Accounts Receivable Manager

Job Number 51428
Posted 12/4/2017
Account EMHS
Department PAS - Billing/Cash Control
Location EMHS - Cianchette Building, Brewer, ME 04412
Schedule Regular Full-time
Shift Day
Hours 8:00am-4:30pm
Job Details Job Summary
This position is responsible for managing the claims and AR resolution of the EMHS Patient Account Services in a Centralized Business Office environment. This position is responsible for the claims and AR resolution processes in accordance with regulatory and contractual obligations. This position works directly with all the EMHS members to ensure the people, processes, and technology are in agreement with the functionality for an optimum revenue cycle workflow. In addition, this position is accountable that all responsibilities are in accordance with policies, procedures, and applicable laws; including metrics related to productivity and quality. This position works closely with other departments in the revenue cycle within EMHS to provide appropriate claims and AR resolution oversight and feedback that ensures EMHS's continued success in revenue cycle management.

Education and Experience
•Bachelor's degree and at least five (5) years of management experience required. In lieu of bachelor's degree, 5 years of management experience must be in a healthcarerevenue cycle business management role.
•Certified Revenue Cycle Professional certificate required.

Required Minimum Knowledge, Skills and Abilities
•Detailed knowledge of claims and AR resolution operations in a healthcare setting; multiple hospitals/physician practices preferred.
•Knowledge of medical terminology, Current Procedural Terminology (CPT), and International Classification of Disease (ICD) preferred.
•Must possess strong management and problem solving skills.
•Working knowledge of all areas of the revenue cycle.
•Excellent professional communication skills; both oral and written.
•Ability to analyze financial and operating information to facilitate decision making.
•Proficient with Microsoft business applications.
•Experience with EMHS patient accounting software is preferred.
•Customer oriented.
•Demonstrated ability to lead teams, complete time sensitive projects and work both independently and collaboratively.
•Flexible and able to lead change within department.

Essential Functions

•Maintains high quality employees by way of recruiting, selecting, orienting, hiring, and regularly assessing quality of work.
•Manages designated business office personnel.
•Complete all employee evaluations timely and accurately.
•All employees with an identified performance opportunity are promptly counseled and communicated to timely.
•Mentor direct reports while developing a succession plan.
•Ensure employees are adequately trained, supported, and coached for the development of the department and the individual's professional growth.

•Work closely by way of problem solving with other revenue cycle departments to address payer issues or changes that directly impact the accounts receivable.
•Prepare a fiscal month summary of changes in the accounts receivable for the designated area assigned.
•Communicate upcoming payer changes to all EMHS members on a monthly basis.

•Proactively diagnose, evaluate, and develop corrective actions for problems identified in revenue cycle operations.
•Ensure departmental procedures and performance standards are in place and adhered to consistently.
•Address issues that require immediate attention; make recommended solutions.
•Assess staffing needs on a regular basis to ensure workflows are at the highest quality efficient levels.

•Manages the accounts receivable to be at or above the set EMHS goals and standards.
•Assist in the development of departmental key performance indicators.
•Manage and monitor on a daily, weekly, monthly, quarterly, and yearly basis the key performance indicators to identify trends and recommend solutions.
•Develop & track team goals and objectives that adhere to the department and EMHS's financial performance objectives.

•Maintains personal knowledge base of current managed care trends, reimbursement methodologies, and other important payer payment factors.
•Maintain the knowledge of payer policies; attend local, regional, or national conferences/seminars to remain current.

•Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department.
•Act as a liaison for both internal and external customers and facilitate communication across the system.

Organizational Values
Passion: We demonstrate a passion for caring for others and the pursuit of service excellence in all that we do.
Integrity: We commit to the highest standards of behavior and doing the correct thing for the right reasons.
Partnership: Working together in collaboration and teamwork is more powerful than working alone.
Accountability: We take a responsible and disciplined approach to achieving our priorities and responding to an ever changing environment.
Innovation: We are capable of extraordinary creativity and are willing to explore new ideas to achieve our healthcare mission.
Respect: We respect the dignity, worth and rights of others.

Safety Requirements
•Assist in maintaining a work environment free from recognized hazards that create a risk or injury to employees, patients, or visitors
•All accidents and incidents are reported by employees within 24 hours and supervisor to submit properly investigated report timely
•Ergonomic evaluations are completed as needed
•When appropriate, assist and support with the return of all workers with work related injuries and illness to gainful employment

Physical Demands
•Sedentary: Exerting up to 10 lbs. occasionally, sitting most of the time, and only brief periods of standing and walking.
•Requires the ability to travel to member organizations as needed

Note: the duties listed above reflect the majority of the essential duties of this job and does not, nor is it intended to, reflect all essential duties that may be required for an incumbent in this job to perform.

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.