Manager of A/R Follow-Up

HearingLife is a part of the Demant Group, a world-leading hearing healthcare group that offers solutions and services to help people with hearing loss connect with the world around them. With over 600 locations across the United States - HearingLife's vision is to make a life-changing difference for people with hearing loss. Our innovative technologies and know-how help improve people's health and hearing. We create life-changing differences through hearing health. This Team Member must uphold the HearingLife Core Values:

• We create trust
• We are team players
• We apply a can-do attitude
• We create innovative solutions

The Billing and Collections Manager is responsible for all claim submissions and collection activities across multiple entities. Also responsible for developing and monitoring all billing and collection policies, streamlining processes, and assisting with new solutions. Reports to the Senior Director of Patient Financial Services.

Managerial Responsibilities:

• Manage the A/R follow-up team to include training and development, coaching, counseling, and performance management.
• Lead and manage the daily operations of the insurance and managed care follow-up team, ensuring productivity and quality standards are met.
• Provide timely performance coaching and feedback to include encouraging and recognizing Team Members for excellent performance.
• Conducts quality audits in AR Follow-Up to ensure best practices and timely account resolution.
• Monitors daily performance and the adjusted productivity trackers to meet performance goals.

A/R Policies & Procedural Responsibilities:

• Develop and implement processes to improve claim resolution timelines and underpayments.
• Monitor aging reports and key performance indicators (KPIs), including Days in AR, denial rates, and collection targets.
• Coordinate with billing, coding, and other departments to address claim issues and streamline workflows.
• Serve as the point of escalation for complex or high-dollar claims.
• Manage A/R collections for the new OSC program, which will require meeting with OSC leadership to drive PML collections in partnership with the HCP's.
• Stay current with payer policy changes, compliance regulations, and industry best practices.
• Analyze trends in denials and rejections to recommend and implement preventive measures.
• Prepare and present reports to senior leadership on collection performance, trends, and areas for improvement.
• Provides updates and revisions on all RCM Standard Operating Procedures and Team Member Success Policies as necessary. Monitors adherence to RCM policies.
• Key SME in insurance plan guidelines, reimbursement, billing, and healthcare regulations relevant to Audiology.
• Comply with HIPAA and HearingLife guidelines.

Cross-Functional Responsibilities:

• Acts as liaison between Revenue Cycle, IT, Finance, and clinics. Interfaces with all stakeholders as necessary to facilitate billing resolutions.
• Drive escalations to quick resolutions, partnering with cross functional business units.
• Support revenue cycle strategies to improve cash collections, expedite account resolution, and enhance A/R follow-up processes in order to meet or exceed monthly cash goals.

Technical System Responsibilities:

• Responsible for driving the design and utilization of Waystar modules and functionality that yield timely resolution of claims and payments.
• Oversee the implementation of new products and processes, optimizing existing systems to enhance billing efforts.
• Utilize Waystar reports and dashboards to develop data-driven action plans for operational enhancement.

Job description is not intended to include an inclusive list of responsibilities. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

Education and Experience:

• Bachelor's Degree in healthcare, accounting, finance, or related field required.
• 5+ years' billing and accounts receivable experience in a multi-state and high-volume of claims environment.
• Strong leadership skills and experience managing billing teams and collection specialists.
• Working knowledge of Waystar claims management system modules is required.
• Demonstrated project management and process improvement skills.
• Knowledge of billing and revenue cycle management
• Proven ability to solve problems and implement programs to address complex needs
• Advanced Excel skills, comprehensive knowledge in Microsoft Office suite
• Strong technical skills - experience in working in and setting up a clearinghouse.
• Team player prepared to help and lead others to achieve department goals, and develop and mentor staff

Supervisory Responsibilities:

Manages a team of non-exempt Team Members.

Travel:

Position may require infrequent local and overnight travel for large departmental meetings.

We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status.

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