Collections Manager (Denials/Healthcare Experience Required) Job at Premier Home Health Care Services, Inc.
Premier Home Health Care Services, Inc. White Plains, NY 10601
Premier Home Health Care Services, Inc. is a leading established Home Health Care Agency. We currently have an opportunity for an Collections Manager in Westchester NY.
The Collections Manager is to be responsible for supervising the Collection Analysts, review aging reports, research denials and nonpayment, and create analytical reports to identify trends.
Qualifications:
- B.S. or B.A. in Healthcare or Business/Finance from an accredited college or university
- 2 - 7 years’ experience in Healthcare or Collections/Finance. Recent college graduates with finance major will be considered. Home care experience preferred.
- Demonstrated expertise at the Intermediate level of Excel (pivot tables, formulas) and Microsoft Office
- Strong problem solving capabilities
- Solid oral and written communication skills
- Knowledge of commonly-used concepts, practices, and procedures within Accounting
- Demonstrated proficiency in learning applications, portals, software and websites.
Essential Job Responsibilities:
- Review aging reports and utilize remittances, web portals and collection calls to identify denials.
- Researches open claims on assigned accounts to initiate appropriate follow up
- Communicate with internal departments to obtain additional information, request claim revisions, and resolve routine reimbursement occurrences
- Document all actions taken on accounts in central documentation system and worklist’s.
- Identify trends, commonalities and payer level activity to effectively dispute, appeal and overturn denials in a timely solution-based manner
- Performs reporting analysis to review AR activity and provide explanations to highlight and communicate metrics to leadership.
- Apply collection best practices to exemplify departmental standards for Collections staff
- Promotes department goals by motivating, and training capable team members.
- Leads the activities of team members by communicating and providing guidance toward achieving department objectives
- Trains new employees on department policies, procedures, processes, and applicable information systems.
- Resolves routine questions and problems posed by support staff.
- Proactively leads data mining efforts for special projects as requested.
- Prepare weekly AR summaries and monthly open claims reports categorized by root issue, claim amount, action required on behalf of self and staff.
- Routinely audits work output to ensure compliance with departmental expectations and processes.
- Completes preliminary review of adjustments, write offs, cash transfers, and private pay transfers to collections, and proactively monitors trends
- Participate in finance/operations meetings to report denial trends and address operational concerns to mitigate losses and maximize reimbursement.
- Informs staff of changes in policies, procedures, processes, systems, and regulatory laws and requirements.
- Communicates barriers, successes and recommendations for improvement to Director of Reimbursement.
- Maintains professional conduct and positive relationships with staff, management, and partners.
- Adheres to compliance and departmental policies and procedures including HIPAA requirements and maintenance of PHI integrity
- Performs other duties as assigned
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Medical specialties:
- Home Health
Schedule:
- 8 hour shift
Ability to commute/relocate:
- White Plains, NY 10601: Reliably commute or planning to relocate before starting work (Required)
Work Location: In person
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