Collections Manager

JOB SUMMARY:

The Collections Manager will oversee the entirety of the AR Follow-Up and Cash Posting processes. This role requires someone who is highly analytical, process-driven, able to troubleshoot and resolve issues within the AR process. The position requires a collaborative leader who can communicate effectively with internal teams, Clinical leadership, and other stakeholders to drive performance and improve cash reimbursements and reduce AR aging.

POSITION SPECIFIC DUTIES & RESPONSIBILITIES:

• Analyze AR trends, identify patterns, and address any system or procedural issues impacting AR Follow-up and Cash Posting processes.
• Lead, train, and mentor the AR/Cash Posting team to ensure that goals are met and exceeded.
• Utilize automation and advanced technology to manage AR/Cash Posting workflows and facilitate follow-up efforts.
• Collaborate with cross-functional teams, including Front Desk/Client Access, Benefits and Eligibility, and Claims Billing to resolve billing and AR issues.
• Develop and implement strategies to improve collections, reduce outstanding balances, and enhance cash flow.
• Review AR Aging reports regularly and initiate corrective actions as needed.
• Ensure timely follow-up on outstanding claims and resolve issues related to denials or underpayments.
• Collaborate with insurance companies to facilitate timely payments.
• Ensure timely and accurate posting of ERAs, paper EOBs.
• Supervise and train payment posting staff, set performance goals and conduct regular evaluations.
• Coordinate payment reconciliation between posted amounts and bank deposits, resolve discrepancies promptly.
• Generate reports on performance metrics and identify areas for improvements.
• Monitor team progress based on performance benchmarks and address issues as they arise.
• Active participant in Revenue Cycle Monthly Operational Reviews to address denial trends.
• Develop and monitor metrics highlighting the viability of the team.
• Recommend improvements to streamline operational and system problems.
• Must adopt a "working" Manager philosophy.

KNOWLEDGE/SKILLS/ABILITIES:

• Knowledge of government and commercial insurance procedures, regulations and billing requirements.
• Strong analytical and organization skills.
• Ability to lead and/or work as a member of various cross-functional teams.
• Excellent written and oral communication skills.
• Strong understanding of quality customer service.
• Proficient in Microsoft Suite.

EDUCATION:

• Bachelor's Degree in related field is required
• Combination of Experience and Education considered in lieu of Education requirements on a case-by-case basis.

EXPERIENCE:

• 7+ years' experience in healthcare, preferably Behavioral Health.
• Extensive AR Follow-up and Cash Posting background.
• Experience with billing through Electronic Health Records.
• Supervisory experience required.