Job Description
Manager of Revenue Medical Collections
- Initially focused on Medical Collections
- Lead the collections team in the strategy, execution and productivity of medical balances including ensuring timely follow up, resolution to underpayments, overpayments and claim denials
- Lead process improvement activities to ensure the team is as effective and compliant.
- Coordinate daily process workflow and establish team priorities.
- Track productivity, enter, monitor, and audit data in various electronic data sets/platforms.
- Adhere to all HIPAA guidelines and regulations.
- Potential flex schedule to accommodate West Coast operations.
- Based on your experience, you could grow and assume responsibility over one or more of the areas below and cross train to support and assume responsibility of other areas as company needs change:
- Authorizations
- Support and manage the authorization specialists to ensure the timely receipt, renewal and follow up for pre-authorizations to enable field practitioners to serve families.
- Client Collections:
- Oversee the client collections specialist and provide support with patient invoicing, patient follow up question, provide complaint resolutions and develop payment plans where relevant.
- Billing:
- Lead the billing department by ensuring timely billing, re-billing and secondary claims to support the resolution of outstanding balances, in addition to updating and informing the team on payer billing guidelines.
- Credentialing:
- Oversee the credentialing department to ensure all relevant information has been sent to the Company's 50+s funding sources and continuous monitoring of payor requirements for re-credentialing and required certifications.
What Are Your Qualifications
- Team leadership experience in the Healthcare field and medical collections
- Strong knowledge of Excel
- Understanding commercial insurance benefit verification
- Team player who thrives in an environment of excessive communication and collaboration
- Ability to handle multiple priorities simultaneously and prioritize to meet deadlines in a fast-paced environment
- Demonstrated ability to be an independent thinker and problem solver
- Discretion and diplomacy with confidential information
- Strong attention to detail, highly organized, and process driven
- Excellent written and verbal communication
- Proficient computer skills including Microsoft Office Suite and other data systems
Job Tags
Flexible hours,