Accounts Receivable (AR) and Collections Manager

M4 Consultants, Inc is a NY based management consulting firm that provides comprehensive financial and operational services to healthcare entities across the US.  Our goal is to provide direction, expertise and solutions that add value to our healthcare clients so that they can focus on delivering care to their patients.

Our billing and collection practice is expanding and we are seeking AR Management professionals who are client-focused and analytical.

DESCRIPTION

The AR Manager oversees the professional, comprehensive billing and collection services to clients, facilities and patients, for assigned facilities.  Oversees various projects and supervises staff assigned to a particular job.

 



ESSENTIAL DUTIES AND RESPONSIBILITIES

· Management of Revenue Cycle

· Understand and manage systemic issues of 3rd Party Payers

· Preparation of various reimbursement and AR Analysis



 

Accounts Receivable Responsibilities

· Reduces accounts receivable for all clients.

· Reviews all open accounts receivable on a regular basis and assigns any needed work to staff.

· Identifies target problem payers and accounts and develops solutions.

· Reviews and renegotiates single payer agreements and insurance contracts and ensures reimbursement.

· Ensures timely cash flow for clients.

 

Management Responsibilities

· Experience with clearing house 837i transaction sets

· Interacts with federal and state government payers (nation wide)

· Interact with commercial insurance companies

· Monitors client AR Days Otstanding and Cash Flow

· Participates in the interview and selection process of staff members.

· Trains, supervises and evaluates staff members.

· Mentors and guides staff.

· Sets staff goals/deadlines.

· Delegates assignments based on priority.

· Identifies and addresses staff issues to ensure a positive and productive work environment. 

· Reviews and approves invoices for contract employees and internal/external technical support.





 

Client Service Responsibilities

· Provides superior customer service to internal and external clients as well as to patients to ensure customer satisfaction.

· Consults clients on billing practices and procedures.

· Manages clients’ needs.

· Acts as a point of contact for client inquiries and requests.

· Submits reports for Partner/client presentations.

· Develops and delivers presentations to clients.



 

Billing and Collection Supervision

· Coordinates insurance grievances and appeals.

· Procures referrals, authorizations and pre-certifications.

· Generates monthly bills and claims.

· Generates and sends patient statements.

· Develops and implements billing/intake procedures.

· Prepares quarterly credit balance certifications for Medicare.

· Verifies and approves or rejects patient insurance.

· Prepares patient mix and demographic reports.

· Maintains patient and facility databases.

· Negotiates, evaluates, revises, and approves facility-wide and single payer contracts.

 

E-MAIL:

m4resume@mgroupusa.com

(914) 644-9368