Manager, Accounts Receivable

Manager, Accounts Receivable

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

The Opportunity :

The Manager, Accounts Receivable will support the designated leadership team in Revenue Cycle in the selection, direction, and development of the Accounts Receivable department team members, and will report to the Director, Revenue Cycle. The Manager will be responsible for assisting team members with problematic claims and answering questions regarding operational processes. The Manager, Accounts Receivable is responsible for the performance and effectiveness of the department's staff. The Manager, Accounts Receivable will be responsible for developing short and long-term plans and objectives to improve revenue and manage overall payment and denials trends. Additionally, they will be responsible for working with insurance companies to identify reasons for denied payment for services. The Manager will work with their peers in Coding and Billing to identify, correct, and reduce denials trends related to their respective departments. They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments, and maintaining achieved improvements.

Performs ongoing process improvement of daily activities related to accounts receivable functions to ensure processes are performed efficiently and effectively.

Obtains or generates reports to analyze trends in unpaid claims and denial activity; works with appropriate departments to resolve recurring issues and correct the underlying causes for errors; Provides relevant guidance to department Supervisors to resolve internal and external issues.

Develops and manages departmental budget, including overtime. Prepares monthly reports as requested. Establishes departmental goals with the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.

Collects, interprets, and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. Works with internal and external customers to make key decisions, impacting either the organization as a whole or an individual patient. Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.

Provides timely communication to peers and team members to ensure continuity across the Revenue Cycle of any new programs, payers, clients, directives. Plans agendas and leads meetings, as appropriate, to enhance communication, including providing notes from meetings to all attendees.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Ensemble Required License / Certification CRCR, People Leadership Experience 3 to 5 years, Preferred Area of Study Bachelors Degree or Equivalent Experience.

Expected Knowledge, Skills, and Abilities :

• Minimum Years and Type of Experience : Three years' management experience in healthcare industry.
• Medicare and Medicaid billing experience required.
• Must have specific HIS computer systems knowledge (i.e. Epic, Cerner, Meditech, etc) and intermediate experience in using Microsoft Excel.
• Excellent Verbal skills.
• Problem solving skills, the ability to look at account and determine a plan of action for collection.
• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.
• Adaptability to changing procedures and growing environment.
• Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations

Other Knowledge, Skills, and Abilities Preferred :

Join an award-winning company :

Innovation, Work-Life Flexibility, Leadership, Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include :

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.