Sr. Manager, Accounts Receivable

placeAtlanta calendar_month 

Company Overview:

Headquartered in Atlanta, Georgia, EyeSouth Partners is a premier network of integrated eye care practices located across the country. Our affiliated ophthalmology practices benefit from superior operational expertise, as well as investments in support staff, ongoing education, state-of-the-art technology, and strategic guidance with an absolute focus on clinical quality and a patient-first culture.

EyeSouth’s affiliate network consists of 40+ practices with approximately 2800 employees and over 300 doctors providing medical and surgical eye care services at approximately 175 locations including 20 surgery centers throughout Georgia, Texas, Louisiana, Florida, Tennessee, Ohio, Kentucky, Pennsylvania, Alabama, Illinois, North Carolina, and South Carolina.

Position Summary:

The Sr. Manager, Accounts Receivable is responsible for the oversight of the accounts receivable department encompassing insurance collections and insurance follow-up activities, as well as patient balance account resolution. This role is responsible for maximizing the collection of medical services payments and reimbursements from insurance carriers and balances owed by patients/guarantors.

The position supports the company’s objective of efficiently and effectively providing management, oversight, and assurance that outstanding balances are collected accurately and meet client benchmarks and expectations. In addition, the Sr. Manager, Accounts Receivable will review monthly reports, analyze outcomes, identify trends, and ensure timely and proactive communication to management.

**Applicants who live and plan to work from the following states will not be considered at this time: Alaska, Arizona, California, Colorado, Delaware, Hawaii, Idaho, Montana, Maryland, Massachusetts, Michigan, Nevada, New Mexico, Oregon, New Hampshire, New Jersey, Utah, New York, Rhode Island, Washington, and Wyoming.

Thank you for your interest.

Responsibilities:

  • Lead and provide operational directives for all revenue cycle activities related to the claims management and collections of the receivables and ensure timely, efficient cash collections to support the overall financial goals.
  • Analyze reporting to monitor trends and develop operational efficiencies and implement corrective action plans as necessary. Develop and implement strategic plans related to recovery efforts and revenue protection.
  • In conjunction with Revenue Cycle Management (RCM) leadership team and other department leaders, further refine adjudication processes to minimize denials and appeals, optimizing performance and cash collections and reducing days in accounts receivable.
  • Build and manage strong positive and respectful relationships with RCM staff and department managers, Senior Leadership, Payer Relations, Finance, Operations, & Analytics.
  • Continuously monitor and drive towards established financial and operational benchmarks to identify and resolve variances and exceptions which may affect cash flow.
  • Oversee the effectiveness and efficiency of collection efforts including denial management and account resolutions.
  • Monitor and provide oversight and guidance to AR global partners and vendors. Work with them on issue identification and resolution leading to enhanced processes.
  • Utilize reporting and analytics to drive positive change; present department results to executive leadership.
  • Set, communicate, and manage departmental metric and performance goals, holding team members accountable and reporting performance to leadership.
  • Monitor payer behavior and develop strategies to minimize disruption to collections.
  • Manage the administrative aspects of the department to ensure the department goals and expectations are clearly defined and monitored for adherence
  • Oversee all forms of communication with patients, including but not limited to statements, letters, websites, and phone calls, to ensure a clear understanding of expectations and options for adjudicating their accounts.
  • Monitor and react to industry changes that could affect patient satisfaction.
  • Oversee implementation of new systems and processes to gain efficiencies and improve performance.
  • Monitor and maintain high-quality work product to meet goals and objectives set by operational leadership team.
  • Identify process improvement opportunities across the enterprise to enhance company performance and resolve identified issues.
  • Review, analyze, and interpret monthly management reports to make informed managerial decisions to increase productivity or resolve issues. In addition, must communicate recommendations or findings to Revenue Cycle Directors.
  • Ensures accurate and timely AR methodologies are in place and executed for the assigned work unit, and that they are consistent (in terms of standardization).
  • Performs other duties as assigned.

Qualifications:

  • Minimum of (5) years healthcare experience in a multi-location setting required including: ICD-10, CPT, and HCPCS coding, physician practice management, or reimbursement analysis.
  • Minimum of (3) years’ managerial/supervisory experience in accounts receivable, customer service and patient-responsibility cash collections healthcare revenue-cycle operations required.
  • Certified Professional Coder (CPC) Certification or Certified Outpatient Coding (COC) Certification a plus.
  • Deep, comprehensive knowledge of professional billing policies, procedures and health insurance standards in a multi-location setting required.
  • Bachelor’s degree in health care administration, Business Administration, or another related field or equivalent encouraged.
  • Prior electronic medical records experience required (EMR/EHR)
  • Must possess strong managerial competencies in the areas of leadership and team development, managerial coaching, mentoring and situational assessment skills.
  • Must be a change agent and capable of guiding the firm in initiating various change management initiatives with the view of leading and guiding the firm towards growth and development.
  • Must possess strong managerial acumen in setting corporate directions and aligning strategic goals around business plans.
  • Must possess superior judgement, negotiations, and decision- making skills.
  • Must possess strong ethics and a high level of personal and professional integrity.
  • Must possess strong analytical skills and be adept in interpreting strategic vision into an operational model.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing practices, and willing to embrace new technology.
  • Exercise knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.
  • Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
  • Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
  • Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
  • Self-motivated with strong organizational skills and superior attention to detail
  • Team player that develops strong collaborative working relationships with internal partners and can effectively engage and ability to build consensus among cross-functional teams.

Company Benefits:

We offer a competitive benefits package to our employees:

  • Medical
  • Dental
  • Vision
  • 401k w/ Match
  • HSA/FSA
  • Telemedicine
  • Generous PTO Package

We also offer the following benefits for FREE:

  • Employee Discounts and Perks
  • Employee Assistance Program
  • Group Life/AD&D
  • Short Term Disability Insurance
  • Long Term Disability Insurance

EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

#IND

apartmentRobert HalfplaceAtlanta
We are seeking a Medical Accounts Receivable Specialist to join our team located in Atlanta, Georgia. In this role, you will be tasked with managing customer accounts in the medical industry, processing claims, and reconciling customer receipts...
local_fire_departmentUrgent

Accounts Receivable Specialist

apartmentRandstadplaceAtlanta
commitment to customer service Skills  •  Accounts Receivable  •  B2B Business to Business  •  Collection Qualifications  •  Years of experience: 2 years  •  Experience level: Experienced Randstad is a world leader in matching great people with great companies. Our...
electric_boltImmediate start

Accounts Receivable Specialist

apartmentRobert HalfplaceAtlanta
We are in the search for an Accounts Receivable Specialist to join our team in the Advertising industry based in Atlanta, Georgia. This role offers a long term contract employment opportunity, where you will be responsible for managing and tracking...