At-a-Glance:
Are you ready to build your career by joining a healthcare provider, If so, our client is hiring a Patient Financial Services AR Manager.
Position Type:
Right to Hire
Onsite
Shift: Monday through Friday 8am-5pm
Required:
Education: Bachelor Degree Business In lieu of a bachelor’s degree, will accept a High School Diploma or GED with eight (8) years of Revenue Cycle Progressive leadership experience (Four years of experience for a verified associate’s degree.)
Experience: Required: Five years in patient accounting, third-party reimbursement, or related field, to include a minimum of three (3) years of experience in a supervisor or leadership role.
Preferred: Seven years in patient accounting, third-party reimbursement, or related field, to include a minimum of five (5) years of experience in a supervisor or leadership role.
Responsibilities:
Supervises the assigned team and team members engaged in the department. This includes interviewing, hiring, performance evaluation, training and disciplining all system support personnel. Delegates tasks as determined appropriate.
Provides a goal-oriented work environment, establishing clear and concise work procedures expectations. Develops and plans goals and objectives for the department with PFS Leadership Team. Measures financial and operational performance, maintains monitoring and reporting systems. Audit, trend and benchmark billing/collection functions.
Manage Accounts Receivable for all insurance AR billed in the Epic HB and PB modules to minimize financial losses to Bayhealth. Ensures adherence to all governmental and commercial payor rules, regulations, and Bayhealth Corporate policies and procedures. Ensures that accounts receivable activities are meeting productivity, quality, reimbursement goals and all reimbursement options have been exhausted. Monitors vendor performance, as appropriate for any insurance AR vendors. Review and respond to patient complaints, legal documents following appropriate customer services, and internal policies.
Complete monthly rounding on direct reports; maintain individual rounding logs and stop light reports to facilitate communication. Promotes employee engagement for individual teams and the department striving for continues improvement.
Responsible for monitoring performance and resolution of all insurance credit balances.
Reviews quality assurance review results with staff providing as necessary education/training to address opportunities for improvement.
Contributes to development of education materials for new hire and annual training competencies
Monthly reporting requirements: AR performance for large payers, physician practices, and vendors. Communicates performance issues and actions being taking to resolve the issues. As appropriate escalates to State and Federal agencies when payers are not adhering to regulations.
As applicable, maintains all Epic ARCR certifications in good standing.
Reviews all requests for system changes to determine the impact on payers and processes under the position’s span of control. Ensures supporting research and documentation supporting the change request are accurate and have been properly validated.
Responsible for access requests and maintenance including, but not limited to Medicare Novitasphere and Medicaid portals.
All other duties as assigned within the scope and range of job responsibilities.
Get in Touch:
We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Shaan at 862-895-5501 to learn more.
Numbers & Facts
Location
Dover, DE
Industry
Staffing/Employment Agencies
Company Size
100 to 499 employees
Website
http://www.hiredbymatrix.com
About Company
We believe in putting people together for the right reasons. Getting you a great job that makes you feel fulfilled in your career. Finding the perfect candidate to help you achieve business success.
Whether you are looking for the best candidate for your company or searching for your next career move, we are dedicated to making sure you thrive. We take your needs personally and have a variety of services to ensure you reach your goals. We listen to the needs of our clients and candidates and then thoughtfully match the right person with the right job. When people come together doing what they love success is guaranteed and partnerships last.
Skills
Accounts Receivableunmatched
Accounts Receivable Managementunmatched
Benchmarkingunmatched
Change Requests/Ordersunmatched
Communication Skillsunmatched
Corporate Policiesunmatched
Credit and Collectionsunmatched
Customer Support/Serviceunmatched
Epic Certificationunmatched
Federal Governmentunmatched
Financial Operationsunmatched
Financial Servicesunmatched
Healthcare Providersunmatched
Healthcare Reimbursementunmatched
High School Diplomaunmatched
Insuranceunmatched
Leadershipunmatched
Legal Documentsunmatched
Maintain Complianceunmatched
Medicaidunmatched
Medical Billingunmatched
Medicareunmatched
Operational Measurementunmatched
Performance Analysisunmatched
Performance Reviewsunmatched
Problem Solving Skillsunmatched
Quality Assuranceunmatched
Regulationsunmatched
Reimbursementunmatched
Set Goalsunmatched
Support Documentationunmatched
Systems Administration/Managementunmatched
Team Lead/Managerunmatched
Trend Analysisunmatched
Vendor/Supplier Evaluationunmatched
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