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Accounts Receivable Manager
JOB SUMMARY
The Accounts Receivable Manager for Value-Based RCM, Inc. (VBRCM) is responsible for using their skills as an experienced revenue cycle leader to ensure the timely resolution of AR.
MAJOR AREAS OF FOCUS
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Medical Billing
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Denial Resolution
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Payer Rules and Regulations
RESPONSIBILITIES
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Produce and analyze standard AR and collections reports, and to lead a team of Third-Party Follow-up employees
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Lead and mentor an AR Analyst team
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Plan, organize, and monitor the AR process to ensure the management and coordination of a fully integrated collections process, debt management functions, financial reporting, policies, procedures, and processes that mirror VBRCM’s Mission
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Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
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Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
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Serve as escalation point for team and resolves customer account disputes by obtaining and investigating information from other departments as needed
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Coordinate the resolution of potential system and payer issues
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Work exclusively with key customer accounts to ensure timely AR resolution
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Perform necessary follow-up to ensure timely resolution of appeals, obtain updated insurance information, identify and correct billing errors, etc.
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Remain up to date on Medicare and Medicaid laws, HCFA requirements, contractual arrangements and other third-party payer requirements
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Apply knowledge of third-party payer guidelines in reviewing denied claims to ensure appropriate use of modifiers and CPT/ICD-10 codes
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Manage detailed notes in the billing system
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Utilize payer web sites and /or portals
KNOWLEDGE AND SKILLS
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Working knowledge of CPT and ICD-10
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Demonstrated experience in overseeing management tasks
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Possess the ability and desire to manage a team in a remote work environment
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Excellent written and oral communication skills
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Knowledge of third-party regulations and the interrelationship with the financial reimbursement
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Practical and functional knowledge of RCM components
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Thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third party reimbursements and contracts
EDUCATION AND EXPERIENCE
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Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required
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Proficient in Microsoft office (Excel, Word, and PowerPoint)
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Previous experience in analytics required
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Previous medical billing experience required
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Three to five years of management experience
JOB LOCATION
Remote
PHYSICAL REQUIREMENTS
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Prolonged periods sitting at a desk and working on a computer
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Must be able to lift up to 15 pounds at times
JOB TYPE
Full-time
SALARY
$65,000 - $75,000 per year
BENEFITS
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Paid time off
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Work from home
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Company-sponsored medical, dental, and vision insurance
SCHEDULE
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Monday to Friday
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