Demo

Revenue Cycle AR Manager

Tandym Group
Irving, TX Full Time
POSTED ON 1/16/2025
AVAILABLE BEFORE 4/3/2025

Tandym Group has an immediate opportunity for an Epic A / R Manager with a client in Texas. This role will be focused on improving A / R performance for a health system undergoing an Epic transformation.

Responsibilities :

  • Manages and oversees all revenue cycle activities related to billing, collection, denial management, insurance follow up.
  • Performs statistical data analysis, and prepares trending reports of key A / R performance metrics.
  • Develops strategic plans for the A / R team and ensures that goals and objectives are properly defined and clearly established.
  • Monitors, tracks, and evaluates staff productivity and performance.
  • Promotes best practices in automation and workflow management used for claims submission and collection activities.
  • Utilizes information technology to improve recoveries and reduce accounts receivables. Assists with the development of front end edits based on denial trends.
  • Collaborates with key stakeholders within the revenue cycle to develop effective policies and procedures to ensure operational efficiency.
  • Develops effective working relationships with insurance carriers, subcontractors, provider enrollment, managed care and the Office of Compliance.
  • Assist with the development of quality assurance protocols and manage results.

Must Have Experience :

  • Minimum of 10 years in Revenue Cycle operations.
  • 3 years of managerial experience withinHB A / R management (experience managing the management / supervisory layer over collections).
  • Understanding of how to drive performance for both A / R supervisors and individual contributors.

  • Understanding of how a Hospital Revenue Cycle Business office works.
  • Understands the difference between and nuances of different insurance companies

  • Expert level knowledge of back-end revenue cycle process including patient access, claims, denials management, appeals, billing, collections and follow-up.
  • Understands that collecting on denials is different than collecting claims in the 0-60 bucket.

  • Experience within a large hospital or integrated healthcare delivery system.
  • Strong experience utilizing Epic for Revenue Cycle operations.
  • Experience with utilizing Epic Reporting and working with claims data
  • Identify trends, root causes and opportunities for A / R performance improvement.
  • Familiarity with Revenue Cycle Operations Process Improvement
  • How to best utilize Epic

  • Streamline current workflows
  • Nice To Have Experience :

  • Experience with Meditech.
  • Any Revenue Cycle certifications such as CRCR (Certified Revenue Cycle Representative)
  • Training Experience
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