Outpatient Medical Collections Manager - Richardson Texas

Company: TEKsystems
Location: Richardson, Texas
Posted On: 04/30/2024

Description:The Collection Manager is responsible for daily functions of the commercial department in accordance with PAM policies and procedures. This position closelymonitors AR collections; directly supervises follow up actions to ensure timely and accurate productivity; solves problems identified by staff and works with payorto resolve trends and issues. This position is highly visible and requires a strong leader with the ability to prioritize, plan and direct the department. Assists thebusiness office in obtaining cash goals and the lowest possible DSO.I. Job Responsibilities--- Manage Rehab OP commercial collection team.--- Train and ensure supervisors are properly trained for their specific roles.--- Review all timely filing adjustments before submitting to upper management.--- Completes random audits to ensure staff is completing assignments properly and efficiently.--- Review all AR reports for completion and appropriateness of notation.--- Report account findings during monthly AR calls, prepare and distribute monthly slide decks for MOR.--- Works to maintain facility Cash, Bad Debt, Aging and DSO within corporate targets.--- Works with facility and payers to address AR trends that impact cash flow.--- Report trends to upper management.--- Reach and trend daily and monthly key performance indicators.--- Assists collectors with next actions on difficult patient accounts.--- Review sources of rebill requests with the billing supervisor and collaborate on ways to prevent rebills where possible.--- Review productivity and complete monthly performance audits on each team member, following up and monitoring collector follow up on balances to ensure actions are progressing towards resolution of balances.--- Refers accounts to supervisor, director, or VP for write-off, accounting reserves, and agency or legal placement.--- Responsible for managing Aging Report properly to insure appeals are sent and followed up timely to prevent missed filing deadlines, prevent balances rolling to the next aging buckets and reduce percentage of AR greater than 90 days old.--- Communicates all denial trends to upper management.--- Reviews escalated accounts within 3 business days of referral by collections team members, returns to team members with recommended next actions, escalates to senior leadership where needed, or works those accounts where necessary to obtain payment. Investigates refund requests, overpayment notifications, and credit balances as required.--- Maintain adequately trained staff to achieve daily productivity requirements--- Responsible for workflow management within the Collection Team and recommendations for process improvement--- Creating processes with a core design of automation and waste reduction, processes and workflow that rely on automation and are designed to eliminate touches wherever possible.--- Provide coaching and development for new training initiatives--- Onboarding, training, coaching and development for New Hires--- Work collaboratively with leadership and other team leaders on issues and creative solutions--- Work with and escalate payer issues where appropriate to Managed Care to address bulk/high dollar payer issues impacting cash collections while preventingdamage to critical payer relationships--- Ensure collection team has knowledge of Contract Terms, State and Federal prompt pay statutes and guidelines to ensure payer compliance and accountabilityin underpayment situations, appeals rights, overpayment assertion and timeliness of payment--- Represents collections team by participating on implementation teams and projectsAdditional Skills & Qualifications:--- Revenue Cycle Experience--- Being able to manage a Team of 7+ people and have experience doing so --- OPPS/PPS knowledge --- OP Knowledge--- Proficient in Excel, Pivot Tables and V Look Ups --- Communication with Operations--- Understands Data and uses it for campaign assignment. For example, denial management, appeal knowledge, understanding codes, payer trends etc. --- Implementing policies and manage team meetings --- Payer knowledge especially Medicare and commercial plansRequired Knowledge, Skills, and Abilities:--- Individual must be able to perform each essential duty satisfactorily to include: management of staff, authorize and review all adjustments and refundrequests, analyze and maintain A/R > 90 days at an acceptable level and ensure all reports are worked within the established guidelines and time frames.--- The Collections Manager is also involved directly with collection efforts on outstanding accounts which includes: telephone contact with payers, workcollection reports, audit accounts, appeal denied claims as necessary, update accounts as necessary, submit and monitor problem claims, identify payorrelated denial trends, and meet or exceed department goals.


About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. More...

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