Director of Accounts Receivable
The Director of Accounts Receivable is responsible for the oversight of post bill insurance collections and follow-up activities. This role is responsible for maximizing the collection of medical services payments and reimbursements from insurance carriers. The position provides direct management of the Accounts Receivable department and assists in setting financial goals, ensuring processing efficiency, and monitoring quality improvement to support the achievement of SCP Health financial goals.
In alignment with the core values of SCP Health, the Director of Accounts Receivable role aligns with the organization's core values by:
- Agility: Possessing the ability to adeptly prioritize and manage multiple duties concurrently. The Director of Accounts Receivable must be able to assess the needs of the team/organization and swiftly make decisions to further advance the business unit.
- Respect: Foster a team environment, always keeping the team culture and needs in mind. The Director of Accounts Receivable will spearhead the development of a supportive, empowering place of business to maximum success.
- Courage: Advocate for the organization when outside forces jeopardize team and company objectives.
- Collaboration: Work with ALL business partners within the company and foster a One-Team approach.
- In conjunction with revenue cycle services leadership team and other department leaders, further refine adjudication processes to minimize denials and appeals, optimizing performance and cash collections and reducing days in accounts receivable.
- Continuously monitor and drive towards established financial and operational benchmarks to identify and resolve variances and exceptions, which may affect cash flow.
- Review daily, weekly and month-end reports; identify opportunities for improvement and develop plans to implement necessary changes to meet performance expectations.
- Manages the team responsible for the accuracy and financial viability of the accounts receivable. Assigns/allocates resources as required ensuring financial metrics and goals are met.
- Set, communicate, and manage departmental metric and performance goals, holding team members accountable and reporting performance to leadership.
- Coordinate interactions with pre-billing, billing, provider enrollment, cash posting, contact center, and other departments as needed to provide feedback and analysis on financial data, and to facilitate cross team support and process improvement initiatives.
- Provide operational support of the accounts receivable department to assure proper and timely adjudication of accounts receivable.
- Monitor AR global partner relationships and performance, including adherence to financial metrics and performance. Work with global partners on issue identification and resolution leading to enhance processes.
- Assure systems and processes are working as needed to attain desired results.
- Hire, train and develop the AR Managers, Supervisors and Analyst team members. Ensure team members act with a sense of accountability and ownership as it relates to their departments.
- Set clear performance metrics, expectations, and accountability while providing ongoing feedback to staff regarding their performance throughout the year.
- Monitor and maintain a high level of productivity and quality of work.
- Conduct department weekly standup and regularly scheduled staff meetings.
- Interact with other departments within SCP Health to coordinate and communicate policy and procedure changes to drive efficiencies and productivity.
- Manage the administrative aspects of the department to assure:
- Department goals and expectations are clearly defined and monitored for adherence,
- Timely feedback on performance reviews as required,
- Proper handling of disciplinary issues as required,
- Mentoring of department manager and supervisors,
- Ensure policy and procedure manuals are developed and maintained,
- Adequate staffing levels are maintained,
- Budgetary guidelines are followed,
- Workflow is efficient and effective, and
- Sustain high levels of morale.
- Keep RCS leadership abreast of both successes and problems as they occur.
- Participate in various Revenue Cycle committees as required and be involved with issue identification and resolution across SCP Health.
- Follow HIPAA compliance guidelines.
Knowledge, Skills, and Abilities:
- Proven attention to detail along with the ability to manage multiple projects in a fast-paced environment.
- Strong working knowledge of the GE Centricity Business system (a.k.a. IDX Flowcast) and coordinating preferred, or clear demonstration of mastery of another patient accounting system.
- Be a role model within the department by exhibiting mature leadership qualities such as a positive outlook, confidentiality, respect, and team spirit.
- Ability to work autonomously and as a team member, with little supervision.
- Excellent verbal and written communications skills.
- Professional attitude and demeanor.
- Ability to work effectively in a fast-paced environment.
- Strong analytical and problem solving skills.
- Strong desktop PC skills in MS Project and Excel.
- May require sitting for long periods; also stooping, bending, and reaching for files and supplies.
- Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, copier and other office equipment as necessary.
EDUCATION (Required and/or Preferred):
- Bachelor's Degree in Business, Health Administration, Public Health or related area.
- Minimum of 5 years experience managing and leading a revenue cycle team.
- College degree and/or comparable work experience.