Ovation Healthcare · 4 months ago
Manager, Accounts Receivable
United States
Full-time
Remote
Mid LevelOvation Healthcare is a part of QHR Health, and they are seeking a Manager for Accounts Receivable. This role involves managing day-to-day activities of staff, ensuring effective follow-up on billing and collections, and implementing strategies to improve collection rates while overseeing compliance with financial regulations.
AdviceBusiness DevelopmentHealth CareManagement Consulting
Responsibilities
Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital
Focus the team’s efforts and ensure diligent team follow-up are crucial to this position
Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, 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 patient accounts, identifying and resolving billing errors and claim denials. Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP’s and process improvement processes
Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information
Implement strategies to improve collection rates and reduce outstanding accounts receivable. Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines
Generate regular reports on team performance, including key metrics performance, data to identify 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 denial challenges
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence
Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.)
Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions. Proper utilization of federal and state credit collection regulations and guidelines
Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations. Monitor staff productivity
Coordinates agenda(s), presents findings on all scheduled conference calls Demonstrated level of analytical ability required to research/review patient accounts. Prepare and timely submit all Company and client required reports
Qualification
Required
Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital
Focus the team's efforts and ensure diligent team follow-up are crucial to this position
Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, 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 patient accounts, identifying and resolving billing errors and claim denials
Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP's and process improvement processes
Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information
Implement strategies to improve collection rates and reduce outstanding accounts receivable
Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines
Generate regular reports on team performance, including key metrics performance, data to identify 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 denial challenges
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence
Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker's Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.)
Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions
Proper utilization of federal and state credit collection regulations and guidelines
Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations
Monitor staff productivity
Coordinates agenda(s), presents findings on all scheduled conference calls
Demonstrated level of analytical ability required to research/review patient accounts
Prepare and timely submit all Company and client required reports
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 AR and AR concepts
An understanding of hospital, clinic, and Business Office Operations
Proficiency in billing software, electronic health records systems, and data analysis tools
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
Excellent verbal and written communication skills to interact with patients, insurance companies, and internal stakeholders
Company
Ovation Healthcare
Ovation Healthcare is a business consulting firm that offers revenue cycle, clinical resourcing, and advisory management services.
Founded in 1977
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2021-06-01Acquired
Leadership Team
Timothy J. Ryan
CFO
Recent News
2025-10-02
Mergers & Acquisitions
2025-07-14
Company data provided by crunchbase