Job Description

JOB SUMMARY:
Reports to the Manager of Revenue Cycle Regional AR. Is accountable and responsible for the daily operations and all staff who are assigned to area of supervision within Revenue Cycle Regional AR and oversight of associated portfolios. Provides leadership, recommendations, administrative support and direction in the management of the accounts receivable for their specific region. Analyzes the business office operations to ensure effective and efficient revenue cycle management. Accountable for personnel related duties that include interviewing, job performance evaluations, disciplinary actions, payroll reporting, and enforcing required rules and regulations. Assists in management of resources to meet budgetary, productivity, quality and customer service requirements. Manages resources to ensure timely follow up and collection of outstanding receivables.

EDUCATIONAL REQUIREMENTS
Associate's Degree in Business, Finance, Accounting or related field

EXPERIENCE REQUIREMENTS
3 years experience in healthcare revenue cycle operations, preferably in the business office.Proficiency in designated platform(s) within the first 18 months

SKILLS AND KNOWLEDGE
Must demonstrate tact and diplomacy in interpersonal interactions, in addition to maintaining composure in confrontational situations. Requires strong oral and written communication skills, analytical and problem resolution skills, and customer service skills. Ability to multi task and adhere to work plans and timelines. Ability to remain comfortable and composed while working under pressure in various situations. Ability to lead teams and manage resources to successfully complete specific projects, goals, objectives and initiatives. Ability to analyze financial data and apply the analysis towards effective decision making. Must keep up to date on all regulatory requirements. Requires knowledge of supervising and training personnel, coordinating activities of subordinates in billing and collection, third party reimbursement methods, multi-billing systems, and computer applications. Collaborates and coordinates with all third parties that have been hired to assist in the management of the accounts receivable.

ESSENTIAL FUNCTIONS:

• Oversee daily department flow, ensures appropriate staffing and optimal productivity and quality levels of the staff compared against pre-determined performance standards to facilitate effective accounts receivable management.
• Maintains ongoing knowledge of all job functions performed in the areas being supervised as well as maintains a thorough working knowledge of all of the systems utilized to perform the work in the areas being supervised.
• Proficient within associated system applications for assigned portfolios, including but not limited to Epic, Meditech, and Mediquant.Maintains working knowledge of CPT, ICD, HCPCS code sets as well as HIPAA transactions code sets and payer rules and regulations.
• Works in conjunction with Manager to ensure effective clinical and financial operations through partnership with other internal departments. In collaboration with the Manager of Revenue Cycle Regional AR, provides input and follows annual budget for department.
• Creates and manages staff schedules, completes time card review and approval and manages paid leave requests from staff.Ensures staff members are adequately trained and are competent to perform all required job tasks.
• Communicates effectively with internal and external customers.Maintains appropriate internal controls and safeguards over revenue cycle activities.
• Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures. Initiates and completes staff performance evaluations and annual reviews.Acts as a resource and mentor to others.Supports Manager by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department.
• Kronos/time keeping responsibilities for all staff.Serves as a first point of contact for system analysts for issues related to system performance and enhancements across Revenue Cycle.
• In collaboration with Manager, conducts regularly scheduled meetings with staff, facilitates and collaborates on initiatives with department, enterprise wide and with external entities. In addition, assists employees in solving work related matters.
• Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding with staff and completion of all reports needed to have meaningful and productive monthly meetings with supervisor.
• Handle quality assurance/compliance matters and escalated account issues as required and expected per policy and Code of Conduct. Participates in appropriate continuing education or certification activities.Ensures outstanding accounts receivable performance by maximizing cash, minimizing bad debts and preventing aging of the portfolio beyond the acceptable time frame.
• Prepares and analyzes management summary reports and communicates findings to the appropriate parties including comprehensive end of month analysis on associated business lines.
• Creates, updates, maintains all departmental policies and procedures to ensure best practices are enforced and adhered to.
• Collaborates with internal management teams in order to identify best practice and process flows within associated business lines.Partner with Accounting and Systems as necessary to ensure accurate tracking, capturing, and reporting of revenue for assigned portfolios.
• Identifies opportunities for system enhancements and assists with the implementation (in conjunction with Revenue Cycle Systems) and the monitoring of the process once completed.All other duties as assigned.

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