Manager, Accounts Receivable - Rev Cycle

Description

Who We're Looking To Add To Our Growing Team:

We are currently seeking a Manager, Accounts Receivable to join our growing AR team! nimble provides revenue cycle outsourcing services to ambulatory surgery centers (“ASCs”), surgical practices, surgical hospitals, and anesthesia groups. This is a great opportunity to join a market-leading brand serving a high-growth end market while gaining valuable experience working closely with leadership.

As the Manager, Accounts Receivable you will oversee, develop, and be accountable for a Line of Business (ASC or PRO) and lead a POD team structure of 5-15 individuals, onshore and partner with offshore leadership and PDO teams, responsible for $2-$3 million in revenue This individual should have a successful track record of driving for results, advanced expertise in RCM accounts receivable, claims and overall process with a demonstrated ability to lead, develop, and grow a team.

On a typical day, you'll be responsible for:

People Leadership

• Leads, develops, and assists A/R Representatives and Account Performance Managers with client accounts performance
• Partners with Learning and Development to create an onboarding and training framework, and ensures the framework and plans are executed for new A/R team members
• Develops inexperienced or underperforming employees and provides feedback and coaching
• Monitors performance through established department KPIs and holds the team accountable
• Leads employee 1:1 and team meetings
  
  
  

Reporting and Analytics

• Partners with the analytics team and Account Performance Managers to review and analyze reports and data to maximize efficiency and direct focus to appropriate areas of concern
• Identify denial trends, report on global payer issues, and implement recovery plans
  
  
  

RCM Process and Expertise

• Acts as a resource for all A/R team members for questions regarding billing policies, state guidelines, reimbursement analysis, and assists with the resolution of challenging accounts and claims
• Maintains a detailed knowledge of client-specific SOWs
• Helps to establish and evaluate A/R policies, procedures, and best practice,s and make suggestions for revisions and updating information
  
  
  

Client and Account Performance

• Work with A/R team members to help meet and exceed goals and provide detailed feedback to client services if the goals are not met
  
  
  

Requirements

• At least 3 years of experience in A/R
• 3 years of A/R and claims experience in the healthcare industry
• Strong analytic skills and proven success leading process improvement initiatives and project management
• Advanced knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker’s Compensation requirements and procedures, and diagnosis and medical terminology
• Intermediate level of expertise with Microsoft Office Suite
• Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies
• Advanced knowledge of the revenue cycle is required; experience with ASC billing is preferred
• Epic experience strongly preferred
• Experience creating and delivering client-facing content and client presentations
  
  
  

Key Competencies

• Drives Results. Consistently achieves results, even under difficult circumstances. Fosters a sense of urgency in the team for reaching goals and meeting deadlines. Readily takes action on challenges, identifies, and seizes new opportunities; Leads others to persist despite setbacks or obstacles; Establishes clear responsibilities and processes for monitoring work and measuring results.
• Communicates Effectively. Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; Encourages the open expression of diverse ideas and opinions; Picks up on situational cues and adapts personal, interpersonal, and leadership behavior to fit.
• Quality Decision-making. Makes sound decisions, even in the absence of complete information; Considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up in driving appropriate decisions for the organization based on sound risk/reward analysis.
• Customer Focus. Gains insight into customer needs; Identifies opportunities that benefit the customer; Builds and delivers messaging and solutions that meet customer expectations.