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Enovis · 2 weeks ago

Manager, Billing & Collections

Lewisville, TX

Full-time

Onsite

Mid, Senior Level

6+ years exp

Enovis Corporation is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes. As the Manager of RCM Billing Operations, you will oversee teams to ensure accuracy in financial processes and manage various aspects of the billing and collections operations.

Health CareManufacturingMedicalMedical DeviceProduct Design

No H1B

Hiring Manager

Robert C.

Responsibilities

Achieves assigned targets for cash collections and unapplied cash reduction

Manages offshore vendor performance for end-to-end Revenue Cycle Management (RCM) services

Directs the operations of the billing, collections, and cash applications teams, including denial follow-up, aged accounts receivables, and cash posting activities

Plans and directs patient insurance documentation, billing and collections, and account reconciliation to ensure accurate billing and efficient account collection

Partners with RCM Leadership coordinate and resolve difficulties within the department by implementing process changes and/or leading process improvement initiatives, reviewing and defining problems, suggesting procedural changes when necessary, and suggesting courses of action

Manages the review and resolution of payment variances and credit balance processes

Manages the number of electronic 835 payers and ensures they are set up to post electronically to the patient accounting system

Manages the number of payments processed by the bank and transferred via lockbox for posting

Ensures accurate denial follow-up and cash posting

Submits claims to proper insurance entities and follows up on any issues

Partners with Director to act as a liaison between the Finance Team, the RCM AR Team, the bank, and payment processing merchants regarding banking and accounting for the lockbox, payments, and refund checks

Compiles, reviews, and evaluates required documentation specific to government and commercial payors

Coordinates with various resources, contacts, and systems to obtain, verify and/or submit data

Ensures documents for submission are accurate, legal, and in compliance with the Company and regulatory standards

Reviews and verifies various transactions to ensure accuracy and compliance with Corporate and Legal requirements

Reviews completed documents against system data to ensure accuracy

Interacts with external contacts to coordinate activities related to internal and external audits

Manages inbound communications which may include medical or other types of charts/files, claims, faxes, emails, standard mail, or other related communications and mail correspondence, whether hard copy, voice or electronic

Directs and monitors activities related to sorting, scanning, batching, and indexing documents into the imaging system, including preparation, deletion, rescans, and batch verification

Manages the indexing of scanned documents within the imaging system, ensuring names, account numbers, dates of service, and insurance information are accurately assigned to each batch

Coordinates scanner maintenance and handles return mail and outgoing correspondence, including invoices, statements, appeals, medical record requests, and other documents for the RCM Billing teams