Job Description
Job Title and ID:#Manager Accounts Receivable #30008655
Duration: 6+ months contract(Possibility of extension)
Location: Philadelphia, PA 19104
Job Description:
The Manager of Accounts Receivable Analysis requires a detailed understanding of billing/collections, contracts, governmental regulations, and overall project management. This individual serves as lead management liaison to PARC and external third-party payors; and is responsible for reporting and working to resolve reimbursement issues, communicating with, and educating staff on billing procedures and other related concerns. Responsibilities include preparation for and conducting all monthly external/internal payor meetings to discuss obstacles in billing, claims, payments, and receivables. Responsibilities also include communicating and meeting with peers of other billing departments to identify and address common issues. Individuals will also assist with contract analysis and forecasting. This individual will need to conduct account receivable audits, and partner with the Revenue Cycle Manager to communicate findings and assist with developing work plans. Must be able to prioritize and work on several projects at once, work well with hospital, other CHOPPA departments, CAA billing staff, other divisional contacts, and have excellent communication and analytical skills; must possess the ability to manage people and processes.
Roles and Responsibilities:
- Conducts revenue cycle assessments and assists with the implementation of process improvement recommendations.
- Structures and conducts regular revenue cycle assessments/audits by payor or service on a weekly and monthly schedule, and as outlined in an annual operating plan.
- Assessments will be based on monthly reviews of standard reports (e.g., collection reports, aged A/R, credits, etc.) and issues collated by A/R staff as part of monthly collection efforts. Supervises and directs the priorities of the Business Operations Analyst in routine and ad hoc reporting.
- Oversees preparation of formal reports which will document revenue cycle assessment findings, identify opportunities for improvement, identify the responsible party or owner of each opportunity, and show financial metrics for all revenue-related opportunities.
- Coordinating with the Revenue cycle manager to identify improvements and additional audits/follow-ups needed.
- Additional data review/assessments will need to be completed following the investigation with the AR Team.
- Uses project management and process innovation methodology in all revenue cycle assessments and implementations.
- Partners with clinical and administrative leaders in conducting and interpreting revenue cycle assessments whenever possible to promote a shared vision; and approach to potential changes.
Knowledge, Skills, and Abilities:
- Very strong analytical, and computer skills are required.
- Advanced knowledge of Microsoft Office Suite, especially Excel and PowerPoint; Strong capacity for data management.
- Advanced experience with Excel and/or database functions.
- Familiarity with EPIC system preferred.
- Ability to identify problems and find creative, effective solutions.
- Understanding of complex insurance issues.
- Excellent verbal and written communication skills.
- Excellent interpersonal skills and phone etiquette.
- Ability to serve as resource and liaison for multiple parties.
Education and Experience:
- Bachelor’s Degree: Business / Healthcare
- Required Work Experience At least seven (7) years.
- physician/hospital billing in an academic setting Preferred.
- Required Hospital Billing