Website prelude Prelude Fertility

Prelude Fertility provides personalized care and fertility services that help people have healthy babies when they’re ready.

Job Details

Description

The AR Manager is responsible for supervising day-to-day post service activities in the Revenue Cycle Department. The manager will coordinate all facets of revenue cycle functions including timely claim follow-up with insurance and patient, re-verifying benefits as needed, re-calculation of patient costs, and timely claim re-submissions as needed.

This role ensures duties are completed accurately and timely while acting as a team player for optimum office flow and excellent patient account care. This position is expected to demonstrate professional behavior, display appropriate conduct and show consideration, respect and patience towards all patients, families, staff and professional affiliates. The Manager of Revenue Cycle follows all federal, state and payer specific regulations and policies pertaining to documentation and billing practices to ensure all work is following established guidelines.

Essential Responsibilities:

  • Plans, supervises, and coordinates all AR collection and cash posting activities within the Revenue Cycle AR Team for Patient Self-Pay
  • Manages relationship and performance of 3rd party collection agencies.
  • Recruits, hires, trains, evaluates performance and disciplines employees in assigned area of responsibility.
  • Manages the workflow and ensures deadlines are met
  • Creates assignment spreadsheets for insurance, self-pay, and credit balance reviews ensuring that timely follow-up is being performed
  • Sets and tracks individual and AR collections goals
  • Ensures timely processing and submission of refund requests in compliance with OIG and state regulations
  • Oversees the completion and submittal of appeals/reconsiderations to insurance companies
  • Completes weekly review of payer trends as identified by the AR follow-up team
  • Completes monthly in-depth reviews of aged accounts per location and executes on action plan to improve collection

    Education and/or Experience:

    • Associates degree in business administration, accounting or related field and 3 years’ experience in medical office accounts receivable or HS Diploma with 5+ years’ experience in same.
    • At least one-year experience as team leader or supervisor in medical office accounts receivable environment

Qualifications

Experience

Required

3 years: Medical Office