AR Manager

“Improving the lives of those with chronic care diseases while providing solutions to our customers."

Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.

Essential Duties:

The AR Manager is responsible for the planning, organizing, directing, and controlling of the accounts receivable department and its staff.

The AR Manager is responsible to the Director of Reimbursement, who appoints him/her the authority and responsibility to execute the day-to-day projects and responsibilities of the department.

Responsibilities:

• Plans, organizes, and directs the responsibilities that are delegated by the Director.
• Leads, develops and maintains AR standard operating procedures to insure efficiency and accuracy of AR department (paper flow, claim processing and collection).
• Acts as a reimbursement information resource for both staff and clients and assist co-workers with education and questions they have regarding reimbursement.
• Oversees all areas of reimbursement operations to ensure a consistent corporate accounts receivable system, to ensure quality and appropriateness of AR operations and to analyze and incorporate effective workflow and process steps and to ensure consistent application of those processes.
• Reviews and evaluates all AR policies and procedures on an annual basis and recommends to the Director revisions if deemed appropriate.
• With supervisors in each respective AR group, the AR Manager insures that all staff personnel are competent and this shall be accomplished by:
  • Providing training to new staff on AR billing and collection.
  • Evaluating practices, implementing procedures, performing studies, creating competency testing, and reviewing information.
  • Developing inexperienced team members
  • Ensuring critical functions through cross trained personnel;
• Monitors and maximizes the company's billing and collection efforts, develops and implements billing processes and staff facilitation to provide timely and accurate billings to all types of payers.
• Offers excellent collaboration with the Information Technology department to ensure maximal use of the existing software system.
• Keeps track Denial Reason Codes monthly to identify problem accounts and internal problems to reduce denial volume, to address issues to payers re compliance, coding, documentation issues etc.
• Makes sure confirmation, initial claims, denial follow up, and reauthorizations are completed on a timely manner.
• Monitors productivity log to identify performance and problems and makes sure team members work their reports including, high to Low AR, and Denial on a timely manner.
• Involves with the aging and hold revenue report on a monthly basis and obtains necessary information for billing purposes, reviews it for completeness and accuracy, and oversees the claims submittal process.
• Oversees documentation systems to assure medical documentation and issues such as CMNs are handled in an efficient manner. Review frequently to ensure such efficiency.
• Directs the auditing of files to ensure proper documentation is maintained and company policies and procedures are followed.
• Treat all information and data within the scope of the position with appropriate confidentiality and security and understand and adhere to all state and federally mandated standards regarding confidentiality and patient rights
• Communicates with reimbursement teams for input and discussion regarding processes.
• Assists and/or handles more complex accounts to ensure proper and timely reimbursement and provides constant surveillance of the collection activity, including the billing functions, to ensure a continuous, unimpeded cash flow stream.
• Assists with setting corporate goals for cash collections and receivables and directs the department towards accomplishment of those goals.
• Be creative and innovative in regards to collection of outstanding receivables, using appropriate techniques as situations call for.
• Assures with al supervisors that all overdue accounts and prior authorizations are followed up on a regular basis.
• Takes the lead in helping the corporation understand what to do with bad debt and aged accounts. Reviews and authorizes accounts receivable adjustments.
• Maintains a detailed knowledge of all regulations, documentation and billing requirements, utilize resources and DMERC releases to help maintain that knowledge.
• Reviews and revises billing procedures as needed and communicate continued changes in coverage issues and updates billing manual and corporate billing literature as required.
• Assures AR or reimbursement staff respond quickly and professionally to customer inquiries (patients and referral sources), both in the office and on the phone and with internal customers, within 24 hours or a mutually agreed upon time frame
• If need to intervene, resolves customer concerns and complaints in a constructive manner, serving as an intermediary between customer concerns and company needs by identifying problems and coordinating appropriate corrective action.
  • When customer problems and questions arise, be able to answer and questions to the customer's satisfaction.
  • Maintain accurate and complete documentation of complaints and resolutions
• Provides skillful handling of grieving, upset or difficult customers and works proactively with patients/clients to solve a variety of problems.
• Ensures that all elements related to staff positions are current and up-to-date: job descriptions, scheduling, salary rates and conduct while on the job.
• Takes primary responsibility to recruit, interview, hire and develop personnel who best meet those job descriptions.
• Maintains authority to appraise, discipline or transfer (within the department) any direct reports and feels comfortable in ability to recommend termination, increase or decrease in compensation for any staff members and maintains appropriate number of personnel to accomplish all department-related tasks.
• Conducts routine evaluations and assists in the performance of the duties of accounts receivable personnel as listed on their designated job descriptions, and deals directly with deficiencies in performance, up to and including termination.
• Ensures that the skills of staff members meet the needs of the customers and that when personnel do not have the competency to perform prescribed services in an appropriate and responsible manner, appropriate training occurs.
• Leads and monitors the quality and quantity of work performed by teams of documentation and billing specialists, directing and motivating the department to distribute bills and collect on outstanding bills on a regular and timely basis.
• Sets department and individual goals based on company objectives and communicate effectively to staff. Develops strategies and action plans to achieve department goals.
• Creates objective and measurable criteria that will be used to gauge the results of individual staff's actions. Criteria must be realistic and quantifiable and the timetable must be realistic.
• Plans, prioritizes, and directs work assignments, develop incentives and tools to help staff meet individual and departmental goals.
• Monitors staff's performance and their efforts toward department goals. Evaluate the financial performance of the department on a scheduled basis and interface with respective staff and/or other managers to assure corrective action is taken when problems are identified. Be able to hold others accountable in a constructive manner and guide staff through difficulties to achieve department goals. Maintain documented improvement plans and staff success.
• Promotes a positive company image by exercising sound and ethical business practices as related to its employees, customers, vendors and the general public, include ensuring that the quality of products and service is of the highest possible level appropriate to the situation.
• Prepares reports on a periodic basis that reflect the success or failure of current policies and procedures as well as long and short term goals versus achievements as determined by Director.
• Achieves goals as determines by Director and other responsibilities or projects as assigned to by Director.
• Perform all other duties as assigned and required by Department Leadership.
• Understand and adheres to all of SuperCare Health company policies
• To remain knowledgeable to date on all products, guidelines and insurance coverage trends
• Maintain a professional safe and clean work environment.
• Must meet minimum of monthly goals

Education: AA degree or comparable in business with a strong project management background.

Experience/Knowledge:

• A minimum of two years of progressively increasing responsibility and experience in DME billing, reimbursement process, training, and project management.
• Knowledge of Medicare, Medi-Cal, Private Insurance, Private Pay requirements and procedures and diagnosis and medical terminology.
• Intermediate level of expertise with Microsoft products including Windows, Word, Excel, and Access.
• Ability to evaluate, develop, write, and monitor implementation of standard operating procedures.
• Strong body of knowledge in the skills of management and leadership.
• Ability to communicate clearly, both orally and in writing and to work effectively with a wide range of people, including patients / clients, insurance agencies, co-workers and management.
• Efficient, effective and performs as a self-starter and manifest a proactive approach.
• Excellent decision making skills, well and quickly, considering options.
• Possess the ability to come up with creative alternative and solutions to pressing problems.
• Has the skill to think strategically, investigating problem, understanding how one action impacts another and detail oriented.
• Be able to work on multiple tasks and plan and prioritize actives to achieve results and meet deadlines. Always make best use of work time to complete projects and assignments on schedule.

Benefits:

• Medical
• Dental
• Vision
• Flexible Savings Account
• 401K
• Voluntary Life Insurance
• Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.

Perks:

• Paid Training
• Paid Time Off
• Sick Time
• Growth Opportunities
• Employee Referral Reward Program
• Employee Discount Program

Any employment proposal is contingent upon satisfactory completion of: Background Check, Reference Check(s), Driving Record (if applicable), Pre-employment Drug and TB Tests

What SuperCare Health is About

"SuperCare Health is a comprehensive, post- acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes.

Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients.

Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to- end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program.

We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.``

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Araceli Richardson - Jr. Recruiter LinkedIn (http://www.linkedin.com/in/araceli-richardson-06122835)