Accounts Receivable Manager

Description

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.

The Accounts Receivable Manager will manage all aspects of the accounts receivable process. Under the direction of the Director of Revenue Cycle, this person will help develop, plan, organize, and implement processes and future strategies to improve cash flow and manage the overall health of the company’s AR. Will be responsible for working accounts and overseeing a team.

Essential Duties

• Oversight of outsourced and internal AR aging, clearinghouse rejections, and payer denials.
• Identifies root causes and establishes processes and procedures to improve future clean claim rate and decrease overall denial percentage.
• Identifies problematic AR aging buckets and assigns accounts to their team for resolution.
• Works with senior leadership in recruiting, onboarding, performance evaluations, and ongoing training for team members.
• Documents, analyzes, and trends collection activities and communicates to stakeholders as appropriate.
• Sets internal and external goals, creates work plans to meet those goals, and reports defined KPIs to internal and external stakeholders.
• Trends AR and Denials issues and communicates process improvements to Registration, Case Management, Clinical Operations, Legal, or other as needed.
• Maximizes revenue through detailed review, analysis, and follow-up on all pertinent accounts receivable, denials, and rejections.
• Prepares reports and data as directed to support departmental goals, metrics, and KPIs.
• Stays abreast of all federal, state, and payer guidelines and communicates to the AR team and other stakeholders as needed.
• Communicates and facilitates special projects and requests as needed.
• Develops quality control program and provides continuous feedback to employees and senior leadership.
• Participates in staff meetings and assigned continuing education, and recommends new approaches, policies, and procedures to effect continual improvement in efficiency of the department and services performed.
• Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information.
• Performs other related duties as assigned.
  
  

Skills, Knowledge, Abilities

• Analytical – Collects and researches data.
• Communications – Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
• Continuous Learning – Assesses own strengths and weaknesses; seeks feedback to improve performance; participates in training and development opportunities; strives to continuously build knowledge and skills.
• Customer Service – Displays the ability to manage difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
• Dependability – Follows instructions and responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to complete tasks or reach goals; completes tasks on time or notifies appropriate person.
• Ethics – Treats people with respect; keeps commitments; inspires the trust of others; work with integrity and principles; upholds organizational values.
• Job Knowledge – Has knowledge of commonly-used concepts, practices, and procedures within the field of Accounts Receivable; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires supervision; displays understanding of how job relates to others; uses resources effectively.
• Judgement – Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process.
• Planning and Organizing – Prioritizes and plans work activities; uses time efficiently; sets goals and objectives; develops realistic action plans.
• Problem Solving – Identifies and resolves routine problems in a timely manner; gathers and analyzes information skillfully; displays the ability to recommend alternate solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
• Project Management – Communicates changes and progress on assigned project tasks; completes projects on time.
• Collaborate with professionals internal and external to the company and across geographic locations
• Exhibit growth mindset and team-orientated behaviors
• Navigate competing priorities and effectively work in a fast-paced environment
  
  

Supervisory Requirements: This position will supervise a staff of Accounts Receivable Specialists.

This is a hybrid position based out of our Lafayette, LA office. The candidate must work in the office a minimum of 3 days a week.

Core Clinical Partners is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

Education:

• Bachelor’s degree in Business Administration, Healthcare Administration, or related field preferred.
  
  

Experience

• High school diploma with at least four (4) years of healthcare experience required.