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Ensemble Health Partners · 2 days ago

Manager, Accounts Receivable

United States

Full-time

Remote

Mid, Senior Level

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 support the leadership team in managing the Accounts Receivable department, focusing on improving revenue, resolving claims issues, and enhancing operational efficiency.

Health CareHospitality

Responsibilities

Performs ongoing process improvement of daily activities related to accounts receivable functions to ensure processes are performed efficiently and effectively

Obtains or generates reports to analyze trends in unpaid claims and denial activity; works with appropriate departments to resolve recurring issues and correct the underlying causes for errors; Provides relevant guidance to department Supervisors to resolve internal and external issues

Develops and manages departmental budget, including overtime. Prepares monthly reports as requested. Establishes 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

Collects, interprets, and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals

Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved

Provides timely communication to peers and team members to ensure continuity across the Revenue Cycle of any new programs, payers, clients, directives. Plans agendas and leads meetings, as appropriate, to enhance communication, including providing notes from meetings to all attendees

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation

Qualification

CRCR certificationMedicare billing experienceMedicaid billing experienceHIS systems knowledgeMicrosoft ExcelMedical terminology knowledgeRevenue cycle knowledgeVerbal skillsProblem solving skillsCritical thinking skillsAdaptability

Required

CRCR

3 to 5 Years of People Leadership Experience

Minimum of 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

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