Manager Accounts Receivable - Follow Up

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LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

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Summary
Oversees and manages colleagues performing the accounts receivable follow-up functions fostering an environment of progressive learning for all team members through development of process flow documentation, training, and coaching. Manages the Accounts Receivable aging, denial, and underpayment resolution as well as tracking and reporting on payer denial trends. Plans, implements, and trains colleagues on new programs and processes related to Accounts Receivable initiates.

Job Duties

• Hires, fires, trains, disciplines, conducts performance reviews, and provides other management responsibilities related to the ongoing department operations.
• Establishes and maintains department policies and procedures, as well as job aids and training materials for new hires and payer liability.
• Monitors and manages WQs to ensure that accounts are worked in a timely manner, identifying opportunities for work flow modifications to improve efficiencies.
• Develops and monitors goals and objectives relating to work quality, productivity, avoidable write offs, and days of receivable.
• Works collaboratively to implement process improvement activities related to work flow enhancements, new processes, system upgrades, and system implementation.
• Monitors accounts receivable aging to ensure that accounts are worked and resolved within the standards that are set.
• Works collaboratively with multi disciplinary teams to establish and facilitate meetings with the payers to discuss payer related claim situations, maintaining up-to-date records of the claims that are being discussed.
• Manages vendors associated with A/R outsourced activities, ensuring that all quality measures are maintained and monthly invoices are reconciled

Minimum Qualifications

• Associate’s Degree Business, finance, or healthcare related curriculum.
• 5 years Accounts receivable for a healthcare related organization. and
• 3 years Supervisor or manager role.
• Demonstrates strong leadership, the ability to effectively manage and embrace change, effective decision-making, and delegation of tasks
• Knowledge of hospital or physician revenue and receivable systems and use of a personal computer and related software applications.
• Ability to lead multidisciplinary team in process improvement, system implementation, and system upgrades.
• Thorough knowledge of insurance and regulatory requirements related to healthcare billing and operations.
• Ability to establish and manage work flow priorities, meet deadlines, and work with assigned interruptions.

Preferred Qualifications

• Bachelor’s Degree Business, finance, or healthcare related curriculum.
• Knowledge of Medical Terminology.
• Knowledge of coding including but not limited to CPT, HCPSC Codes, APR DRG, MS DRG, and ICD codes.
• CRCP - Certified Revenue Cycle Professional AAHAM - State of Pennsylvania within 1 Year or
• CPC - Certified Professional Coder - State of Pennsylvania within 1 Year

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organization