Please note: This position is 75% work from home and 25% in office
Under the guidance of the Director of Patient Financial Services, the Manager of Accounts Receivable plays a vital role in overseeing the efficient operations of billing and accounts receivable management specifically for Behavioral Health services provided across the organization. This position is responsible for implementing and monitoring productivity standards, resolving issues, managing denials and appeals, reporting on payer performance, and ensuring adherence to policies and procedures. The Manager collaborates with external agencies for collection and denial management recovery services to optimize cash collections and improve recovery efforts. Additionally, this role involves identifying and addressing payer issues directly to ensure timely resolution of payment issues. The ideal candidate will have extensive experience in contracts and denials.
Annual Salary Rate: $86,444 - $127,504
Education:
Requires a Bachelor’s degree in Business, Finance, or a related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
Experience:
Must have a minimum of five (5) years of progressively responsible healthcare collection, denials, and recovery services experience that demonstrates a strong understanding of the required knowledge, skills, and abilities.
Requires prior supervisor/management experience, preferably within Patient Financial Services.
Prefer prior experience with Behavioral Health billing and collections.
Certification/Licensure:
Epic and HFMA certification is preferred.
Knowledge, Skills, and Abilities:
Must have the ability to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale.
Must be approachable, people-oriented, and a good listener.
Must be a change agent able to develop, implement and maintain policies and processes.
Requires the ability to be a creative, independent thinker.
Must exhibit a high degree of professionalism, customer service, and enthusiasm, combined with the ability to build relationships with business and key stakeholders.
Must possess solid analytical and problem-solving skills along with the ability to utilize the appropriate management techniques to plan, organize, control, and coordinate activities.
Requires a working knowledge of the principles, fundamentals, and systems specific to the department impacting the revenue cycle workflow as well as the principles and fundamentals related to budgeting, accounting, record keeping, and business writing.
Requires knowledge of all aspects of payer reimbursement including Medicare, AHCCCS, commercial, managed care, worker’s compensation, and self-pay.
Must be familiar with health care billing, health care collection, general knowledge of medical records and coding compliance, Fair Debt Collection Practices Act, and legal compliance.
Requires up-to-date knowledge and understanding of federal compliance and OIG initiatives that impact the healthcare industry.
Must have a working knowledge of healthcare accounts receivable management concepts, including in-depth knowledge of the state reimbursement and regulatory environment to ensure compliance with state regulations regarding patient and insurance billing issues.
Requires knowledge of general administrative procedures such as payroll, vendor management, and purchasing.
Requires the ability to read, write and speak effectively in English.
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Location: Valleywise Health System · Patient Financial Services
Schedule: Regular FT 40 Hours Per Week, Days