Manager Collections

Methodist Health System; Dallas (TX); Hybrid; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking healthcare organization as the Manager of Collections Physician Billing, where you'll lead a dedicated team in optimizing revenue cycle management. This role is pivotal in ensuring timely resolution of payer denials and enhancing reimbursement across all payers. With a focus on collaboration, you'll work closely with various departments to address complex issues and implement best practices. The position offers flexibility with potential hybrid or remote options, making it an exciting opportunity to make a significant impact in a compassionate, quality-driven environment.

Qualifications

• 2+ years in healthcare leadership required.
• Strong understanding of payer guidelines and billing practices.

Responsibilities

• Manage AR follow-up and denials management processes.
• Develop strategies for claim follow-up and appeals.

Skills

Healthcare Leadership

Denials Management

Revenue Cycle Management

Data Analysis

Team Development

Compliance Knowledge

Education

High School diploma/GED

College degree in relevant field

Tools

Epic System

Job description

Hours of Work : 40

Days of Week : Mon-Fri

Work Shift :

Job Description :

Your Job: The Manager of Collections Physician Billing oversees the AR follow-up team for a Multi-Specialty and Family Practice service line, ensuring timely resolution and maximizing reimbursement across all payers. The role requires a strong understanding of payer guidelines, billing practices, and team leadership to drive performance and meet organizational goals. The manager collaborates with billing, coding, vendors, and compliance departments to address denials and lead the AR follow-up and appeals process, developing staff and ensuring best practices in revenue cycle management. The position may be hybrid or remote, depending on departmental needs.

Your Job Requirements:

• High School diploma/GED or equivalent healthcare experience with 2 years in healthcare leadership, or a college degree with relevant experience.

Your Job Responsibilities:

1. Denials Management Oversight: Manage all aspects of AR follow-up and denials management, including tracking, investigating, and resolving payer denials per guidelines.
2. Follow-up and Appeals Strategy: Develop and implement follow-up and appeal strategies, including automation, ensuring accurate and timely claim follow-up and persuasive appeals compliance.
3. Revenue Integrity Collaboration: Work with leadership to ensure claim accuracy and documentation for services, collaborating with Revenue Integrity to enhance charge capture and reduce revenue leakage.
4. Team Management & Development: Hire, train, mentor, and develop staff, fostering teamwork, accountability, and continuous improvement with ongoing coaching.
5. Compliance & Payer Relations: Stay updated on industry standards, payer guidelines, and regulations; act as the primary contact for payer audits.
6. Data Analysis & Reporting: Analyze denial trends, report metrics, and develop strategies to reduce denials and improve reimbursement.
7. Process Improvement: Lead initiatives to address denial issues, aligning billing, coding, and clinical teams, and optimize workflows.
8. Departmental Collaboration: Collaborate with clinical, coding, and other teams to resolve complex denial issues related to documentation and claims.
9. Epic System Utilization: Use Epic and other systems to manage denials, ensuring workflow optimization for accurate charge capture and claims submission.
10. Perform other duties as assigned to support department goals.
11. Ensure compliance with all regulations and policies.

Methodist Health System is a faith-based organization committed to compassionate, quality healthcare. With a history spanning nearly a century, it operates 12 hospitals and numerous clinics, offering advanced medical services and fostering innovative research. Recognized as a top employer, Methodist has received numerous awards, including recognition from TIME magazine, Great Place to Work, and PressGaney.