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