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Cape Cod Healthcare · 1 day ago

Manager, VNA Accounts Receivable

Hyannis, MA

Full-time

Onsite

Mid, Senior Level, Lead/Staff

10+ years exp

Cape Cod Healthcare is seeking a Manager of Specialized Accounts Receivable to provide leadership and oversight to their VNA Home Health, Hospice, and Elder Services AR staff. The role involves managing billing processes, ensuring compliance with regulations, and improving AR management practices.

Health Care

Hiring Manager

Joan Sturdivant

Responsibilities

Support, oversee, and manage the performance, productivity and quality of the entire Billing, Follow-Up/Denials team as it relates to all AR Management activities and pre-defined and Manager identified goals and targets

Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance monitoring across all third-party AR resolution, denials management, credit balance resolution and payment variance recoupment

Ensure CCHC employees and vendor staff performing AR functions are compliant with policies, procedures and processes; measure and address all areas of non-compliance

Maintain up-to-date knowledge of regulatory and compliance, for state and federal agency, changes impacting billing requirements and operations

Collaborate with other disciplines, IT partner and vendors to implement changes needed to address payer and regulatory billing requirement changes and denial prevention

Ensure vendors and CCHC revenue cycle employees are appropriately educated and trained as well as department policies and processes are modified, as required, to stay current

Work with Managed Care department, payor representative, vendors and all other departments within CCHC and Physician Practices to resolve outstanding account receivable issues

Ensure negotiated contracts are being administered and reimbursed according to contractual terms and rates. Assist managed care in the resolution of contract payment issues

Confirm staff are consistently performing performance-monitoring processes

Define, implement, and monitor strategies to improve overall patient financial services processing efficiency

Ensure that denial trends identified are managed and tracked to improvement ensuring mitigation strategies are consistently implemented

Manage to applicable Key Performance Indicators (“KPIs”). Define and implement action plans when performance is not meeting expectations

Assess workflow prioritization on a regular basis to confirm that AR metrics and benchmarks are consistently achieved

Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement

Conduct analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collections

Assess direct reports’ performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken

Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement

Prepares reports and conducts analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collection

Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional healthcare related organizations

Uses experience, education, training and judgment to plan and accomplish key performance indicators for AR metrics and other measures of organizational health

Educating, training and setting expectations on using the EHR system efficiently and effectively to meet industry key performance indicators

Maintains up-to-date payer knowledge including regular access to payer websites and portals to ensure the AR is flowing timely and appropriately

Performs additional special assignments, duties, and related functions as required

Works with Director of System PFS, Director PB Revenue Cycle, VP, CFO and vendor(s) to establish customer service / SBO revenue cycle benchmarks

Reduce redundancies and re-work through proper use of technology and through staff education

Serves as the main point of contact for Patient AR Management including Client Submitter, and VNA AR

Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence

Qualification

Accounts Receivable ManagementHealthcare FinanceElectronic Health RecordsRegulatory ComplianceDenials ManagementSupervisory ExperienceLeadership SkillsCommunication SkillsTime ManagementOrganizational Skills

Required

Bachelor's degree preferred or equivalent combination of education and 10 years experience

Minimum ten years health care with at least five years of healthcare Finance or Accounts Receivable Management experience

Home healthcare and hospice experience required

Minimum two years supervisory/management experience in healthcare environment required

Required three to five years of demonstrated experience with electronic health records

Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines

Experience and knowledge of regulatory requirements, payer requirements and third-party reimbursement

An understanding of complex corporate relationships, and an ability to influence within such an environment

Excellent communication, leadership, delegation, and interpersonal skills

Ability to evaluate personal performance against established goals

Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants

Demonstrated goal-oriented thinking, operational and organizational skills

Ability to coach and support staff in their efforts to improve overall performance

Capable of learning reporting systems and other new tools

Exceptional time management skills