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Ensemble Health Partners · 1 hour ago

Manager, Accounts Receivable

United States

Full-time

Remote

Mid, Senior Level

$62K/yr - $120K/yr

3+ years exp

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, support team development, manage performance, and work on improving revenue and reducing claim denials.

Health CareHospitality

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

Responsible for developing short and long-term plans and objectives to improve revenue and manage overall payment and denials trends

Responsible for working with insurance companies to identify reasons for denied payment for services

Work with 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, while also using 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

Qualification

CRCR certificationMedicare billing experienceMedicaid billing experienceHIS systems knowledgeMicrosoft ExcelMedical terminologyProblem solvingCritical thinkingPeople leadershipAdaptabilityCommunication skills

Required

CRCR certification

3 to 5 years of people leadership experience

Three years' management experience in healthcare industry

Medicare and Medicaid billing experience required

Specific HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc) and 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

Preferred

Bachelors Degree Or Equivalent Experience

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 preferred

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