TEKsystems • Plano, TX 75026
Job #2683520281
Revenue Cycle Experience
Being able to manage a Team of 7+ people and have experience doing so
OPPS/PPS knowledge
OP Knowledge, find out what OP services this candidate has been exposed to
Proficient in Excel (Including VLook ups and Pivot Tables)
Strong understanding of denial management, appeal knowledge, understanding codes, payer trends etc.
Implementing policies and manage team meetings
Payer knowledge especially Medicare and commercial plans
The Collection Manager is responsible for daily functions of the commercial department in accordance with policies and procedures. This position closely
monitors AR collections; directly supervises follow up actions to ensure timely and accurate productivity; solves problems identified by staff and works with payor
to 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 the
business 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 preventing
damage 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 accountability
in underpayment situations, appeals rights, overpayment assertion and timeliness of payment
? Represents collections team by participating on implementation teams and projects
Required 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 refund
requests, 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, work
collection reports, audit accounts, appeal denied claims as necessary, update accounts as necessary, submit and monitor problem claims, identify payor
related 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.
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