Senior Manager, Reimbursement Services (Operations)

POSITION SUMMARY:

Provides management and support to personnel in Reimbursement Services by having direct responsibility for the assigned portion of the accounts receivable, including the timely and accurate production of bills along with the collection of outstanding invoices and claims. Responsible for the direct supervision of staff within the assigned unit. Additional responsibilities will include maintenance of the accounts receivable and accuracy of all transactions, managing internal and external team members as well as process improvement of the Reimbursement Services team.

PRIMARY RESPONSIBILITIES:

• Demonstrate and communicate the core values of BAYADA and The BAYADA Way.
• Develop working knowledge of BAYADA’s mission, services, people, organization, policies and procedures.
• Supervise multiple teams across several payor types.
• Manage A/R, including bad debt/SRA review for a particular region or business entity.
• Leadership:
• Manage several teams across several payor types, including internal BAYADA employees and external Vendor teams.
• Foster a teamwork concept. Instill accountability in team members. Promote trust.
• Maintain a continuing program for the review and revision of BAYADA’s receivable systems to ensure they are effective and reliable and meet current third-party requirements.
• Assist with new software installation and recommend modifications as appropriate.
• Be a change leader who promotes innovation and leads process improvement initiatives.
• Enthusiastically engage teams with culture exercises.
• Participate in strategic workforce planning; assess staff and determine future development needs. Ability to communicate such needs/observations with leadership and staff members.
• Maintain active involvement and understanding of the budgeting process for the assigned team(s).
• Demonstrate proactive strategic thinking, planning, and execution.
• Operational:
• Manage and ensure timely production and submittal of invoices/claims and accounts receivable management through effective supervision of Reimbursement Services staff. Responsible for team performance and quality assurance.
• Responsible for process improvement cross-functionally. Work closely with all Revenue Cycle teams to improve processes that will result in quicker and more efficient reimbursement.
• Report on quality assurance and internal audit of the assigned portion of the Accounts Receivable to appropriate leadership and escalate concerns accordingly.
• Oversee and identify trends and new developments with assigned payers and the home health industry.
• Review new payer contracts and update system and internal procedures to accommodate contractual terms.
• Establish quality and quantity goals for the department and monitor progress against standards.
• Recommend, develop, promote, and implement improvements to current methodologies.
• Advise the Director on trends, problems, and issues related to the assigned portion of the Accounts Receivable.
• Continuously identify and recommend required changes to ensure compliance with rules/regulations related to billing and reimbursement through research and documentation.
• Monitor and create a culture of compliance.
• Maintain acceptable standards of attendance, punctuality, dependability, and productivity.
• Enforce credit balance policy.
• Analyze remittances, collection logs, write-offs, and claims billing relative to interoffice contracts for staffing and transfers for proper posting and assure the integrity of all transactions.
• Maintain the integrity and confidentiality of all client and employee files as appropriate.
• Review, advise, and manage payer profiles within systems, including rate tables.
• Independently write reports, business correspondence, and procedure manuals. Effectively present information and respond to questions from groups of employees, managers, directors, and clients.
• Independently create financial reports and provide detailed analyses.
• Talent Development:
• Independently complete performance evaluations.
• Autonomously engage in ongoing career planning and developmental conversations with staff and consult with the Director on a regular basis.
• Responsible for the development of well-qualified employees to support reimbursement activities as well as the culture and vision of the organization.
• Independently participates in the hiring process, onboarding process, and performance management of employees. Consult and advise the director of staffing needs, training requirements, and employee performance discrepancies.
• Customer Service:
• Establish relationships with third party payers to assist in the collection of accounts and develop alternative efficiencies within organizational processes.
• Assist and advise service office Directors regarding payer issues and billing/collection problems.
• Represent the organization to various other organizations, payer sources, the public, and other employees professionally and appropriately.
• Independently visit, train, and consult service office customers within the scope of revenue cycle management.
• Develop materials and represent the standards of the Division independently.
• Continuous high performance/ratings of customer service. Capable of listening to service office customers and developing strategies to support the Practices reimbursement trends.
• Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff.
• Perform related duties, or as required or requested by supervisor
  
  

MINIMUM QUALIFICATIONS:

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
• Four (4) year college degree.
• Minimum five (5) years of personnel management and supervisory experience.
• Minimum two (2) years experience managing large teams.
• Possess a thorough knowledge of healthcare reimbursement, preferably in the home health industry.
• Ability to self-motivate and work independently.
• Computer proficiency, including in-house accounts receivable systems and Microsoft products, including Word, Excel, PowerPoint, and Outlook.
• Proficient in Mathematics.
• Demonstrated record of strong interpersonal skills.
• Acceptable pre-employment assessment results.
• Ability to read, write and effectively communicate in English
  
  
  

BAYADA believes that our employees are our greatest asset:

• BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
• To learn more about BAYADA Benefits, click here
  
  
  

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.