POSITION SUMMARY

The Accounts Receivable & Collection Manager is responsible for the oversight of the daily operation of AR, Aging, Payment Posting, and Collection through the direct management of the AR/Payment Posting/Collection team. This position is responsible to ensure the accuracy and timeliness of payments. This includes the successful resolution of outstanding patient and payer payments, claim denials, underpayments, incorrect payer adjudication, payment appeals and grievance, amongst other related activities. This position works closely with AR Medical Payment Supervisor and Finance team.

Work is typically performed in an office environment, but this position may have the option to work from home. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. 

REPORTING RELATIONSHIPS

The position reports to the VP, Controller Revenue Cycle. Staff that are dedicated Medical Payment and Accounts Receivable report to this position.

ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Accounts Receivable & Collections Manager will:

• Manage the daily workload of the AR/Payment Posting/Collection team
• Ensure payments are posted with 5 – 7 days of bank deposit
• Monitor AR over 60 days 
• Monitors collection processes to determine cash flow improvement opportunities
• Ensure compliance with federal/state laws and regulations and billing and collection policies in order to facilitate attainment of Accounts Receivable targets
• Perform ongoing trend analysis to ensure compliant contractual third-party payer reimbursement and work with appropriate individuals to resolve discrepancies
• Actively participate in staff development, training and assessments to support industry best practice
• Perform ongoing trend analysis of third party payer denials. Develop training programs for billing, and coding staff to reduce/eliminate denials.
• Establish and monitor best practice and standards to control the integrity and quality of data throughout the revenue cycle 
• Prepare weekly aging report (if necessary) for items that need to be followed up with insurance carriers 
• Review applicable denial sheets and ensure all accounts are worked timely by the staff
• Implement and monitor collection procedures, minimizing contractual and bad debt write-offs and maximize cash collection
• Responsible for documenting and implementing policies and procedures 
• Establish and maintain proper internal control
• Assist the VP, Controller Revenue Cycle with compliance and site review of Chapter 16 (Billing and Collections) of the Health Center Program Compliance Manual then in effect issued by HRSA’s Bureau of Primary Health Care to maintain TWCCH’s accreditation as a Look-Alike and promote readiness for a new access point FQHC designation 

QUALIFICATIONS

• Bachelor’s or Associate Degree in Accounting/Finance/Healthcare Administration, or related field preferred, equivalent experience considered
• 3-5 supervisory experience required
• 6-10 years’ experience in Accounts Receivable and Collections
• Strong analytical thinking
• Excellent verbal and written communication skills
• Detail oriented and timely delivery of projects 
• Excellent problem solving, time management and organizational skills
• Experience with electronic medical records 
• FQHC multi-specialty billing and coding experience preferred
• Experience in Excel and Word preferred