Manager, Outpatient Accounts Receivable-Collections

Oceans Healthcare; Lafayette (LA); On-site; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization is seeking a Manager, Outpatient Accounts Receivables-Collections in Lafayette, LA. This role is responsible for managing billing, collections, and denial management for outpatient programs. The ideal candidate will supervise accounts receivable representatives, ensure compliance with policies and regulations, and collaborate with hospital staff to meet financial goals. A Bachelor's degree in relevant fields is required, along with extensive experience in a high-volume environment. Skills in Microsoft Office and strong communication abilities are essential.

Qualifications

• Extensive experience with insurance plan benefits interpretation and billing requirements.
• Experience managing a high volume, fast-paced workload.
• Coding credentials preferred, such as RHIA, RHIT, CCS-P, or CPC.

Responsibilities

• Lead billing, collections, and denial management activities.
• Supervise AR Representatives for timely billing and collections.
• Collaborate with revenue cycle departments for efficient operations.

Skills

Microsoft Word

Microsoft Excel

Revenue analysis

Process improvement

Accounts receivable management

Strong communication skills

Time management

Education

Bachelor’s degree in accounting, Finance, Business Administration, or Health Information Management

Job description

The Manager, Outpatient Accounts Receivables-Collections is responsible for leading the billing, collections, and denial management activities for all outpatient and partial hospitalization programs for Oceans Healthcare, providing a high level of operational effectiveness and interaction and collaboration with relevant hospital staff such as the hospital administrator, outpatient program managers and utilization review. This position will be responsible for managing and creating processes within Revenue Cycle as well as at the hospital level to facilitate optimal billing efficiencies, patient advocacy, and financial outcomes. This position will manage staff responsible for accounts receivable management, billing compliance, and quality reviews for payer accuracy in our revenue cycle systems. The job will also include creating reports, analyzing data, and oversee all monthly close processes.

Essential Functions

• Supervises and evaluates the work performed by AR Representatives to ensure accurate and timely billing and collections efforts.
• Establishes and monitors controls and review mechanisms for every process to ensure systems and procedures are following correctly.
• Conducts regular periodic staff meetings to inform staff of changes in policies, procedures, or other relevant information.
• Monitors workload and performance for staff daily, utilizing quantitative productivity reports.
• Collaborates with the VP of Revenue Cycle to set the financial performance goals and determines plans, priorities, and work assignments to achieve them.
• Coordinates operations with other revenue cycle departments, Utilization Review/ Case Management, and site leadership to ensure streamlined collections work/low
• Ensure all activities are supportive of Internal Audits, Compliance, Safety, TJC, EMTALA and HCAHPS Initiatives.
• Manage and coordinate activities related to staff, including Interviewing, hiring, staffing, training, and counseling.
• Performs other duties and projects assigned.

Education / Experience

• Bachelor’s degree in accounting, Finance, Business Administration, or Health Information Management or equivalent education and work experience.
• Must have extensive experience with interpretation of insurance plan benefits, conditions of payment, and billing requirements.
• Must have extensive experience with managing a high volume, fast-paced workload, Coding credentials (RHIA, RHIT, CCS-P, CPC etc.) preferred but not required.

Skills / Abilities

• Experience in Microsoft Office such as Microsoft Word and Excel.
• General understanding of all revenue cycle functions and interrelationships.
• Hands on experience and knowledge in revenue analysis, process improvement, AR management and systems development/implementation.
• Must be versatile, flexible, and able to perform in stressful situations.
• Must have good time management and organization skills.
• Strong written and oral communication skills.
• Must be able to organize and prioritize high volume workload.
• Extensive experience with data entry.
• Must be able to function with minimal supervision and complete understanding and respect for confidentiality.

Work Environment

Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be highly paced and stressful; must be able to cope mentally and physically to atmosphere. Work requires spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.