Manager of Accounts Receivable - Denials and Appeals in Brentwood, TN at Parallon

Date Posted: 2/27/2018

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. 

As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting. 

Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.  

JOB TITLE – Accounts Receivable Manager; Denials and Appeals

GENERAL SUMMARY OF DUTIES - Directs and coordinates activities of employees engaged in collecting accounts of customers by performing the following duties personally or through subordinate coordinators.

SUPERVISOR - Director of Denials and Appeals

Directly supervises 10 to 20 employees in the Business Office. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Ensures that third party billing is submitted correctly and that appropriate follow-up is performed.
• Assures that denials are corrected and filed.
• Oversees the timely and accurate posting of charges and payments on a daily basis.
• Assures compliance with self-pay and bad debt policies.
• Assists the Business Office Director in establishing and monitoring productivity standards, quality improvement and assurance and directs staff in meeting department goals.
• Assists the Business Office Director in preparing timely month end closing activities.
• Assists in compiling reports at month end and as needed.
• Reports on status and action plan from Top Ten Losers report for any practices that are in his/her assigned group. Information is presented to the Business Office Director within five working days.
• Assists Account Representative Coordinator in establishing and maintaining CPS policies and procedures.
• Regularly reviews AR data and develops strategies to improve revenue.
• Coordinates with IS department and financial/business analysts the development of follow up collection worklists by downloading Medic reports into an Excel spreadsheet using Monarch and file transfer protocols.
• Reviews collection reports to ascertain status of collections and balances outstanding and to evaluate effectiveness of current collection policies and procedures.
• Ensures that correct coding and compliance guidelines are being adhered to during the collection process.
Reports issues to the Business Office Director and compliance hotline.
• Coordinates with others, including personnel in company branches to exchange information and update controls.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.

KNOWLEDGE, SKILLS, & ABILITIES - This position requires the following minimum requirements:

QUALIFICATIONS - 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.

A high school diploma or equivalent is required, an Associate's or Bachelor's degree (A. A.) is preferred; with at least three to five years of medical billing experience along with prior supervisory experience of at least one year. A comprehensive knowledge of CPT & ICD.10 coding is highly desirable.

CERTIFICATION - Coding certification through AHIMA or AAPC required

Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, and customers.

Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Ability to analyze and prepare Excel spreadsheets is desirable.

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.