Job Description

Reporting to the Director of Integration Services, the Manager of Pre-CBO Systems & Integration Services is responsible for the direct oversight of a team of A/R Specialists. This role will be critical in the rundown of Pre-CBO patient accounting systems (PAS’) for newly acquired facilities and/or facilities that are moving to CBO services. The Manager of Pre-CBO Systems & Integration Services will be responsible for all aspects of Pre-CBO PAS rundowns/system closures which will include (but may not be limited to) evaluating/analyzing data, formulating plan(s) based analysis, executing plan(s), and then creating and completing a full collectability analysis of the A/R aging within thirty (30) days of CBO access being received. The Manager of Pre-CBO Systems & Integration Services will be responsible for completing all Pre-CBO system rundowns with a goal of six (6) months or less upon go-live with the team. Along with mentoring staff, providing coaching, direction, instruction, guidance, you will be responsible to build team spirit and drive the company culture. This role is responsible for coordinating coverage, implementing new ideas and providing training to new employees or process training for existing employees. The ideal candidate has experience in client operations and collaborating with cross functional teams, has a sense of urgency, drive for success and client results.

Responsibilities:

• Manages a team of A/R Specialists who complete the accounts receivable functions resulting in revenue generation.
• Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
• Manages the aging of accounts receivable by trending and analyzing the A/R, and thorough communication with payers.
• Manage the implementation of key strategies; fostering an environment of accountability to create a high performing team.
• Manage the overall A/R aging to ensure that the rundown of the A/R inventory is completed within specified timeframe of 6 months or less (unless otherwise specified/discussed depending on overall inventory of accounts or other considerations).
• Successfully communicates trends, issues, resolutions, and opportunities to senior leaders.
• Must become expert on respective clients, regional payer trends and overall client specifics.
• Maintains thorough understanding of health insurance and government programs, when necessary.
• Assist assigned staff in establishing daily/weekly workflows to accomplish KPIs.
• Manage assignments across entire team to meet employee productivity and collection efforts across all client facilities.
• Conduct routine quality assurance reviews of work completed; initiate coaching measures as needed.
• Evaluate the audit findings, creating and establishing baselines and expectations to measure improvements.
• Leverage audit findings to identify training needs for system education, industry updates and changes in collections processes and protocols.
• Provide training for newly hired and existing employees to generate consistent team output.
• Assist i n the creation and increased utilization of Legacy Health A/R team(s) to help alleviate onshore staffing burden(s) and dead A/R inventory that would just need to be adjusted off the books.
• Holding regular Weekly/Bi-Weekly meetings with Offshore Legacy team manager are consistently occurring on a regular cadence.

Required Experience:

Requirements:

• 2+ years of management experience in a healthcare related industry with Ambulatory Surgical Center or Outpatient hospital experience preferred.
• Understanding of Revenue Cycle Processes, cause and effect on A/R and cash results.
• Ability to analyze data and develop systems to accurately control financial activity within a surgical center setting.
• Ability to lead, manage projects and staff to achieve goals.
• Understanding of system and business processes, as well as healthcare financial issues.
• Required to meet critical deadlines.
• Desire to motivate, inspire positive outcomes and deliver excellent results.
• Sound judgement and strong skills regarding interpersonal relations, critical thinking, problem solving and analysis.
• The ability to communicate effectively, both verbally and in writing, with internal and external clients.
• Work independently to identify and resolve complex client problems.
• Be able to multi-task and handle competing priorities while meeting or exceeding deadlines.
• Must be proficient in computer skills necessary to perform job duties and must have strong knowledge of computerized billing systems. Intermediate knowledge of Word, Excel, PowerPoint, Access, and Outlook.
• Must possess positive attitude to enhance a cooperative and energetic work environment.