Atlantic Vision Partners · 5 days ago
Collections Manager, Revenue Cycle Management
Richmond, VA
Full-time
Onsite
Mid, Senior Level
3+ years expAtlantic Vision Partners is seeking a Collections Manager to oversee effective accounts receivable management. The role involves managing staff, ensuring compliance with policies, and directly participating in collection efforts on outstanding accounts.
Health CareHospital
Responsibilities
Maintains and evaluates staff according to company policy and procedures
Interviews and hires qualified employees
Maintains staffing levels proportionate to the volume of accounts to preserve optimum efficiency and superior collections
Discipline employees fairly and consistently, ensuring compliance with policy, procedures, and productivity standards
Implement productivity standards and maintain reports identifying compliance breaches
Schedules staff work hours to ensure full coverage during normal work hours and distributes workflow to maximize efficiency
Maintains logs on PTO requests, absences, tardiness, etc. along with approving hours worked
Operates the department within the budget
Approves overtime only when necessary and within the budget
Works to minimize staff turnaround through good management and teamwork
Manages the day-to-day operations within RCM
Delegate and prioritize accounts to be worked
Ensure all accounts are worked in a timely and efficient manner
Provide guidance and training as necessary
Encourages and maintains open communication with various departments to address issues
Conduct regularly scheduled staff meetings
Streamline workflow
Review adjustment and refund request submitted by staff within a timely manner
Review all adjustments and refund for accuracy at appropriate delegation of authority level
Forward all adjustments and refunds reviewed for Director approval in accordance with established thresholds
Completes monthly/daily reports that communicate the performance and progress of the department
Evaluate staff on job performance
Monitor work to ensure productivity standards are met
Meet with staff at least monthly to discuss quality of work, productivity standards, attendance, and carrier issues
Assist with yearly performance evaluation of employees
Maintain, assist in the development of, and educate staff on department policy and procedures
Ensures and analyzes the performance of the employees on working the following reports timely and accurately:
Not Worked Report – Summarizes outstanding accounts not worked within the department’s guidelines
Denial Report – Identifies specific denials posted from EOBs received
Reject Report – Identifies specific denials for claims submitted electronically
Reviews AR Reports weekly with Director and determines areas of concern to be distributed to RCM team to work
Analyze other management reports received from Regional Director
Make the necessary telephone or written contact
Contact payers to discuss carrier issues and solutions
Contact parents to obtain accurate insurance information
Phone appeals on denied claims
Contact the Provider Representative to arrange for an in service
Provide Call Center backup as needed
Send appropriate letters
Assist in coordination of collection audits on accounts when needed
Review accounts for accuracy (i.e.; payments have been posted correctly, appropriate adjustments have been made, etc.)
Process refunds for overpayments made by payers and patients
Process adjustments as necessary (i.e.; contractual, good faith, settlement, etc.)
Assist in appealing denied claims via mail or telephone
Request Accounts Receivable Status Reports when a denial trend has been identified
Review accounts receivable report detail for denial trends
Obtain Medical Records from appropriate office locations and send them to the payer
Review diagnosis and procedure codes with the appropriate clinical experts as needed
Review problem packs or appeals to specific payers
Assist in updating accounts as necessary
Update accounts in billing system with information obtained through correspondence and telephone (ie; insurance, authorization, address, name, etc.)
Corrects inaccurate information in accounts as needed, including but not limited to transfer of pre-pays and unapplied amounts posted to incorrect charge lines
Identify carrier related denial trends
Review all available systems, reports, documents to identify denial trends
Resolve and/or bring problems to RCM Director
Maintain carrier issue logs
Records identified problems, A/R out to carrier, action(s), solution(s) and status
Performs a variety of other management duties
Manage various special projects
Always meets deadlines, dates and times on assigned projects
Obtains documentation in accordance with requests from auditors and submits to Accounting Manager in a timely manner
Assists with creating RCM goals; meets or exceeds required departmental goals consistently
Meet goals specified in the monthly Collection Report
Maintain A/R greater than 90 days (about 3 months) at an acceptable level determined by management
Reduce the number of days in outstanding A/R
Ensure all accounts are working within the established timeframes and guidelines
Maintain strict confidentiality
Patient information must not be given on any account except to payers that need it to process the claim
Any information relayed in confidence must not be divulged to any third party(s)
Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties
Performs other job-related duties within the job scope as requested by RCM Director or additional escalated management
Always embodies the principles of the corporate Mission Statement
Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible
Conducts all business professionally, maintaining respect for individuals
Complies with departmental and company-wide policies and procedures
Maintains constant awareness of potential safety hazards ensuring necessary safety precautions
Reads and complies with established policies and procedures
Qualification
Required
Associate degree (A. A.) or equivalent from two-year college or technical school; or three or more years related experience and/or training; or equivalent combination of education and experience
Ability to read, analyze, and interpret common and technical journals, financial reports, and legal documents
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
Ability to write speeches and articles for publication that conforms to prescribed style and format
Ability to effectively present information to top management, public groups, and/or boards of directors
Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
Ability to define problems, collect data, establish facts, and draw valid conclusions
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables
Willingness to submit to a background check
Benefits
Medical
Dental
Vision
A 401k plan
Long-term disability
Life insurance
Paid vacation and holidays (+ two floating holidays)
Tuition reimbursement opportunities
Referral bonus opportunities
Discount on designer eyewear
Paid certified accreditation program
Company
Atlantic Vision Partners
Atlantic Vision Partners is a vision practice management company.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Sheridan Capital Partners
2019-06-11Private Equity
Leadership Team
Frank Manuguerra
Director: Optical Operations & Marketing at Atlantic Vision Partners
Recent News
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