Accounts Receivable Manager

Ensemble Health Partners; Brasil; Teletrabalho; BRL 331.000 - 636.000; Tempo integral

Resumo da oferta

A leading healthcare provider in Brazil seeks a Manager, Accounts Receivable to oversee the revenue cycle department. This role involves guiding team members, performing process improvements, and managing performance metrics. Candidates should have healthcare management experience, knowledge of Medicare/Medicaid billing, and proficiency in relevant software. An important certification is required within the first 9 months. A comprehensive benefits package supports personal and professional growth in a collaborative and innovative culture.

Serviços

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Qualificações

• 3 to 5 years management experience required.
• Must obtain required CRCR certification within 9 months.
• Ability to manage performance data and analyze claims.

Responsabilidades

• Oversee and guide Accounts Receivable department.
• Develop short- and long-term improvement plans.
• Ensure efficient processing of accounts receivable functions.

Conhecimentos

Management experience in healthcare

Medicare and Medicaid billing

Microsoft Excel

Critical thinking

Problem solving

Formação académica

Bachelor’s Degree or Equivalent Experience

Ferramentas

Epic

Cerner

Meditech

Descrição da oferta de emprego

Overview

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

CAREER OPPORTUNITY OFFERING

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position pays between $62,500.00 - $119,700.00/based on experience

Position Summary

The Manager, Accounts Receivable will support the designated leadership team in Revenue Cycle in the selection, direction and development of Accounts Receivable department team members, and will report to the Director, Revenue Cycle. The Manager will be responsible for assisting team members with problematic claims and answering questions regarding operational processes. The Manager, Accounts Receivable, is responsible for the performance and effectiveness of the department's staff. The Manager, Accounts Receivable, will be responsible for developing short and long-term plans and objectives to improve revenue and manage overall payment and denials trends. Additionally, they will be responsible for working with insurance companies to identify reasons for denied payment for services. The Manager will work with their peers in Coding and Billing to identify, correct, and reduce denials trends related to their respective departments. They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements.

Essential Job Functions

• Performs ongoing process improvement of daily activities related to accounts receivable functions to ensure processes are performed efficiently and effectively.

• Obtains or generates reports to analyze trends in unpaid claims and denial activity; works with appropriate departments to resolve recurring issues and correct the underlying causes for errors; provides relevant guidance to department Supervisors to resolve internal and external issues.

• Develops and manages departmental budget, including overtime. Prepare monthly reports as requested. Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.

• Collects, interprets, and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient.

• Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.

• Provides timely communication to peers and team members to ensure continuity across the Revenue Cycle of any new programs, payers, clients, directives.

• Plans agendas and leads meetings, as appropriate, to enhance communication, including providing notes from meetings to all attendees.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Qualifications

Ensemble Required License/Certification: CRCR, either upon hire or within 9 months of hire. (Or other approved job relevant certification, as approved by SVP of department.)

Job Experience: 3 to 5 Years

Education Level: Bachelor’s Degree or Equivalent Experience

Expected Knowledge, Skills, and Abilities:

• Three years’ management experience in the healthcare industry.

• Medicare and Medicaid billing experience required.

• Must have specific HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc) and intermediate experience in using Microsoft Excel.

• Excellent Verbal skills.

• Problem solving skills, the ability to look at accounts and determine a plan of action for collection.

• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.

• Adaptability to changing procedures and growing environment.

• Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations

Other Knowledge, Skills, and Abilities Preferred:

• Advanced Degree.

• 3-5 years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred.

• Knowledge of claims review and analysis.

• Working knowledge of revenue cycle.

• Experience working the DDE Medicare system and using payer websites to investigate claim statuses.

• Working knowledge of medical terminology and/or insurance claim terminology.

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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