Outpatient Medical Collections Manager
TEKsystems
The Collection Manager is responsible for daily functions of the commercial department in accordance with policies and procedures. This position closely
monitors AR collections; directly supervises follow up actions to ensure timely and accurate productivity; solves problems identified by staff and works with payor
to resolve trends and issues.
I. Job Responsibilities
Manage commercial collection team.
Train and ensure supervisors are properly trained for their specific roles.
Review all timely filing adjustments before submitting to upper management.
Completes random audits to ensure staff is completing assignments properly and efficiently.
Review all AR reports for completion and appropriateness of notation.
Report account findings during monthly AR calls, prepare and distribute monthly slide decks for MOR.
Works to maintain facility Cash, Bad Debt, Aging and DSO within corporate targets.
Works with facility and payers to address AR trends that impact cash flow.
Report trends to upper management.
Reach and trend daily and monthly key performance indicators.
Assists collectors with next actions on difficult patient accounts.
Review sources of rebill requests with the billing supervisor and collaborate on ways to prevent rebills where possible.
Refers accounts to supervisor, director, or VP for write-off, accounting reserves, and agency or legal placement.
Responsible for managing Aging Report properly to insure appeals are sent and followed up timely to prevent missed filing deadlines, prevent balances
rolling to the next aging buckets and reduce percentage of AR greater than 90 days old.
Communicates all denial trends to upper management.
Maintain adequately trained staff to achieve daily productivity requirements
Responsible for workflow management within the Collection Team and recommendations for process improvement
Creating processes with a core design of automation and waste reduction, processes and workflow that rely on automation and are designed to eliminate
touches wherever possible.
Provide coaching and development for new training initiatives
Onboarding, training, coaching and development for New Hires
Required Knowledge, Skills, and Abilities:
Individual must be able to perform each essential duty satisfactorily to include: management of staff, authorize and review all adjustments and refund
requests, analyze and maintain A/R > 90 days at an acceptable level and ensure all reports are worked within the established guidelines and time frames.
The Collections Manager is also involved directly with collection efforts on outstanding accounts which includes: telephone contact with payers, work
collection reports, audit accounts, appeal denied claims as necessary, update accounts as necessary, submit and monitor problem claims, identify payor
related denial trends, and meet or exceed department goals.
#centralpriority25
Pay and Benefits
The pay range for this position is $70000.00 - $75000.00/yr.
*BONUSES*Incentive LevelsLevel 1: 100% of Net RevenueLevel 2: 102% of Net RevenueLevel 3: 103% of Net RevenueLevel 4: 104% or more of Net Revenue
II. Eligibility Cash Collections as a % of Collectable Net Revenue goal must be met: The goal is based on revenue recorded at close using a two month look back.
Performance will be based on Quality Assurance with a passing score of 90% and above. 10-20 accounts will be reviewed per participant on a monthly basis for QA. Participants will automatically be disqualified if they receive a write up for performance issues during the qualification month and/or if they are responsible for Timely Filing Adjustments due to lack of timely follow up (Billing, Collections).
Attendance: Any Participant that works less than 10 days in the month is not eligible for the monthly bonus. Participant cannot be tardy more than twice in a month or call out (unexcused) more than once a month.
Any New Hire -Participant with a start/hire date within the month shall not be eligible until the following month. This excludes Agency Transfers, they will fall under the attendance policy.
Individuals must be an active, full time employee as of the date that the bonus is paidout.
III. KICKER PERFORMANCE BONUS: To qualify for the kicker bonus, the participants must achieve the Agings goals are met. The Kicker Payout are listed below: Support – 75.00 Billing – 100.00 Collections – 100.00 Cash Posting – 100.00 Revenue Integrity Team – 100.00
IV. BONUS PAYOUT
• Bonus payments will generally occur on the 2nd paycheck of the month after month end. Payouts will be in the amounts listed below based off levels 1-4. Collectors/Biller - 400-700 Support – Refunds, Self-Pay, Admin - 100-400 Revenue Integrity - 300-600 Cash Posting - 200-500
Workplace Type
This is a fully onsite position in Dallas,TX.
Application Deadline
This position is anticipated to close on Feb 21, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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