Manager, Outpatient Accounts Receivable-Collections

The Manager, Outpatient Accounts Receivables-Collections is responsible for leading the billing, collections, and denial management activities for all outpatient and partial hospitalization programs for Oceans Healthcare, providing a high level of operational effectiveness and interaction and collaboration with relevant hospital staff such as the hospital administrator, outpatient program managers and utilization review. This position will be responsible for managing and creating processes within Revenue Cycle as well as at the hospital level to facilitate optimal billing efficiencies, patient advocacy, and financial outcomes. This position will manage staff responsible for accounts receivable management, billing compliance, and quality reviews for payer accuracy in our revenue cycle systems. The job will also include creating reports, analyzing data, and oversee all monthly close processes. Essential Functions Supervises and evaluates the work performed by AR Representatives to ensure accurate and timely billing and collections efforts. Establishes and monitors controls and review mechanisms for every process to ensure systems and procedures are following correctly. Conducts regular periodic staff meetings to inform staff of changes in policies, procedures, or other relevant information. Monitors workload and performance for staff daily, utilizing quantitative productivity reports. Collaborates with the VP of Revenue Cycle to set the financial performance goals and determines plans, priorities, and work assignments to achieve them. Coordinates operations with other revenue cycle departments, Utilization Review/ Case Management, and site leadership to ensure streamlined collections work/low Ensure all activities are supportive of Internal Audits, Compliance, Safety, TJC, EMTALA and HCAHPS Initiatives. Manage and coordinate activities related to staff, including Interviewing, hiring, staffing, training, and counseling. Performs other duties and projects assigned. Education / Experience Bachelor’s degree in accounting, Finance, Business Administration, or Health Information Management or equivalent education and work experience. Must have extensive experience with interpretation of insurance plan benefits, conditions of payment, and billing requirements. Must have extensive experience with managing a high volume, fast-paced workload, Coding credentials (RHIA, RHIT, CCS-P, CPC etc.) preferred but not required. Skills / Abilities Experience in Microsoft Office such as Microsoft Word and Excel. General understanding of all revenue cycle functions and interrelationships. Hands on experience and knowledge in revenue analysis, process improvement, AR management and systems development/implementation. Must be versatile, flexible, and able to perform in stressful situations. Must have good time management and organization skills. Strong written and oral communication skills. Must be able to organize and prioritize high volume workload. Extensive experience with data entry. Must be able to function with minimal supervision and complete understanding and respect for confidentiality. Work Environment Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be highly paced and stressful; must be able to cope mentally and physically to atmosphere. Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes. #J-18808-Ljbffr Oceans Healthcare