Dir - Hospital Accounts Receivable, Rural Health & SBU's

Carle Health; Champaign (IL); On-site; USD 77,000 - 132,000; Full time

Job summary

Carle Health in Champaign, IL, seeks an experienced leader to manage the hospital accounts receivable portfolio, including rural health, work comp, TPL and SBUs. You will oversee billing, denials, cash posting, credit balances, and recovery audits while aligning with Carle Health's strategic goals and patient experience standards.

You will lead the HB insurance A/R team, monitor performance, ensure compliance with policies, and direct actions across departments to optimize cash collections and

Qualifications

• Bachelor's degrees in Accounting, Finance, Business Management or related field.
• Healthcare leadership and accounts receivable leadership experience.

Responsibilities

• Directs and manages SBUs to ensure accounts are billed and collected from patients and applicable payment sources.
• Oversees payment posting, credit balances, allowance discrepancies, statement generation and the bad debt portfolio for all SBUs.
• Leads a high-functioning HB insurance accounts receivable team with managers and supervisors.
• Monitors no response, denials, credit balances, coverage changes and allowance discrepancies.
• Ensures compliance with policies and state/federal laws and accreditation standards.
• Oversees Medicare and Medicaid Recovery Audits and reporting.
• Develops strategic direction and tactical plans to meet goals.
• Manages budgets and vendor relationships to support workflows and procedures.

Skills

Healthcare leadership

Accounts receivable leadership

Education

Bachelor's Degree: Accounting

Bachelor's Degree: Finance

Bachelor's Degree: Business Management

Bachelor's Degree: Related Field

Tools

HB insurance accounts receivable

Job description

Overview

Responsible for the management and development of the heath system hospital accounts receivable portfolio. This includes rural health, work comp, TPL and small business units (SBUs). Is accountable for billing, denials, no response, cash posting, credit balances, recovery audits, bad debt and allowance discrepancies. Oversees the business office operations including vendors to ensure effective and efficient revenue cycle management. Supports and directs all strategic and tactical visions in the development of the health systems initiatives related to hospital accounts receivable. Provides subject matter expertise in the planning, coordinating and direction of all activities associated with areas of responsibility. Accountable for protecting the account receivables assets by ensuring that processes and systems are utilized that promote strong cash collections, minimizes bad debt and provides an excellent patient experience.

Qualifications

• Certifications: , Education: Bachelor's Degree: Accounting; Bachelor's Degree: Finance; Bachelor's Degree: Business Management; Bachelor's Degree: Related Field, Work Experience: Healthcare leadership; Accounts receivable leadership

Responsibilities

Directs and manages SBU's to ensure accounts are billed and collected appropriately from patient and applicable payment source. Oversees and monitors payment posting, credit balances, allowance discrepancy, statement generation and the bad debt portfolio for all SBU's. Oversees and develops a high functioning HB insurance accounts receivable team that includes managers and supervisors that support delegation and oversight. Directs and manages HB insurance accounts receivable to ensure accounts are billed and collected by appropriate payer. Monitors no response, denials, credit balances, coverage changes and allowance discrepancies. Ensures smooth operation of all departmental functions according to approved policies and in accordance with all state and federal law and applicable accreditation standards. Responsible for all Medicare and Medicaid Recovery Audits and reporting. Establishes and ensures that the overall objectives relating to Top Decile Performance and the Carle Experience are achieved. Maintains appropriate internal controls and safeguards over accounts receivable records. Provides leadership, vision, and management to assigned department(s) in collaboration with the Senior Vice President, Financial Operations and Supply Chain. Sets departmental strategic direction and goals and develops appropriate tactical plans to meet them. Monitors employee performance and ensures timely communications for the purpose of goal setting, performance evaluations, wage increases and continued personnel actions. Establishes and maintains and active relationship with vendors that support the overall workflows and procedures utilized by Carle Health. Develops, analyzes, and manages capital and operating budgets within agreed upon standards. Develops, manages, and implements strategies related to the billing processes and financial data flow. Adheres to and enforces Carle Administrative and Departmental policies and procedures. Analyzes financial data to identify and monitor performance and establish financial benchmarks for the department. Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement. Oversees the development, review, and revision of department policies and procedures. All other duties as assigned.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our more than 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include seven, award-winning hospitals across eight hospital campuses and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle Foundation Hospital, Carle Physicians Group, Carle Hoopeston Regional Health Center, Carle BroMenn Medical Center including Carle Eureka Hospital and associated Carle Health Medical Group clinics all hold Magnet® with Distinction designation, the nation’s highest honor for nursing care granted by the American Nurses Credentialing Center (ANCC). Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital all hold the exclusive Magnet® designation.

We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $55.9per hour - $96.15per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.