Job Description:

Job Title: Recoupment Manager
Location: Springfield, Mo.
Department: Client Financial Services
Employment Type: Full-time
Shift: Monday - Friday 8:00 A.M. - 5:00 P.M.

Job Summary:

The Recoupment Manager, Client Financial Services (CFS), reporting to the System Director, Client Financial Services, is responsible for managing the scope of Client Financial Services. This includes reviewing and processing insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances. The Recoupment Manager collaborates with the revenue cycle leadership team to set goals, measure process effectiveness, identify policy and procedure updates, and ensure departmental success.

The Recoupment Manager position offers…

• All-Inclusive Employee Benefits Package - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, and more
• Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Paid Time Off - 29 days per year including vacation & holiday pay
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement

Key Responsibilities:

• Supervise and coordinate daily activities and workflows associated with Client Financial Services, ensuring staff compliance with departmental and organizational policies, procedures, and standards.
• Provide direction and support to staff, adhering to an established education plan to maintain quality and productivity standards.
• Demonstrate excellent customer service and professionalism when interacting with staff, vendor representatives, payers, and clients, treating all with kindness and respect.
• Ensure services are provided in accordance with state and federal regulations, organizational policies, and accreditation/compliance requirements.
• Conduct quality audits and meet with team members to assess productivity and quality standards.
• Assist in developing new-hire curriculum, providing initial education, and planning ongoing professional development opportunities for existing staff.
• Manage employee performance, including annual appraisals, feedback, and corrective action when necessary.
• Ensure staff and department's adherence to company policies and procedures.
• Collaborate with department leadership to meet operational goals and ensure colleague performance meets expectations.
• Review overpayment requests from third-party payers, validate requests, and initiate appeals when necessary.
• Work closely with the Compliance department for audit repayments and tracking.
• Review accounts receivable balances for resolution or repayment of insurance credit balances.
• Review client payment credits balances for resolution or repayment.
• Prepare refund request forms and supporting documentation for repayment or initiate recoupment.
• Crosstrain with Cash Posting Manager and perform essential duties in their extended absence.

Supervisory Job Duties:

• Communicate the organization's strategic direction and encourage employee participation.
• Provide leadership and guidance in all aspects of services provided.
• Monitor the identification, development, and execution of strategic objectives.
• Involve all associates in achieving goals.
• Effectively communicate changes and news within the department or company.
• Handle difficult personnel situations with discretion and respect, seeking Human Resource advice when necessary.
• Champion change and manage the implementation of new ideas.
• Foster a team approach throughout functions, supporting input from team members at all levels.

Education and/or Experience Qualifications:

• - High school diploma or GED required; Bachelor's degree preferred.
• - Certification in Billing and/or Coding preferred.
• - Minimum two (2) years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management preferred.
• - Mis