Support the designated leadership team in Revenue Cycle in the selection, direction and development of Accounts Receivable department team members
Report to the Director, Revenue Cycle
Assist team members with problematic claims and operational processes
Responsible for performance and effectiveness of the department's staff
Develop short and long-term plans and objectives to improve revenue
Manage overall payment and denials trends
Work with insurance companies to identify reasons for denied payment for services
Empower staff to develop methods of process improvement
Conduct systematic performance assessments and implement improvements
Maintain achieved improvements
Obtain or generate reports to analyze trends in unpaid claims and denial activity
Work with appropriate departments to resolve recurring issues
Provide relevant guidance to department Supervisors to resolve internal and external issues
Develop and manage departmental budget, including overtime
Prepare monthly reports as requested
Establish departmental goals with staff to optimize performance and meet budgetary goals
Collect, interpret, and communicate performance data
Work with internal and external customers to impact decisions
Lead meetings and enhance communication regarding Revenue Cycle programs and directives

3 to 5 years management experience in healthcare industry
Medicare and Medicaid billing experience required
HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc)
Intermediate experience in using Microsoft Excel
Excellent verbal skills
Problem solving skills
Critical thinking skills
Adaptability to changing procedures and growing environment
Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations
Advanced Degree preferred
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.

Accounts Receivable Manager

Key skills