Manager, AR Support & Analysis
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About the role
The Manager of AR Support & Analytics is responsible for improving financial performance across the revenue cycle through a combination of analytics, AR optimization, operational support, and responsive data services. This role drives financial performance and acts as a critical bridge between multiple facilities or entities by combining data-driven insights, AR optimization, and responsive support for internal and external clients and stakeholders. Direct experience in leading teams of 10+ members to collect insurance A/R, drive cash, and increase productivity. Primary experience in billing, claims edit resolution, etc. is helpful The Manager will partner with RCM Operations, Finance, HIM/Coding, IT, and executive leadership to deliver actionable insights, resolve operational issues, and fulfill data requests that drive decision-making and revenue improvement. DUTIES & RESPONSIBILITIES: Act as a contact for facility/client data and reporting requests including ad hoc data requests and routine reporting needs. Partner with hospital/clinic leadership, finance teams, and RCM operational stakeholders to deliver actionable insights. Ensure alignment between analytics, AR operations and client support functions. Monitor and manage AR performance across all RCM client supported entities. Identify and address aging trends, payer delays, and underperformance at facility or service-line level. Partner with AR teams to prioritize high-value accounts and reduce backlog. Provide visibility and accountability to facility leadership on AR performance. Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital. Focus the team's efforts and ensure diligent team follow-up are crucial to this position. Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential. Hands-on training of staff is a key element of this role. Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials. Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP's and process improvement processes. Implement strategies to improve collection rates and reduce outstanding accounts receivable. Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines. Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better. Identify areas for improvement and implement action plan to resolve payer and denial challenges. Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence. Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker's Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.) Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions. Proper utilization of federal and state credit collection regulations and guidelines Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations. Monitor staff productivity KNOWLEDGE, SKILLS, AND ABILITIES: Advanced Excel (required) Experience with EHR/billing systems (CPSI preferred) Strong understanding of end-to-end re
Benefits
Additional Information
Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com .
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