Job description

Job Title: AR Collections Manager

Job Description

Exempt: Yes
Status: Full-Time
Reports To: Sr. Director of Revenue Cycle
Summary
This position will be responsible for overseeing all cash collection and cash posting duties. Information and materials generated from this department will be in direct supervision of the AR Collections Manager including but not limited to, monitoring key performance indicators to ensure Collectors are staying within assigned adjustment perimeters, monitoring daily collection activity to ensure appropriate collection efforts are being made, training and coaching collection team on best RCM practices, Insurance Contract Management, and direct communication with insurance organizations. This position oversees Collection, Cash Posting and Payor Set Up.
Essential Duties and Responsibilities
include the following. Other duties may be assigned, as necessary.

• Oversee cash collection operational areas: Insurance Verification as needed
• Claim Posting
• Claim Collections
• Refund and Co-Pay processing
• Billing software
• Processes, policies, and procedures
• Integration of Billing and Medical Records procedures for all Mergers and Acquisitions.
• Analyze and rectify claims issues with payers by timely follow up of claim status/payment.
• Reviews and assures claims are processed and paid in full according to contractual agreements. Ensures revenue is booked according to appropriate contract allowable.
• Communicates with branches and other departments to assure resolution of reimbursement issues.
• Communicates and addresses reimbursement issues with management for resolution in a timely manner.
• Handles collections calls promptly with professionalism to payers and/or patients.
• Meet and Maintain Cash Collection Goals and Metrics on a daily and monthly basis.
• Timely Review of Remittance Advice/Correspondence; take appropriate steps to appeal non-payment of claims.
• Utilize payer websites as resources to manage claim status and resolution.
• Report to Manager on any reimbursement issues resulting in non-payment.
• Communication with Executive Leadership on improvements and areas of need to streamline operations in all functional areas.
• Ongoing Communication with Billing, Cash Posting, Insurance Verification and Data Entry.
• Responsible for the Collection Team and Cash Posting Team,
• Maintain system of communication with Accounting Department.
• Maintain reports to keep A/R within agreed upon time frames.
• Review and assist with developing, Collections, Cash and Insurance Verification Policies that effect departmental procedures.
• Ongoing communications with Managed Care Provider Representatives
• Attends and participates in conventions, trade shows and in-services relating to IV therapy.
• Consistently represents the company in a professional manner.
• Maintain effective working relationship and cooperate with all personnel in the Company.
• Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies.
• Perform other duties and responsibilities as assigned.

Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Provide the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible.
• Must possess the ability to multi-task and frequently change direction.

Education and/or Experience

• High School Diploma or equivalent GED is required, at minimum. College or technical college preferred.
• 5-7-years prior billing experience required.
• Strong understanding of insurance terms, medical terminology, pricing methodologies for commercial and government billing requirements.
• Knowledge and understanding of HCPC and CPT codes
• Ability to work independently and within a multidisciplinary team.
• Minimum two years in specialty pharmacy environment.

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.
Comments
This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.

Employee Signature Date

Employee Name (please print)

Job Type: Full-time

Pay: $85,000.00 - $90,000.00 per year

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Cincinnati, OH 45202: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Excel: 5 years (Preferred)
• Customer service: 5 years (Preferred)

Work Location: In person

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