Job Description
The Manager of Patient Collections, reporting to the Senior VP of Revenue Cycle Management (RCM), acts as a strategic leader for all revenue cycle functions and activities with the goal of optimizing revenue. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations.
The Manager of Patient Collections, is accountable for ensuring the coordination of operations, procedures, and best practices for billing, collections and follow up, and denials management for the assigned practices and specialty service lines. Specific functional areas of oversight include payment posting; EDI claims and statement submission; AR follow up for insurance and self-pay; and collections workflows. This position works closely with registration, coding and clinical areas to optimize revenue collection while ensuring a seamless billing experience for patients.
Compensation: $85,000-$100,000
Responsibilities
- Revenue Cycle Management: Oversee the entire revenue cycle, from patient registration to payment posting, ensuring smooth and efficient operations.
- Claims Management: Manage the submission, tracking, and follow-up of insurance claims, minimizing denials and maximizing reimbursement.
- Collections: Implement and monitor effective collection strategies to ensure timely payment of patient accounts and reduce outstanding balances.
- Compliance: Ensure adherence to all relevant healthcare regulations, payer guidelines, and industry standards related to billing and coding.
- Process Improvement: Develop and implement strategies to improve efficiency, reduce costs, and enhance the overall revenue cycle process.
- Communication and Collaboration: Collaborate with other departments, such as coding, billing, and finance, to ensure effective communication and coordination.
- Additional duties as assigned.
Requirements
- Bachelor's Degree Required
- Minimum of 5 years progressively responsible revenue cycle experience Required
- Minimum of 2 years prior revenue cycle experience in a physician-driven Patient Accounts department Required
- Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables) Required
- Track record of employee development
- Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws
- Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing
Benefits
- Health
- Dental
- Vision
- 401K
- PTO
#INDM2
Qualification
Bachelor's Degree
Key skill Required
- Accounts
- Billing
- Claims Management
- Collaboration
- Communication
- Compliance
- Coordination
- Development
- Effective Communication
- Finance
- Healthcare
- Industry Standards
- Insurance
- Insurance Claims
- Management
- Microsoft Excel
- Patient Registration
- Payment Posting
- Process Improvement
- Reimbursement
- Reporting
- Revenue Cycle Management
- Surgery
- VLOOKUP