Job description
Overview
This Senior Manager of Revenue Cycle Accounts Receivable (AR) is responsible for the day-to-day management of all insurance Accounts Receivables. This includes the complete adjudication of all outstanding Insurance claims and denied insurance claims in accordance with Med. Quest Business Standards.
Responsibilities
Creates a shared vision by words and actions; models behaviors and sets the tone that mission and values guide decision making. Aligns others with Med. Quest's mission, vision, and values. Continuously strives to modify departmental operations to enhance delivery of the ‘Remarkable Patient Experience’ and communicates ongoing customer needs to leadership.
Demonstrates leadership knowledge and skills, exemplifies honesty, integrity, fairness and trust. Delegates appropriately and involves staff in decision-making. Makes each individual feel his/her work is important and aligns the energy and resources to achieve desired results. Assures all competencies are demonstrated at the lead and staff levels.
Participate with Director/Manager in annual reviews, interviews, and personnel actions Functional Competency: Manage the workflows and processes for the AR team ensuring all insurance claims are filed and processed timely. Ensuring reimbursements match to expected rates for services. Actively participate in all JOC Novant calls using as a forum to resolve issues and keep current on changes with payors.
Approve all Level 1 and Level 2 adjustments to patient accounts. Collaborate with Novant Analysts on all EPIC upgrades and shares with team pertinent changes to workflow or processes. Management of system rules and workflows within the Health Information system(s). Liaison with other Revenue Cycle teams, Scheduling/Precertification, and our Center Managers to discuss and resolve issues related to decreasing denials and maximizing payments.
Develops recommendations and presents proposals to Director to include process improvements, policy and procedures modifications, and training recommendations. Leads change and demonstrates improvements in processes where results are not optimal. Involves stakeholders in the change process when improvement efforts impact other business units.
Compliance & reporting: Ensure adherence to payer rules, insurance billing regulations, and internal financial controls; prepare reports for management. Ensure timely completion of Insurance refunds/Credits. Other duties as assigned or modified at Managers discretion Qualifications Education Bachelor’s Degree in Business, Finance or related function required OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis Prior Experience Minimum 6 years of progressive experience in health care revenue cycle Minimum 2 years of supervisory experience Company Message About Med.
Quest Imaging Founded in 1996, Med. Quest is one of the most experienced outpatient imaging providers in the United States. Through direct ownership and joint ventures, the company operates a mixed network of independent and hospital-affiliated radiology centers that perform diagnostic tests used to help identify , diagnose, and monitor a range of health conditions.
In addition to providing expert solutions that include mammography, MRI, CT, ultrasound, and X -ray , Med. Quest uses proprietary systems and processes to optimize center operations, control costs, and deliver an unmatched patient experience. P atients, referring physicians, and h ealthcare systems count on Med. Quest, and we’re growing to meet the demand.
A career with our team includes limited or no weekend work , competitive salaries and benefits , and hybrid / remote opportunities based on role. To learn more, visit www.MQImaging.com . Leadership: Creates a shared vision by words and actions; models behaviors and sets the tone that mission and values guide decision making.
Aligns others with Med. Quest's mission, vision, and values. Continuously strives to modify departmental operations to enhance delivery of the ‘Remarkable Patient Experience’ and communicates ongoing customer needs to leadership. Demonstrates leadership knowledge and skills, exemplifies honesty, integrity, fairness and trust.
Delegates appropriately and involves staff in decision-making. Makes each individual feel his/her work is important and aligns the energy and resources to achieve desired results. Assures all competencies are demonstrated at the lead and staff levels. Participate with Director/Manager in annual reviews, interviews, and personnel actions Functional Competency: Manage the workflows and processes for the AR team ensuring all insurance claims are filed and processed timely.
Ensuring reimbursements match to expected rates for services. Actively participate in all JOC Novant calls using as a forum to resolve issues and keep current on changes with payors. Approve all Level 1 and Level 2 adjustments to patient accounts. Collaborate with Novant Analysts on all EPIC upgrades and shares with team pertinent changes to workflow or processes.
Management of system rules and workflows within the Health Information system(s). Liaison with other Revenue Cycle teams, Scheduling/Precertification, and our Center Managers to discuss and resolve issues related to decreasing denials and maximizing payments. Develops recommendations and presents proposals to Director to include process improvements, policy and procedures modifications, and training recommendations.
Leads change and demonstrates improvements in processes where results are not optimal. Involves stakeholders in the change process when improvement efforts impact other business units. Compliance & reporting: Ensure adherence to payer rules, insurance billing regulations, and internal financial controls; prepare reports for management.
Ensure timely completion of Insurance refunds/Credits. Other duties as assigned or modified at Managers discretion Education Bachelor’s Degree in Business, Finance or related function required OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis Prior Experience Minimum 6 years of progressive experience in health care revenue cycle Minimum 2 years of supervisory experience