A/R Manager Full Time in Exton, PA
Company Name:
Tenet
Title: A/R Manager Full Time in Exton, PA
Location: PA-Exton
Other Locations:
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutionsis a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through ourrevenue cycle management,patient communications, andvalue-based caresolutions, we empower healthcare decision makers--hospitals, health systems, physicians, self-insured employers, and payers--to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Conifer Health Solutions is currently hiring for an A/R Manager in Exton, PA.
JOB SUMMARY
Responsible for managing the follow-up functions of Managed Care and Commercial payors for all patient accounts, and for working with designated payors to ensure proper reimbursement. Manages and coordinates team efforts between Departments.
Ensures compliance with state and federal laws and regulations for Managed Care and other third party payors.
Maintains a thorough understanding of Managed Care concepts including HMO, PPO, POS, EPO and capitation.
Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
Monitors collection processes to determine cash flow improvement opportunities.
Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors.
Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols.
Works with A/R Supervisors and staff to ensure that employee productivity and quality meets standards.
Manages desk assignments to meet employee productivity and collection efforts across all client facilities.
KNOWLEDGE, SKILLS, ABILITIES
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.
Advanced knowledge of healthcare A/R.
Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Proficient in Microsoft Office (Word and Excel).
Ability to plan and implement process improvements.
Ability to train and coach staff.
Ability to multi-task.
Strong leadership and organizational skills.
EDUCATION / EXPERIENCE
Includes minimum education, technical training, and/or experience preferred to perform the job.
4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred.
5 - 7 years of experience in Healthcare Administration or Business Office.
2 - 3 years supervisory experience.
CERTIFICATES, LICENSES, REGISTRATIONS
HFMA-Patient Accounts or Hospital Accounting Certification encouraged.Estimated Salary: $20 to $28 per hour based on qualifications.
Tenet
Title: A/R Manager Full Time in Exton, PA
Location: PA-Exton
Other Locations:
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutionsis a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through ourrevenue cycle management,patient communications, andvalue-based caresolutions, we empower healthcare decision makers--hospitals, health systems, physicians, self-insured employers, and payers--to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Conifer Health Solutions is currently hiring for an A/R Manager in Exton, PA.
JOB SUMMARY
Responsible for managing the follow-up functions of Managed Care and Commercial payors for all patient accounts, and for working with designated payors to ensure proper reimbursement. Manages and coordinates team efforts between Departments.
Ensures compliance with state and federal laws and regulations for Managed Care and other third party payors.
Maintains a thorough understanding of Managed Care concepts including HMO, PPO, POS, EPO and capitation.
Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
Monitors collection processes to determine cash flow improvement opportunities.
Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors.
Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols.
Works with A/R Supervisors and staff to ensure that employee productivity and quality meets standards.
Manages desk assignments to meet employee productivity and collection efforts across all client facilities.
KNOWLEDGE, SKILLS, ABILITIES
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.
Advanced knowledge of healthcare A/R.
Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Proficient in Microsoft Office (Word and Excel).
Ability to plan and implement process improvements.
Ability to train and coach staff.
Ability to multi-task.
Strong leadership and organizational skills.
EDUCATION / EXPERIENCE
Includes minimum education, technical training, and/or experience preferred to perform the job.
4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred.
5 - 7 years of experience in Healthcare Administration or Business Office.
2 - 3 years supervisory experience.
CERTIFICATES, LICENSES, REGISTRATIONS
HFMA-Patient Accounts or Hospital Accounting Certification encouraged.Estimated Salary: $20 to $28 per hour based on qualifications.
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