About the role
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. A Manager, AR Solutions may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Plan, direct, and coordinate revenue cycle operations from point of entry to accurate adjudication of patient accounts, managing inventory from integration to close.
Develop and implement third party revenue cycle processes and efficiencies.
Ensure revenue cycle policies, procedures and standards are appropriate, compliant and updated timely.
Experienced in managing offshore resources across multiple time zones, ensuring effective communication, workload distribution, and project delivery.
Regularly provide upper management with revenue cycle status including reports, metrics, and presentations.
Develop, monitor, and assess business metrics to refine processes and maximize cash collections.
Identify external benchmarks and establish internal goals.
Implement client specific performance measures and monitoring tools, and quickly and proactively respond to revenue cycle issues.
Evaluate employee performance; educate, guide, counsel and develop staff and address performance management concerns.
Ensure that Key Performance Indicators are met.
Continuously analyze and report staffing requirements.
Other duties as assigned.
MINIMUM QUALIFICATIONS & REQUIREMENTS:
Bachelors in Business or Healthcare Management preferred
Minimum 3 years management experience
Proficiency in MS Office applications (Excel, Word & Outlook) is required
Proficiency in reading, writing and arithmetic to investigate claims issues, appeal denied claims, and understand how to apply contract rates
Must demonstrate strong verbal and written communication skills
Must have strong analytical and troubleshooting skills
Ability to multitask
Ability to work efficiently, in an organized fashion, and meet daily and monthly department performance goals
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Originally posted on Himalayas