Senior Manager, Collections, FT Hybrid

About the role

General Summary

Under limited supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion-dollar, regional healthcare system. Expectations include, but are not limited to: Management of outstanding hospital accounts receivable; develop, implement and maintain effective collection strategies; analyze denial data; identify and remediate inefficient business processes; manages, trains, recruits, coaches and develops management team members; ensures reimbursement methodologies comply with federal, state, and local laws/regulations, payer regulations; and reducing uncompensated care.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. Review and analyze summary level A/R reports against defined targets. Proactively analyzes various key performances indicators within the billed accounts receivable to identify differences between projections and actual year to date results as it relates to: aging days of accounts receivable, returned claims/billing rejections/third party denials, bad debt, write offs, vendor performance, bad debt recoveries, and medical assistance eligibility conversion rate.  Advises Managers of corrective action when necessary.

2. Establishes protocols and standards for the account resolution for Patient Accounts Receivable team members. Includes quantity, quality, account prioritization, account documentation requirements, and overall account processes. 

3. Oversees Department Manager performance; coordinates and prioritizes assigned activities to achieve maximum productivity and assumes responsibility for professional growth and development.

4. Review and evaluate recurring trends; identifies lapses in clinical department protocols that prohibit the collection of dollars due to administrative reasons, such as lack authorization, non-covered services, lack of timely filing, eligibility, exceed policy terms, etc. Collaborate and resolve issues with other Revenue Cycle departments; makes recommendations to external departments to implement appropriate measures to decrease lost reimbursement.

5. Primary representative to third party payers to resolve high dollar accounts (over $50,000) for the Centralized Business Office.

6. Evaluates daily/monthly and year to date performance of collection personnel, recommends improvement to team members’ account productivity and adherence to Centralized Business Office policy.

7.Reviews monthly and year-to-date cash deposited/posted reports and reconciles any difference with Cash Posting. Works with Cash Posting to resolve any problems regarding regular bank or credit card deposits and proper distribution of general ledger numbers, including the separation of Accounts Receivable payments and Bad Debt recoveries. Implements monthly/yearly cash, days in Accounts Receivable and uncompensated care projections based on deposit and posted totals.

8. Participate in departmental and organization-wide meetings/workgroups. Conducts regular meetings with managerial team members and interacts closely with other departments to provide a smooth business flow to reflect the effectiveness and scope of all policies and procedures administered by the department. 

9. Resolves customer service issues promptly and with satisfaction to the patients involved. Demonstrates a positive and professional image at all times when interacting with patients, management, team members and others. 

Education and Experience

1. Bachelor’s degree in Accounting, Finance or a related field, or equivalent industry experience is required.  Experience in directing the daily activities of the collections team in a high volume, complex setting is required.

2. Nine years of billing supervisor/management experience in a large medical system or centralized business office setting preferably within an academic medical cente

Knowledge, Skills and Abilities

1. Knowledge of medical coding, related medical terminology, the use of medical records, billing claim forms, and federal and state regulations concerning the use of medical records and medical billing.  Comprehensive knowledge of billing and reimbursement requirements for Medicare, Blue Cross and Blue Shield, Medical Assistance, Commercial Insurance and Health Maintenance Organization carriers is required.

2.Strong analytical skills are necessary to be able to conduct analysis of various accounting problems. Demonstrated proficiency with organizational, analytical, and mathematical skills. Must be detailed-oriented to accurately gather and summarize data, construct graphs and charts, develop projections, etc. and posses the ability to interpret and explain this data to others.

3.Demonstrated proficiency with personal computers, business applications such as spreadsheets, database programs, presentations programs, and scheduling software.

4. Demonstrated ability to perform responsibilities in a fast-paced environment, requiring excellent organizational skills, sound judgment and critical decision making.

5. Strong written, verbal and interpersonal communication skills are necessary to effectively interact or a variety of hospital administrators and management personnel when collecting information, or explaining financial strategies and models, etc.

6.Ability to work efficiently and accurately, and to organize and plan work. Flexibility and adaptability to work under stress. Excellent negotiation and problem-solving skills. 

7.Knowledge and understanding to adhere to established department policies for attendance, punctuality, procedures and safety and UMMC policies and procedures. 

8. Ability to effectively maintain professional competency, according to department policies, procedures and protocols.