Manager, Accounts Receivable

About the role

Depending on the services offered, the Manager, Accounts Receivable may be responsible for overseeing the hospital's entire accounts receivable (A/R) operations, ensuring efficient billing, collections, and reimbursement processes, or may be responsible for a portion of the A/R in a cash acceleration or an A/R wind down project. Regardless, the position is responsible for optimizing revenue cycle performance and maximizing cash while maintaining compliance with healthcare regulations and payer requirements The Manager will lead a team of A/R specialists and work collaboratively with other departments to i mprove cash flow, reduce denials, and enhance financial performance. Duties and Responsibilities : 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. Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information. Implement strategies to improve collection rates and reduce outstanding accounts r eceivable. Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines. Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle m anagement working with Management and escalate trends to Management. 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 Coordinates agenda(s?), presents findings on all scheduled conference calls Demonstrated level of analytical ability required to research/review patient accounts. Prepare and timely submit all Company and client required reports. Knowledge, Skills, and Abilities: Ability to read and write to perform calculations, prepare reports with supporting documentation. Being hands-on with day-to-day activities which may include all PFS areas of the revenue cycle. Demonstrates understanding of the entire revenue cycle. Assists with problem solving, inquiries, and customer interaction Understands relevant RCM KPIs to analyze and

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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