COMPANY SUMMARY:
To achieve and maintain our high-quality standards, we see to partner with physicians and staff who share our vision, values and brand promises and are dedicated to advancing our culture. QualDerm providers and staff are well-trained, highly skilled and recognized as leaders in the specialty of dermatology.
We currently have 158 practices in 17 states, spanning across the full spectrum of dermatology, skin cancer care, cosmetics, plastic surgery, and pathology with continued plans to expand further across the nation.
We will partner with you to establish the best combination of environment, technology, teamwork and personal reward opportunities to earn your confidence that we are your best place to work.
PURPOSE:
Reporting to the Senior Director, Credentialing and Revenue Cycle, the Manager, Accounts Receivable, is responsible for daily performance and oversight of revenue cycle services, specifically, Accounts Receivable and follow-up activities.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Assist with standardization and optimization initiatives for in-house RCM processes in coordination with other RCM leaders and initiatives
- Accountable for assigned revenue outcomes and Key Performance Indicators (KPIs) as determined by leadership
- Creates standard operating procedures in coordination with leadership
- Assists with management of continuous improvement activities and quality improvement
- Manage all legacy accounts receivable activities/run-down for acquired practices including billing, A/R follow-up, insurance and patient refunds and collection of patient balances
- Keep updated with current payer guidelines and reimbursement policies
- Monitor payer trends in rejections and denials and assigns team to work these in a timely manner
- Reports trends in a timely manner to leadership as well as corrective action plans
- Lead team meetings as assigned
- Participates in audit activities in conjunction with finance/accounting team
- Assist with bad debt collection process as directed
- Provide assistance and oversight for patient billing calls when needed
- Ensures all returned patient mail is researched and updated to correct addresses and statements are re-sent
- Develops team including staff training and development, performance management, key performance indicators and reporting
OTHER FUNCTIONS:
- Maintains regular and predictable attendance.
- Performs other essential duties as assigned.
- Maintain professional licensure/certifications as applicable.
- Travel to other jobs or office locations as applicable.
SKILLS AND QUALIFICATIONS:
- Knowledge of medical practice and care.
- Knowledge of common safety hazards and precautions.
- Skilled in identifying and resolving problems.
- Ability to maintain records and record test results.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to multitask in a busy office with numerous interruptions.
- Ability to use good reasoning and judgment and react calmly in emergency situations.
- Ability to establish and maintain effective working relationships with patients, medical staff, co-workers and the public.
- Ability to read, write and communicate effectively orally and in writing to English.
- Knowledge of medical terminology.
- Proficiency in the operation of a computer keyboard and ability to work effectively with Microsoft Office Products.
- Handling of Protected Health Information (PHI) for duties related to document and report preparation. Policies and Procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.
- Understand HIPAA security policies, procedures, expectations, and professional responsibilities related to area and staff.
EDUCATION AND/OR EXPERIENCE REQUIREMENTS:
- Bachelor’s degree preferred
- 5-7 years of progressive revenue cycle management experience within a large healthcare organization experience
- Experience in revenue cycle areas including patient access, registration, billing, AR/follow-up, collections
- Strict attention to detail
- Ability to meet deadlines in a fast paced, start-up, results-oriented environment
- Excellent verbal and written communication skills
- Proficient Microsoft Office Suite products, specifically Excel and ability to analyze large data sets; advanced analytic skills and experience in developing revenue cycle outcome-driven metrics
- Ability to collaborate and work in a team environment
BENEFITS OF JOINING QUALDERM PARTNERS:
- Competitive Pay
- Medical, dental, and vision
- 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested
- Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 Floating Holidays
- Company paid life insurance and additional coverage available
- Short-term and long-term disability, accident and critical illness, and identity theft protection plans
- Employee Assistance Program (EAP)
- Employee Discounts
- Employee Referral Bonus Program
QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.