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Accounts Receivable/Credit Manager

Location: Chula Vista, CA, United States
Job # 11912503
Date Posted: 02-08-2019
Accounts Receivable/Credit Manager​
Chula Vista, CA 91915
Salary Rate: $85,000+/yr DOE
Direct Hire Role
 
About Company and Opportunity:
Our client services patients with diabetes on a national scale from two strategically located full-service Diabetes Centers of Excellence. Our patients and customers are at the center of everything we do and at the heart of our commitment to helping people effectively manage their diabetes. We are looking for a Credit Manager here in San Diego and this is a permanent opportunity with major growth potential. You will be a major contributor to our organization and essential to the growing need in our Financial Department.

You will be responsible for managing the Account Receivables and Credit department for all patient accounts and payor accounts and supporting all aspects of the company's credit and billing processes through positive customer service attitude and effective communication.  This includes continually seeking mechanisms to streamline and automate processes, working closely with various departments within the company, and building and maintaining relationships with internal and external stakeholders.

Essential Job Duties and Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
  • Manages the Account Receivables and Credit department.
    • Develop and implement collection protocols and changes departmental policies and work procedures as necessary.
    • Ensure state refunds of non-traceable patients in compliant with states’ escheatment laws.
    • Works as liaison between Insurance Services, Billing, ADM, and Quality Assurance to analyze needs and automate procedures.
    • Monitors and assists billing processes such as insurance, appeals and denial management to ensure that work is performed efficiently, and issues are quickly resolved.
    • Investigates insurance fraud timely and reports findings to Management.
    • Attends industry credit group meetings, seminars, or webinars to review and exchange any pertinent credit information on mutual payors regarding their reimbursement practice and rate and opportunities for improvement in the credit and billing processes.
 
  • Oversees the daily operations of the Credit department.
    • Implement a customer service response standard time-frame and manage responses to patients’ billing inquiries to ensure the standard is being met.
    • Resolves un-applied cash balance within 30 days and ensures payments are applied to patient accounts on a timely manner.
    • Oversees collections of delinquent accounts and determines if accounts should be turned over to the collection agency.
    • Ability to use the Brighttree billing system to gather and analyze patient accounts and collection data in order to estimate the allowance for bad debt reserve, contract adjustment reserve and to determine the likelihood of successful collection on overdue accounts.
    • Ability to develop creative procedures to reduce the patient collection time and to collect outstanding patient balances.
    • Researches and analyzes outstanding patient invoices and reports trends and issues to Management.
    • Responsible for follow up on assigned book of business for specific AR balances or agings based on business need.
 
  • Manages cash posting staff and patient service specialist staff.
    • Hires, trains, and develops staff’s accounting, customer service and collection skills.
    • Responsible for staff’s productivity, accuracy and quality of their work.
    • Conducts regular performance evaluations for all staff.
    • Maintains a cohesive, positive and effective working environment.
    • Ensures any changes to processes or procedures are communicated to team in a professional and timely manner.
    • Able to prioritize the workloads for cash posting team and patient service specialist team to meet month-end deadlines and other deadlines assigned by the Accounting and Finance Department.
    • Develops and maintains an absence management plan and cross trains cash posting team and patient service specialist team.
    • Ability to assess all staffing levels and determine the need for appropriate resources, which may include the use of third parties.
 
  • Regularly reports A/R and Credit information to Management.
    • Develops a monthly A/R reporting package to include relevant data and metrics such as:  monthly A/R summary reports by payors and by patients, bad debt reserve analysis, contractual adjustment analysis, sequestration analysis, patients’ deposit, cash lag report, number of transactions and customer service metrics.
    • All other duties and responsibilities may be assigned.
Skills Required:
  • 5 years of experience in progressively responsible positions in Credit and A/R in the healthcare industry.
  • 2-5 years of experience with Brighttree software
  • Degree in Business Administration
  • 4 years of direct supervisory and management experience.
  • Familiar with escheatment laws and processes in all states.
  • Professional written and verbal communication skills.
  • Excellent reasoning and organizational skills, and superior attention to detail.
  • Thorough understanding of the healthcare billing process and have strong customer service and negotiation skills.
  • Represents the Company in a professional and courteous manner when handling patient matters and payor matters.
  • Maintains strict confidentiality about the company’s financial statement as well as patient treatment, diagnosis, and related procedures and information.
If qualified, please apply with your resume in PDF or Word format.

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