Note: The job is a remote job and is open to candidates in USA. OrthoVirginia is the largest provider of musculoskeletal care in Virginia, offering expert orthopedic and therapy services. The Accounts Receivable Manager is responsible for leading a team to ensure effective billing and accounts receivable operations, enhancing operational efficiency, and supporting strategic initiatives within the revenue cycle.
Responsibilities
- Responsible for holding self and team members accountable for meeting performance expectations
- Assist in setting and maintaining department standards
- Assist with responsibilities of one on one and general staff meetings
- Assist in training and remediation as needed
- Supports leadership in oversight of designated Revenue Cycle Management domestic and offshore staff as needed to ensure all RCM functions are worked within the established timeframes
- Works with staff to resolve discrepancies and improve accuracy
- Maintains a strong working knowledge of both upstream and downstream processes
- Improves processes within department emphasizing quality and efficiency, while identifying and removing bottlenecks
- Prepares reports as needed for various departments and leadership
- Anticipates and resolves problems demonstrating good judgment
- Report audit metrics for employees to monitor accuracy and productivity rates
- Identify trends and root causes related to inaccurate insurance billing, and report to manager while resolving account errors
- Conduct team meetings to educate on insurance guidelines, claim denials, and re-training efforts as needed
- Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account
- Keeps abreast of all reimbursement billing procedures of third-party payors
- Develop and maintain working knowledge of current DME products and services offered by the company
- Maintain patient confidentiality and function within the guidelines of HIPAA
- Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback
- Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards
- Establishes annual goals and objectives for the department based on the organization’s strategic goals
- Perform other related duties as assigned
Skills
- A bachelor's or associate degree in Healthcare Administration, Finance, Accounting, or a related field is required
- Two-Five years' relevant experience in healthcare accounts receivable management, claims processing, and medical terminology training are required
- Strong ability to co-manage in a multi-site/state environment
- Independent Thinker and Decision Maker
- Strong analytical and problem-solving skills with attention to detail
- Excellent verbal and written communication
- Excellent customer service skills
- Proficient computer skills and knowledge of Microsoft Office specifically Excel and PowerPoint
- Ability to prioritize and manage multiple projects
- Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
- Working experience with 270/271, 276/277 and 835/837 files
- Epic experience required
Company Overview