What are the responsibilities and job description for the Collections Manager position at RxFunction?
Job Description
Job Description
Position Summary
The primary responsibilities of the Collections Manager are to oversee the collection efforts and all correspondence and appeals necessary to collect accounts receivable from third-party payers (e.g., commercial insurers, Medicare and Workers Compensation). Responsible for the development and implementation of collection processes, procedures and policies, as well as the recruiting, hiring and training of collections personnel. Oversee the collection staff on all rebilling of commercial payer claims. Work together with payer contracting team to manage collections at the contracted rates. Stay abreast of payer coverage and billing requirements and changes, and communicate and educate Market Access Manager, Billing Manager and Clinical Relations Manager. Ensure adherence to all regulatory standards and requirements including Medicare, ACHC and HIPAA.
Job Responsibilities
Responsibilities include, but are not limited to, the following :
- Develop and implement Collections processes, procedures and policies.
- Recruit, hire and train Collections staff.
- Oversee the Collections personnel to collect outstanding receivables from third party payers.
- Prepare necessary payer correspondence regarding collection of claims and payment at appropriate benefit level.
- Respond to all third-party payer inquiries, both written and verbal.
- Manage all requests for recoup of overpayment by third party payers.
- Work with the Billing Manager on the ongoing development and use of electronic billing software.
- Work with payer contracting to resolve payment collection issues from contracted payers.
- Work with other team members on all medical necessity claim denials.
- Create, analyze and maintain reports on claim denials and collection issues and utilize these reports to improve front-end procedures and yield better collection outcomes.
- Communicate payer trends to reimbursement team, billing staff and leadership.
- Strategize payer issue resolution with internal teams.
- Other duties as assigned.
Required Qualifications
Benefits :
Work Location : On Site
Compensation range : $90k to $120k, based on qualifications
Salary : $90,000 - $120,000
