Accounts Receivable Manager
SUMMARY: Our Senior Living Services include: Independent Living, Assisted Living, Memory Care, Skilled Nursing, Inpatient & Outpatient Therapy, Hospice and Home Health. Under minimal supervision, the Manager, Accounts Receivable is responsible for overseeing the pursuit of complete, accurate and timely full revenue cycle processes for assigned skilled nursing facilities and ancillary business lines. This role is responsible for daily management of staff in an effort to ensure the overall revenue cycle is optimized. This position requires a focus on customer service, particularly in sensitive situations, such as coordinating with a Resident's family. The Manager, A/R serves as liaison in responding to accounts receivable inquiries for solution of billing issues or for information or interpretation from third parties. ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following, other duties may be assigned. Operational 1) Oversees the accurate and timely pre-billing review, billing, follow up, and cash posting of charges for assigned communities and business lines that may include: a) Admissions and Census review b) Billing for all business lines c) Cash and Denials posting d) 3rd Party Follow Up and Private Pay Follow Up e) Customer Service-A/R Help Desk f) Credit Balance and Refund resolution g) Resident Final Billing 2) Serves as a Customer Service Leader; resolves both internal and external customer issues within an appropriate time frame; shows persistence and seeks alternatives when obstacles arise. 3) Proactively communicate and build relationships throughout the enterprise to ensure that needed information is being distributed and that we are partnering together to produce the highest quality results. 4) Oversee monthly billing and assures billing is accurate; analyzes and reconciles accounts receivable data and transactions in a timely manner; initiates contact with various parties regarding accounts receivable invoices as needed. 5) Ensure collections are being managed properly; determine appropriate corrective action to take when confronted with accounts receivable discrepancies; takes initiative to assure that corrective action is completed. 6) Resolve bank reconciliation variances and review and approve write-offs and adjustments. 7) Participate in weekly and monthly meetings with Management team and Community A/R review calls. Be prepared with relevant information, analysis, and suggestions. Track action items from the meetings and follow up. Strategy 1) Partner with AR leadership in the development and implementation of A/R departmental policies and strategic plans 2) Remain knowledgeable of changes in health care regulation and work with leadership to effectively puts strategic plans in place to prepare for necessary changes Process Excellence 1) Review and enhance billing, collection, and cash posting processes for efficiency and best practice; ensure systems are fully functional and maximized and recommends new processes to improve current work flow. 2) Work with team members in a matrixed environment to improve all business processes, training materials, data clean-up, and on-going support. 3) Follows up with staff members on quality processes, such as audit accuracy pre-bill review, billing timeliness and accuracy, working denials, filing appeals, etc High Performance Team 1) Create and maintain a high performance environment characterized by positive leadership and a strong team orientation. 2) Define goals and/or required results at beginning of performance period; Communicate regularly with staff on progress toward defined goals and/or required results, providing specific feedback and initiating corrective action when defined goals and/or required results are not met. 3) Motivate staff and provides training and development opportunities as appropriate. 4) Collaborate on development plans with direct reports who ask for assistance with their career development. Regularly provide on-going feedback and coaching to help support them. 5) Build and maintain an employee engagement plan to strengthen relationships, teamwork, and job satisfaction. 6) Conduct annual and mid-year performance assessments and collaborate with HR Business Partner on performance issues as needed. 7) Oversee Timesheets and OT management in accordance with departmental policy. 8) Keep appropriate staff level with requisite skills in order to achieve team target goals. Business Performance Management 1) Work with leadership to define and manage daily, weekly and monthly KPIs to ensure team is performing at expected level throughout the month 2) Prepare and review weekly and quarterly reporting to identify problem areas to work on and to ensure that the team is on track to reach all of its goals. Examples of reporting would include denial reporting, collection notes reports, aging reports, credit and "at risk" claims report, and a weekly dashboard report. SUPERVISORY RESPONSIBILITIES Team of Accounts Receivable Associates and temporary staff.QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Deep understanding of financial operations as well as process workflows within skilled nursing, assisted living facilities, as well as ancillary health services such as therapy, certified home health, private duty home support, and hospice. * Strong knowledge of Medicare regulations and billing requirements for skilled nursing, therapy, certified home health and hospice * Knowledge of Vision or other medical practice management systems. * Ability to work and collaborate effectively with employees, customers, clients, and vendors. * Excellent verbal and written communication skills. * Strong leadership skills. * Strong analytical and problem solving skills. Strong interpersonal skills, with a customer service focus. Proven dispute resolution ability. * Proficient knowledge of Microsoft Office including Excel. * Must be able to understand and clearly articulate, verbally and in writing, a process from start to finish, to help in troubleshooting and to explain to others. * Complete working knowledge of Coordination of Benefits, appeals procedures, resolution of credits and requesting refunds, responding to RTP file, ability to review admissions and census reports, interpret Explanation of Benefits/Remittance Advice. * Knowledge of Federal, State and third party electronic claims submission, denials resolutions and reimbursement practices. EDUCATION and/or EXPERIENCE: * Bachelor's degree with major coursework in Accounting, Business Administration or a closely related field is preferred. * Minimum of 5 years of increasingly responsible experience in accounts receivable, general accounting or other related experience is required. * Minimum of 3 years of managing and/or training experience is required. * Experience with billing for skilled nursing facility, Certified Home Health, Hospice, Rehab, EMS services is a plus. * Advanced knowledge of claims clearinghouse system preferred.