Accounts Receivable Manager

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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

Medical Billing
Denial Resolution
Payer Rules and Regulations

RESPONSIBILITIES

Produce and analyze standard AR and collections reports, and to lead a team of Third-Party Follow-up employees
Lead and mentor an AR Analyst team
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
Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
Serve as escalation point for team and resolves customer account disputes by obtaining and investigating information from other departments as needed
Coordinate the resolution of potential system and payer issues
Work exclusively with key customer accounts to ensure timely AR resolution
Perform necessary follow-up to ensure timely resolution of appeals, obtain updated insurance information, identify and correct billing errors, etc.
Remain up to date on Medicare and Medicaid laws, HCFA requirements, contractual arrangements and other third-party payer requirements
Apply knowledge of third-party payer guidelines in reviewing denied claims to ensure appropriate use of modifiers and CPT/ICD-10 codes
Manage detailed notes in the billing system
Utilize payer web sites and /or portals

KNOWLEDGE AND SKILLS

Working knowledge of CPT and ICD-10
Demonstrated experience in overseeing management tasks
Possess the ability and desire to manage a team in a remote work environment
Excellent written and oral communication skills
Knowledge of third-party regulations and the interrelationship with the financial reimbursement
Practical and functional knowledge of RCM components
Thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third party reimbursements and contracts

EDUCATION AND EXPERIENCE

Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required
Proficient in Microsoft office (Excel, Word, and PowerPoint)
Previous experience in analytics required
Previous medical billing experience required
Three to five years of management experience

JOB LOCATION

Remote

PHYSICAL REQUIREMENTS

Prolonged periods sitting at a desk and working on a computer
Must be able to lift up to 15 pounds at times

JOB TYPE

Full-time

SALARY

$65,000 - $75,000 per year

BENEFITS

Paid time off
Work from home
Company-sponsored medical, dental, and vision insurance

SCHEDULE

Monday to Friday

Accounts Receivable Manager

Apply Now

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

Medical Billing

Denial Resolution

Payer Rules and Regulations

RESPONSIBILITIES

Produce and analyze standard AR and collections reports, and to lead a team of Third-Party Follow-up employees

Lead and mentor an AR Analyst team

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

Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service

Serve as escalation point for team and resolves customer account disputes by obtaining and investigating information from other departments as needed

Coordinate the resolution of potential system and payer issues

Work exclusively with key customer accounts to ensure timely AR resolution

Perform necessary follow-up to ensure timely resolution of appeals, obtain updated insurance information, identify and correct billing errors, etc.

Remain up to date on Medicare and Medicaid laws, HCFA requirements, contractual arrangements and other third-party payer requirements

Apply knowledge of third-party payer guidelines in reviewing denied claims to ensure appropriate use of modifiers and CPT/ICD-10 codes

Manage detailed notes in the billing system

Utilize payer web sites and /or portals

KNOWLEDGE AND SKILLS

Working knowledge of CPT and ICD-10

Demonstrated experience in overseeing management tasks

Possess the ability and desire to manage a team in a remote work environment

Excellent written and oral communication skills

Knowledge of third-party regulations and the interrelationship with the financial reimbursement

Practical and functional knowledge of RCM components

Thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third party reimbursements and contracts

EDUCATION AND EXPERIENCE

Bachelor’s degree in Business, Finance, Healthcare Administration, or related field required

Proficient in Microsoft office (Excel, Word, and PowerPoint)

Previous experience in analytics required

Previous medical billing experience required

Three to five years of management experience

JOB LOCATION

Remote

PHYSICAL REQUIREMENTS

Prolonged periods sitting at a desk and working on a computer

Must be able to lift up to 15 pounds at times

JOB TYPE

Full-time

SALARY

$65,000 - $75,000 per year

BENEFITS

Paid time off

Work from home

Company-sponsored medical, dental, and vision insurance

SCHEDULE

Monday to Friday