Collections Manager PAM Health Corporate

Responsibilities

I. Job Responsibilities

Manage Rehab OP commercial collection team.

Train and ensure supervisors are properly trained for their specific roles.

Review all timely filing adjustments before submitting to upper management.

Completes random audits to ensure staff is completing assignments properly and efficiently.

Review all AR reports for completion and appropriateness of notation.

Report account findings during monthly AR calls, prepare and distribute monthly slide decks for MOR.

Works to maintain facility Cash, Bad Debt, Aging and DSO within corporate targets.

Works with facility and payers to address AR trends that impact cash flow.

Report trends to upper management.

Reach and trend daily and monthly key performance indicators.

Assists collectors with next actions on difficult patient accounts.

Review sources of rebill requests with the billing supervisor and collaborate on ways to prevent rebills where possible.

Review productivity and complete monthly performance audits on each team member, following up and monitoring collector follow up on balances to ensure

actions are progressing towards resolution of balances.

Refers accounts to supervisor, director, or VP for write-off, accounting reserves, and agency or legal placement.

Responsible for managing Aging Report properly to insure appeals are sent and followed up timely to prevent missed filing deadlines, prevent balances

rolling to the next aging buckets and reduce percentage of AR greater than 90 days old.

Communicates all denial trends to upper management.

Reviews escalated accounts within 3 business days of referral by collections team members, returns to team members with recommended next actions,

escalates to senior leadership where needed, or works those accounts where necessary to obtain payment. Investigates refund requests, overpayment

notifications, and credit balances as required.

Maintain adequately trained staff to achieve daily productivity requirements

Responsible for workflow management within the Collection Team and recommendations for process improvement

Creating processes with a core design of automation and waste reduction, processes and workflow that rely on automation and are designed to eliminate

touches wherever possible.

Provide coaching and development for new training initiatives

Onboarding, training, coaching and development for New Hires

Work collaboratively with leadership and other team leaders on issues and creative solutions

Work with and escalate payer issues where appropriate to Managed Care to address bulk/high dollar payer issues impacting cash collections while preventing

damage to critical payer relationships

Ensure collection team has knowledge of Contract Terms, State and Federal prompt pay statutes and guidelines to ensure payer compliance and accountability

in underpayment situations, appeals rights, overpayment assertion and timeliness of payment

Represents collections team by participating on implementation teams and projects

II. Leadership

Inclusiveness: Promotes cooperation, fairness and equity; shows respect for people and their differences; works to understand perspectives of others;

demonstrates empathy; brings out the best in others and in his/her team

Managing Staff: Coaches, evaluates, develops, and inspires staff; sets expectations; recognizes achievements; effectively manages conflict; aligns department

goals with organization goals; provides feedback; delegates appropriately; evaluations completed on time

Stewardship and Resource Management: Demonstrates accountability and sound judgment in managing company resources; appropriate understanding of

confidentiality and company values; adheres to and supports company policies, procedures and safety guidelines

Problem-Solving: Identifies problems and involves others in seeking solutions; conducts appropriate analysis and searches for best solutions; effectively and

efficiently implements appropriate responses to correct problems; responds promptly and effectively to new challenges

Decision-Making: Makes clear, consistent decisions; acts with integrity in all decisions; distinguishes relevant from irrelevant information; makes timely,

appropriate decisions.

Strategic Planning and Organizing: Understands company vision and aligns priorities accordingly; measures outcomes; uses feedback to redirect as required;

evaluates alternatives; appropriately organizes complex issues to desirable resolution

Communication: Connects with peers, subordinate employees and all customers; actively listens; clearly and effectively shares information; demonstrates

effective oral and written communication skills; negotiates effectively.

Quality Improvement: Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient

when responding to matters that are challenging; takes initiative to make improvements

Leadership: Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior

of self and staff

Teamwork: Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others

Development: Maintains up-to-date skills through involvement with professional organizations and/or continuing education

III. Customer Service

Maintains the highest level of customer service via courtesy, compassion and positive communication

Promotes the Mission and Vision of Post Acute Medical within the work environment and the community

Respects dignity and confidentiality by adherence to all applicable policies and procedures

Provide support to all facilities when requests are received or assistance is needed. Be timely and responsive to all requests. Treat our facilities as customers

and provide superior customer service to each.

IV. Health and Safety

Works in a manner that promotes safety; wears clothing appropriate to the performance of the job

Participates in OSHA required training

Follows universal precautions as appropriate for position; complies with Employee Health requirements for continued employment

Reports unsafe practices to management

Knows own role in case of an emergency

Qualifications

Education and Training: This position requires a four (4) year college degree or relevant experience in addition to a minimum of five (5) years of hospital billing/collections experience and three (3) years of managerial related experience.

Required Knowledge, Skills, and Abilities:

Individual must be able to perform each essential duty satisfactorily to include: management of staff, authorize and review all adjustments and refund requests, analyze and maintain A/R > 90 days at an acceptable level and ensure all reports are worked within the established guidelines and time frames.

The Collections Manager is also involved directly with collection efforts on outstanding accounts which includes: telephone contact with payers, work collection reports, audit accounts, appeal denied claims as necessary, update accounts as necessary, submit and monitor problem claims, identify payor related denial trends, and meet or exceed department goals.