Senior Manager

The Senior Manager, Accounts Receivable is an exciting new role that will help practices on the OneOncology platform better manage and monitor their accounts receivable (AR).   This position will provide OneOncology practices with oversight of their Accounts Receivable.  This will include proactively monitoring practice’s AR, identifying root cause of AR build up (i.e. payer policy changes, payer behavior/system trends, clinical / workflow within practice, etc.) and determine strategies to continue to improve practice AR metrics.    This role will be a member of the RCM leadership team evaluating AR performance for both offshore and onshore AR teams.   

Responsibilities

• Lead AR operations for OneOncology shared services overseeing multiple practices.

• Drive practice AR KPI’s to reach established targets.

• Develop strategy for targeted AR assessment and prioritization.

• Develop long-term relationships and lead through influence with key resources at payers to help drive down Practice AR.

• Identify and troubleshoot billing and payer issues by analyzing denials, aging AR, and payer feedback.

• Understand national payer guidelines and large local payer guidelines to guide RCM teams on best practices for collections

• Identify root cause and trends leading AR to age and identify how to proactively address.

• Become familiar with payer policies regarding corrected claims, payer portals, appeal levels and timely and appeal limits.

• Maximize AR tool in order to identify high priority claims and monitor performance of RCM team.

• Create best practices for resolving patient AR including workflows that can be done pre and post visit to address patient AR build up quicker.

• Maintain relationships with key stakeholders at our partner practices to better understand payer dynamics and previous history with the payer.

Qualifications

• 7+ years of experience in community oncology industry and/or similar field leading AR resolution and AR recovery.

• Deep understanding of physician practice operations.

• Ability to communicate to practice leadership regarding clinical or operational workflows that could be leading to AR issues for certain specialties, payers, etc.

• Strong ability to communicate across all levels of a payer to support AR resolution – including getting in the details of individual claims as well as escalating to more senior resources at the payer.

• Solid analytical skills with ability to deep dive into groups of accounts or claims to determine root cause.

• Good skills with Excel with the ability to slice and data from the EMR and Practice Management system to gain better insights into AR issues.

• Experience with AR escalations including writing 1st and 2nd level appeals and managing payer escalations with payers.

• Ability to grasp clinical concepts that may be leading to AR build up – i.e. Medical Record requests and rationale by the payer.

• Working knowledge of Billing, Collections, Government Payers, Managed Care Payers, Private, and Third Party Insurances required.

• Ability to understand patient balances and help partner practices develop strategies to help bring down these balances.

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