Manager, Accounts Receivable- Physician Billing Group

Position: Manager, Revenue Cycle- Physician Billing Group

Job Overview:

The Manager of Accounts Receivable is responsible for overseeing the Accounts Receivable staff and making day-to-day decisions; responsible for understanding and billing all procedures within regulatory mandates. The Manager of Accounts Receivable is responsible for directing and coordinating the overall functions of the billing office to ensure maximization of cash flow while improving patient, physician, and other customer relations.

Role and Responsibilities

• Actively demonstrates the organization’s mission and core values and conducts oneself at all times in a manner consistent with these values. Continually reviews the service delivery process to exceed clients/customers’ expectations.
• Directs the following functions/staff: Accounts Receivable, Managed Care Variance, Billing, Collection, and Training on Policy, Procedure, and Systems (within areas of responsibility and related areas).
• Follow up on claims using various systems, i.e., practice management and clearinghouse.
• Keep up to date with carrier rule changes and distribute the information within the practice.
• Reduce open receivables to maximize cash flow.
• Monitors remit files to ensure edits are managed timely and accurately.
• Manages the variance process, timely completion, and reconciliation.
• Recruits, selects, and develops associates responsible for billing third party payors and patients, and follow up with the Associate Director.
• Communicates policy and procedures to Accounts Receivable associates.
• Evaluates current business process and recommends changes or enhancements in order to gain efficiencies.
• Monitors business performance and trends as it pertains to cash and collections.
• Collaborates and maintains effective relationships with physicians, practice managers, and Administration as well as third party payors, regulatory agencies, and outside vendors.
• Ensures that billing and collections activities are performed in compliance with Federal/State regulations/guidelines.
• Collaborates with Management Team to address and resolve challenges, share information, and enhance overall efficiency.
• Assesses staffing and operational needs to provide services as efficiently as possible.
• Perform quality assurance audits on associates. Report results of audits to associates and the Associate Director.
• Participates in multidisciplinary task forces, committees, and projects.
• Coordinate associate schedule, time and attendance and payroll.
• Observes strict patient confidentiality in dealing with patients.
• Other Duties as assigned.

Qualifications and Education Requirements
Bachelor’s Degree required, preferably in business administration or accounting principles.

Minimum of 3-5 years of relevant work experience, minimum one (1) of which is in a management capacity, or equivalent combination or training and relevant work experience.

Ability to develop and maintain effective working relationships with staff and business partners.

Maintain current insurance regulatory policies and requirements relevant to the specialty.
Preferred Skills
Requires knowledge of medical practice operations, claims processing, Medicare and Medicaid regulations, and provider credentialing.

Knowledge and experience in large scale central billing office with the ability to prioritize and multi-task in a fast-paced environment.

Knowledge of medical terminology preferred.

High level ability to analyze financial and patient account information.

Highly effective verbal and written communication skills necessary.

Ability to convert technical insights into everyday language to deliver an understandable message.

Proficient in Microsoft Office Suite software required. Strong proficiency in Microsoft office with advanced Excel skills.

Preferred experience with GE Centricity.

JOB SETTING AND PHYSICAL DEMANDS

EPS Billing Office and other departmental offices within the Client’s locations; contact with staff.

Regularly required to sit for extended periods of time; mobility required.

Manual dexterity.

Onsite.

ADDITIONAL NOTES

This job description indicates in general the nature and levels of work, knowledge, skills abilities, and other essential functions (as covered under the American with Disabilities Act) expected of an incumbent. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of an employee. An employee may be tasks to perform other duties as required.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan

Schedule:

• Monday to Friday

COVID-19 considerations:
All employees are required to be vaccinated.

Education:

• Bachelor's (Preferred)

Experience:

• Revenue cycle management: 5 years (Required)

Work Location: One location