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Collections Manager

Tyvan LLC
Houston, TX

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Job Details

Full-time

Qualifications

Computer operation
Healthcare staff management
Medicare
Accounts receivable management
High school diploma or GED
Medicaid health insurance
Team development
Supervising experience
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Typing
Medical terminology
Medical debt collection accounts
Hospital experience
Collections account management
Quality data entry
Patient collections management

Full Job Description

Collections Manager

The Collection Manager will communicate directly with providers in person, via email and/or via phone. The manager will be responsible for enforcing rules and regulations in the office. The manager must be familiar with the insurance guidelines to assist with billing and collection issues that may arise properly. Must maintain extensive knowledge of Medicare, Medicaid, private pay, private insurance, and third-party reimbursement out-of-network requirements. The Collection Manager will work with oversight from the Assistant Revenue Cycle Director in all aspects of managing the responsibilities for the collection team, including associate motivation, coaching, development, discipline, customer satisfaction, and achievement of key metrics.

Responsibilities and Duties:

Direct, supervise and evaluate the work activities of remote medical collectors. Monitor and evaluate employee performance by conducting face-to-face reviews monthly, quarterly, and annually for each team member.
Holds employees accountable for the attainment of defined goals and objectives.
Monitors assigned payors to ensure claims are being billed correctly and paid promptly.
Take appropriate and timely action to minimize potential write-offs and/or payor special projects.
Respond to or initiate inquiries (internal and external) regarding the status of open AR, including billed, unbilled, or held claims. Maintains routine and frequent contact with payors and care centers.
Keeps updated on their assigned payors' billing requirements and initiates process changes to comply with the payors' requirements.
Executes effective performance redirection when needed. Develop employees through coaching, mentoring, and training (formal and on-the-job).
Designs, communicates and implements new approaches to reporting, policies, and SOPs to increase reporting accuracy and influence continuous improvements in operation efficiency.
Gathers, analyzes, and evaluates the results of billing operations regularly, adjusts performance needs, and shares with the Assistant Revenue Cycle Director.
Reviews monthly reports, identifies problem areas, if any, compares performance to industry standards as available, and communicates trends to the Assistant Director.
Works collaboratively with other members of the Revenue Recovery team to promote teamwork and maximize cash collections. Collaborates with management to develop productivity and performance metrics based on payors' complexity, responsiveness, and claim volumes.
Enforce HR policies (attendance, dress code, cell phone, etc.) as stipulated in the company’s employee manual. Also, enforce the telecommuting policies.
Maintain communication between the Director, Assistant Director, managers, staff, and other departments.
Work with the Assistant Revenue Cycle Director and Human Resources to onboard new employees.
Other duties assigned by the Assistant Revenue Cycle Director.

REQUIRED Qualifications:

High School Diploma or Equivalent (Required), Bachelor’s (Preferred)
1-2 years’ experience of supervising and managing staff (Required)
7-10 years’ experience in Healthcare Hospital and Physician Collections (Required)
Out of Network Collections (Preferred)
No Surprise Act knowledge (Preferred)
Knowledgeable with insurance billing and coding terminology
Able to manage and develop a team of individuals to meet the department's goals.
Must have excellent communication and people skills.
Able to solve problems and work effectively with others.
Able to interact and communicate openly and respectfully with individuals at all levels of the organization.
Computer Savvy! Strong data entry skills and ability to type 40-50 wpm with high accuracy.
Neat, clean, and professional appearance

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