ROLE AND RESPONSIBILITIES:
THE REVENUE CYCLE COLLECTIONS MANAGER (ASC) IS RESPONSIBLE FOR ALL COLLECTION AND APPEAL ACTIVITY WITHIN THE AMBULATORY SURGICAL RCM TEAM. THIS ROLE HAS THE RESPONSIBILITY TO PROVIDE OVERALL DIRECTION, TO IDENTIFY ISSUES, MONITOR PERFORMANCE, AND ASSIST IN PROBLEM RESOLUTION. DIRECT INTERFACE WITH ALL ASC CLIENTS AND STAKEHOLDERS IS A CRITICAL PART OF THIS ROLE RELATED TO KEY PERFORMANCE INDICATORS, DENIALS, AND COLLECTION AGING AND RESOLUTION.
- Manages staff to meet departments overall achievement of cash targets, account receivable goals, and quality and productivity measures.
- Maintains current knowledge of regulation, state laws, and insurance requirements for the healthcare services provided in the hospitals.
- Consistently monitors collections by payer requirements to ensure maximum reimbursement.
- Monitors reports and key performance indicators to ensure client success.
- Monitors all A/R from end to end working with clients, payers, and internal stake holders for resolution.
- Corresponds with clients in answering questions on services and collection matters, recommending further action required for all delinquent accounts, and proactive.
- Understanding of medical terminology and claim forms.
- Advanced understanding of healthcare related federal, state, and health plan guidelines.
Required Skills
QUALIFICATIONS AND EDUCATION REQUIREMENTS
- Bachelor's Degree preferred, or equivalent experience Minimum 4 years Management experience in healthcare with ability to lead a team and achieve objectives
- Minimum 4+ years total experience in healthcare Revenue Cycle environment
Required Experience