Manager, VNA Accounts Receivable

Talent Acquisition | Sourcing | Relationship Builder | Brand Ambassador

PURPOSE OF POSITION:

The Manager of Specialized Accounts Receivable provides coordination, leadership and oversight to the VNA Home Health, Hospice and Elder Services AR staff that provide third‑party billing, AR follow‑up, denials management, underpayment recoupment and credit balance resolution. Coordinates external audits and third‑party reviews and works with the Director of Patient Financial Services to meet department AR management and cash collection goals. Researches, develops, and promulgates best practices to ensure that all third‑party billing and AR resolution are done timely, accurately, and within compliance to CCHC, payer, state and federal regulations.

Supports the training and development of the AR team. Continually seeks improvement in AR Management processes and technology.

• Support, oversee, and manage the performance, productivity and quality of the entire Billing, Follow‑Up/Denials team as it relates to all AR Management activities and pre‑defined and Manager identified goals and targets.
• Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance monitoring across all third‑party AR resolution, denials management, credit balance resolution and payment variance recoupment.
• Ensure CCHC employees and vendor staff performing AR functions are compliant with policies, procedures and processes; measure and address all areas of non‑compliance.
• Maintain up‑to‑date knowledge of regulatory and compliance, for state and federal agency, changes impacting billing requirements and operations.
• Collaborate with other disciplines, IT partner and vendors to implement changes needed to address payer and regulatory billing requirement changes and denial prevention.
• Ensure vendors and CCHC revenue cycle employees are appropriately educated and trained as well as department policies and processes are modified, as required, to stay current.
• Work with Managed Care department, payor representative, vendors and all other departments within CCHC and Physician Practices to resolve outstanding account receivable issues.
• Ensure negotiated contracts are being administered and reimbursed according to contractual terms and rates. Assist managed care in the resolution of contract payment issues.
• Confirm staff are consistently performing performance‑monitoring processes.
• Define, implement, and monitor strategies to improve overall patient financial services processing efficiency.
• Ensure that denial trends identified are managed and tracked to improvement ensuring mitigation strategies are consistently implemented.
• Manage to applicable Key Performance Indicators (“KPIs”). Define and implement action plans when performance is not meeting expectations.
• Assess workflow prioritization on a regular basis to confirm that AR metrics and benchmarks are consistently achieved.
• Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement.
• Conduct analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collections.
• Assess direct reports’ performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken.
• Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement.
• Prepares reports and conducts analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collection.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional healthcare related organizations.
• Uses experience, education, training and judgment to plan and accomplish key performance indicators for AR metrics and other measures of organizational health.
• Educating, training and setting expectations on using the EHR system efficiently and effectively to meet industry key performance indicators.
• Maintains up‑to‑date payer knowledge…