receivable

Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Manager, Accounts Receivable will oversee the Accounts Receivable department, assist team members with claims issues, and develop plans to improve revenue and manage payment trends.

Responsibilities

• Support the designated leadership team in Revenue Cycle in the selection, direction and development of Accounts Receivable department team members
• Assist team members with problematic claims and answering questions regarding operational processes
• Responsible for performance and effectiveness of the department's staff
• Developing short and long-term plans and objectives to improve revenue and manage overall payment and denials trends
• Working with insurance companies to identify reasons for denied payment for services
• Work with their peers in Coding and Billing to identify, correct, and reduce denials trends related to their respective departments
• Empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements
• Perform ongoing process improvement of daily activities related to accounts receivable functions to ensure processes are performed efficiently and effectively
• Obtain or generate reports to analyze trends in unpaid claims and denial activity
• Work with appropriate departments to resolve recurring issues and correct the underlying causes for errors
• Provide relevant guidance to department Supervisors to resolve internal and external issues
• Develop and manage departmental budget, including overtime
• Prepare monthly reports as requested
• Establish departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization
• Collect, interpret, and communicate performance data using various tools and systems
• Use this data to make decisions on how to achieve performance goals
• Work with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient
• Work closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved
• Provide timely communication to peers and team members to ensure continuity across the Revenue Cycle of any new programs, payers, clients, directives
• Plan agendas and lead meetings, as appropriate, to enhance communication, including providing notes from meetings to all attendees

Skills

• CRCR certification
• 3 to 5 years of people leadership experience
• Three years' management experience in healthcare industry
• Medicare and Medicaid billing experience
• Specific HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc)
• Intermediate experience in using Microsoft Excel
• Excellent verbal skills
• Problem solving skills, the ability to look at account and determine a plan of action for collection
• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment
• Adaptability to changing procedures and growing environment
• Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations
• Advanced Degree
• 3-5 years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing
• Knowledge of claims review and analysis
• Working knowledge of revenue cycle
• Experience working the DDE Medicare system and using payer websites to investigate claim statuses
• Working knowledge of medical terminology and/or insurance claim terminology

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

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