This role is initially to build and implement an effective recovery operations department. This includes the defining applicable needs, writing policies and procedures and hiring appropriate staff. This role will oversee the day to day case management, collection efforts and settlement activities of their team as well as accountability for optimizing the recovery of paid healthcare claims on behalf of clients. This role leads and executes all collection effort specific to overpaid claims audited. This includes but is not limited to revenue cycle managements, inventory management and service level agreement (SLA) support. This person will be tasked with the provision of effective and efficient leadership of a team of dedicated professionals focusing on collections related activities.
Job Roles and Responsibilities:
? Design and implement collections training needs and programs
? Hire, develop and evaluate staff to ensure the efficient operation of the department
? Provide leadership to a team of dedicated professionals focusing on collections related activities
? Ensure and monitor productivity and quality goals for the recovery team
? Ensure that collections efforts meet all monthly/quarterly and annual collection and revenue targets
? Facilitate successful completion of all clients SLAs regarding collections, inventory and letter requirements
? Generate and submit client facing inventory reports. Work closely with operations and account management to provide relevant client inventory report
? Communicate, collaborate and coordinate across all applicable departments.
? Ensure compliance with HIPAA and all other applicable regulations and requirements
This individual will work with minimal supervision in the day to day responsibilities tasked to them. They will have regular interactions amongst all level of customers both internal and external.
? Minimum bachelor's degree along with five (5) years experience within healthcare and collections.
? Knowledge of the US Healthcare system and experience with healthcare data and terminology including ICD-9 & ICD-10, Medicare (Part A, B, C & D), cost containment and cost avoidance.
? Experience with business processes, process mapping, process improvements
? Advanced computer skills; advanced proficiency with Microsoft Excel
? Strong communication skills
? Ability to adapt to a changing environments, handle multiple tasks and have outstanding customer service skills