Manager, Professional AR - Commercial

Carle; Champaign (IL); On-site; USD 73,000 - 126,000; Full time

Job summary

Carle Health is seeking an experienced leader to manage the Professional accounts receivable for commercial payers. You will oversee daily operations of the business office, direct staff, and ensure accurate and timely collections across multiple lines of business.

Working with Finance and IT, you will implement systems, maintain internal controls, and monitor department budgets to meet productivity and quality goals.

Qualifications

• Bachelor's degree in Accounting, Finance or related field.
• Leadership experience in accounts receivable.

Responsibilities

• Manages day-to-day operational processes for multiple lines of business to facilitate AR management.
• Maintains knowledge of all job functions and systems.
• Communicates effectively with internal and external customers.
• Hires, trains, disciplines, supervises, and motivates all employees.
• Maintains internal controls and policies over revenue cycle activities.
• Collaborates with IT to improve revenue cycle systems and processes.
• Assists in annual budgeting for the department.
• Monitors department expenditures monthly.
• Works with clinical leadership for billing to ensure clinical and financial operations.
• Handles quality assurance/compliance as required.
• Analyzes financial data to monitor performance and benchmarks.
• Supports initiatives across department and enterprise-wide.
• Engages in monthly staff rounding and reporting per Carle Experience.
• Works with Finance/Accounting on revenue reporting for providers.
• Serves as SME for billing, credits, denials and reimbursement.
• Proficient with Epic, Meditech, and Mediquant.

Skills

Accounts receivable leadership

Education

Bachelor's Degree: Accounting

Bachelor's Degree: Finance

Bachelor's Degree: Related Field

Tools

Epic

Meditech

Mediquant

Job description

Overview

Provides leadership, oversight, administrative support and direction in the management of the Professional accounts receivable for commercial payers. Oversees the business office operations to ensure effective and efficient accounts receivable management. Accountable for personnel related duties that include interviewing, job performance evaluations, disciplinary actions, payroll reporting, and enforcing required rules and regulations. Manages resources to meet budgetary, productivity, quality and customer service requirements. Manages resources to ensure timely follow up and collection of outstanding Professional commercial receivables.

Qualifications

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

Responsibilities

• Manages the day to day operational processes for multiple lines of business to facilitate effective accounts receivable management.


• Maintains ongoing knowledge of all job functions performed in the areas being managed as well as maintains a thorough working knowledge of all of the systems utilized to perform the work in the areas being managed.


• Communicates effectively with internal and external customers.


• Hires, trains, disciplines, supervises, and motivates all employees.


• Maintains appropriate internal controls, written policies and procedures and safeguards over revenue cycle activities.


• Identifies, discusses, plans and implements (with assistance from Information Technology and Systems) the applications, systems or modifications which will enhance the enterprises revenue cycle systems.


• In collaboration with the Director of Financial Services prepares annual budget for department.


• Monitors, verifies and reconciles department expenditures on a monthly basis.


• Collaborates with the clinical leadership of service areas and hospitals this role is responsible for billing to ensure effective clinical and financial operations.


• Handles quality assurance/compliance matters as required and expected per policy and Code of Conduct.


• Contributes, interprets and analyzes financial data to identify and monitor performance and establish financial benchmarks for the department.


• Facilitates and collaborates on initiatives within the department, in clinical operational areas and enterprise wide.


• Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding with staff and completion of all reports needed to have meaningful and productive monthly meetings.


• Works in conjunction with Finance/Accounting to ensure accurate tracking, capturing and reporting of revenue, payments and adjustments for assigned providers.


• Serves as the Carle Health PB Commercial subject matter expert related to billing, credit balances, denials and reimbursement.


• Proficient within associated system applications for assigned portfolios, including but not limited to Epic, Meditech, and Mediquant.


• Maintains working knowledge of CPT, ICD, HCPCS code sets as well as HIPAA transaction code sets and payer rules and regulations.


• Creates, updates, maintains, adheres and enforces all Carle administrative and departmental policy 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 nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals 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 BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. 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 $35.1per hour - $60.37per 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.