Job Description

Job Description:

Reporting to the Director of Accounts Receivable, the Accounts Receivable (AR) Manager is a key member of the Fiscal AR team responsible for the direct management of the accounts receivable for the organization’s multiple lines of business, Skilled Nursing Facilities (SNF), Residential Care Facilities (RCFE), Outpatient Therapy Clinics, Acute Psychiatric Hospital, Community Clinic, Continuing Care Retirement Communities (CCRC) and Hospice. The AR Manager oversees all billing follow up and denial management activities, all SNF business office functions and provides leadership and direction to all billing staff within the Fiscal AR Team. The AR Manager will oversee, enhance and maintain a high functioning team through staff development, work integrity, continuous process improvement and performance monitoring.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Provides supervision and management over the organization’s accounts receivable and business office systems.

Manages the AR follow-up and Denial Management operations toward achievement of financial, productivity, and quality goals.

Works with the AR Director to identify department training needs for system education, industry updates, and changes in processes and protocols.

Works with the staff to ensure that employee productivity and quality standards are met.

Utilizes reporting and analytics to track key performance metrics and trends and identify process-improvement opportunities.

Provides superior customer service to our residents, and external and internal customers.

Develops and monitors policies and practices for compliance.

Develops goals for the Fiscal AR team.

Stays current on industry regulations, Federal/State laws, and revenue cycle best-practices.

Provides AR Director with weekly and monthly feedback on AR performance and continuous improvement efforts.

Other duties as assigned.

SUPERVISORY RESPONSIBIILTIES:

Function as coach and mentor to the staff for whom this position is responsible

Participates in the Orientation and training of newly hired staff members

Develops ongoing training programs to enhance skills, knowledge & productivity of employees

Provides leadership and direction to the staff for whom responsible in order to maintain a work environment that promotes the creative development of ideas and allows employees to meet and/or exceed expectations and established standards of performance

Monitors and measures performance of those staff reporting to this position. Addresses concerns or weaknesses and takes appropriate action to ensure issues are resolved. Ensures that staff are working as efficiently, as accurately and as productively as possible.

Ensures the compliance and/or oversees the compliance with all policies and procedures by staff. Recognizes exemplary compliance. Initiates appropriate corrective action in instances of noncompliance.

Makes decisions and takes actions essential to the daily operation of the work area(s) for which responsible.

QUALIFICATIONS & EDUCATION:

Education:

High School Diploma or GED required; Basic accounting course and /or degree preferred

Qualifications:

At least five years healthcare revenue cycle supervisory or management experience required.

Proven and results-oriented ability to build and lead an effective AR follow-up and denials management team.

Excellent working knowledge of SNF medical insurance billing and follow-up procedures and a deep understanding of HMO, PPO, Medicare, Medi-Cal, Medi-Cal Managed Care and indemnity plans.

Experience using SNF billing systems required; experience with Matrixcare software systems is a plus.

Must possess excellent organization, time management, and communication skills.

Strong Microsoft Office skills required.

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