Manager, Accounts Receivable

QHR Health, LLC dba Ovation Healthcare; Goshen (IN); Hybrid; USD 77,000 - 115,000; Full time

Benefits offered by this job

Health insurance

401(k) plan with employer match

Paid time off and holidays

Job summary

Ovation Healthcare seeks a Manager of Accounts Receivable to optimize hospital billing, collections, and reimbursement while ensuring regulatory compliance. The role leads AR specialists and collaborates with other departments to enhance cash flow and performance.

The position emphasizes team training, hands-on mentoring, and driving throughput across Medicare, Medicaid, commercial payers, and self-pay accounts within a complex healthcare revenue cycle.

Qualifications

• Minimum five years of hospital billing and collections experience, with at least 2 years in a managerial role.
• Strong analytical skills to resolve complex billing issues.
• High school diploma or equivalent; medical billing or healthcare administration training is a plus.
• Proficiency in billing software, EHR systems, and data analysis tools.

Responsibilities

• Manage day-to-day AR staff on site or remotely for a client hospital.
• Improve cash flow by reducing denials and speeding collections.
• Lead team meetings and monitor AR metrics.
• Prepare and submit required reports to management.
• Ensure compliance with healthcare regulations and payer requirements.

Skills

Accounts receivable

Revenue cycle

Team leadership

Staff training

Billing software

Communication skills

Analytical ability

Education

High school diploma or equivalent

Medical billing training

Tools

Billing software

Electronic Health Records (EHR)

Job description

About the Job

Welcome to Ovation Healthcare! At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary

Depending on the services offered, the Manager, Accounts Receivable may be responsible for overseeing the hospital’s entire accounts receivable (A/R) operations, ensuring efficient billing, collections, and reimbursement processes, or may be responsible for a portion of the A/R in a cash acceleration or an A/R wind down project. Regardless, the position is responsible for optimizing revenue cycle performance and maximizing cash while maintaining compliance with healthcare regulations and payer requirements. The Manager will lead a team of A/R specialists and work collaboratively with other departments to improve cash flow, reduce denials, and enhance financial performance.

Duties and Responsibilities

• Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital.
• Focus the team’s efforts and ensure diligent team follow-up are crucial to this position.
• Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential.
• Hands-on training of staff is a key element of this role.
• Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials.
• Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP’s and process improvement processes.
• Conduct thorough reviews of patient accounts to ensure accuracy of billing codes, patient demographics, and insurance information.
• Implement strategies to improve collection rates and reduce outstanding accounts receivable.
• Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.
• Generate regular reports on team performance, including key metrics performance, data to identify potential issues and develop solutions to improve efficiency and revenue cycle management working with Management and escape trends to Management.
• Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better.
• Identify areas for improvement and implement action plan to resolve payer and denial challenges.
• Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
• Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.).
• Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions.
• Proper utilization of federal and state credit collection regulations and guidelines
• Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations.
• Monitor staff productivity
• Coordinates agenda(s), presents findings on all scheduled conference calls
• Demonstrated level of analytical ability required to research/review patient accounts.
• Prepare and timely submit all Company and client required reports

Knowledge, Skills, and Abilities

• Ability to read and write to perform calculations, prepare reports with supporting documentation.
• Being hands-on with day-to-day activities which may include all PFS areas of the revenue cycle.
• Demonstrates understanding of the entire revenue cycle.
• Assists with problem solving, inquiries, and customer interaction Understands relevant RCM KPIs to analyze and plan strategies to increase cash and reduce AR and AR concepts.
• An understanding of hospital, clinic, and Business Office Operations.
• Proficiency in billing software, electronic health records systems, and data analysis tools.
• Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay.
• Ability to motivate the team, delegate tasks effectively, and promote collaboration.
• Excellent verbal and written communication skills to interact with patients, insurance companies, and internal stakeholders.

Work Experience, Education, and Certifications

• Minimum five (5) years of general hospital business office billing and collections experience, with at least 2 years of Manager level experience
• A proficient understanding of medical office or medical terminology training.
• A high level of professionalism displayed by appearance and conduct.
• Understand critical access hospital business office operations.
• Strong analytical skills to identify and resolve complex billing issues
• High school diploma or equivalent; additional training in medical billing or healthcare administration is a plus.

Working Conditions and Physical Requirements

• Manual dexterity to enter data into and retrieve data from computer.
• Ability to communicate verbally and in writing.
• Ability to sit for long periods of time.
• Ability to move moderately heavy objects (e.g., manuals, boxes of supplies, and light equipment).
• less than 10% travel to client site(s) required.

Benefits

• The base compensation range for this position is: $76,658.60 - $114,987.90
• Compensation ranges could be hourly or salary depending upon the exempt status of the posted position.
• Beginning compensation is determined based on objective factors such as location, qualifications, skills, certifications, and experience.
• Typically, a candidate is hired in the lower to midpoint of the range; the top end of the range is reserved for candidates with extensive specialized experience and mastery within the role.
• Compensation may increase over time based on performance, experience, and tenure.
• Compensation is only part of Ovation's total compensation package.
• Some additional benefits offered to full-time associates are: Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts Wellness platform with premium incentives Employee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance Robust and flexible paid time off offerings and company paid holidays 401(k) plan with discretionary employer match opportunities Professional development opportunities Company issued equipment

Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations.