Accounts Receivable - Revenue Cycle Manager
Location:
Queensbury , New York
Posted:
January 27, 2017
Reference:
16010552-en-us

McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance Services (BPS) is a leader in physician and hospital revenue cycle management, physician electronic health record and practice management system technology, and strategic consulting services. BPS offerings are uniquely designed to help physician groups, hospitals and health systems, accountable care organizations, labs, and emergency medical service providers improve efficiency and grow revenues while staying current with the latest regulatory requirements.


We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare.


Join our team of leaders to begin a rewarding career.



Current Need
Accounts Receivable - Revenue Cycle Manager

Position Description
Responsible for managing the Revenue Cycle Outsourcing business including financial outcomes (e.g., operating income/expense controls), customer satisfaction and employee satisfaction as per individual contracts. This also includes Business Office/Patient Access/Physician Office functions which encompass all functions of First/Third Party Claims Operations, manage registration, admitting, insurance verification, customer service, and managed care contracts. Oversee performance and contract compliance. Facilitate problem resolution between hospital and/or physician departments and the Business Office.

 

Supervises team members for tasks that may include, but are not limited to, denial analysis and open accounts receivable for respective clients and billing platforms
 
  • Compile and analyze information identified through A/R reports through A/R Pivots, MPF, Business Objects or specified billing platforms for current and/or potential billing issues specific to outstanding receivable and denial management
  • Develop necessary summaries or reports using Microsoft-Excel/Word
  • Presents data to appropriate parties and partners to develop resolutions with domestic and offshore affiliates as necessary
  • Independently works to ensure that daily team operations flow smoothly; to include, but not limited to  daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix
  • Works in collaboration with peers, Manager(s) and Director(s) for guidance and reorganization of workflow to ensure internal and external business needs are met
  • Participate in meetings with Payers, internal departments, Client contact(s) and BPS Management, etc. to address trends in denials or unprocessed claims
  • Creates and distributes department wide communications or pathways, notifying staff of updated insurance guidelines/processing information; to include, but not limited to pathways and social text updates
  • Holds regular staff meetings to communicate changes in process, business results,  organizational changes or environmental changes
  • Identifies and facilitates individual and/or team training needs for new or established team members
  • Handles escalated client/patient issues that include but are not limited to unhappy patients/callers and client contacts that may require additional system or technical knowledge
  • Ensures the effectiveness of the talent management process for the team by anticipating staffing needs, effective interviewing and on-boarding of new staff.  Conducts timely and effective mid-year and annual performance reviews, and creates staff development plans to promote competency/skill development. 
  • Engages in employee performance management; to include, but not limited to creation, maintenance and delivery of performance documents and appraisals for direct reports, routine review of productivity utilizing applicable reports and systems available
  • Completes and delivers quality reviews for staff development and process improvement; to include, but not limited to monthly 1:1 feedback sessions, recognition for strong performance, performance management for underperformers
  • Reviews quality assurance reports with team leaders and employees; providing feedback on areas of success and improvement
 

 

Qualifications



Minimum Requirements
3+years of medical claims experience. Must have supervisory experience. Experience with patient information/claims system processes.

Critical Skills
  • 3 + more years in medical claims or coding experience
  • Moderate to Advanced working knowledge of MS Excel and MS Word
  • Strong customer service experience
Following skills highly preferred:
  • Maintain strong cash collections for clients
  • DAR at or below 42 day
  • Credit Balances not to exceed 90 days
  • Maintain phone stats not to exceed 45 second ASA and no more than a 5% abandon rate
  • Staff AUX time at or below 1.5 hours per day
  • High Employee Engagement Score (80% or greater)
  • Monthly summaries, including QA and PTS metrics for staff is delivered to assigned employees by the close of business on Friday of the first full week of each month
  • Maintain client satisfaction scores (Net Promoter Score)



Additional Knowledge and Skills
Knowledge of insurance company practices regarding reimbursement and healthcare receivables. Strong communication/problem solving skills. Able to motivate others and work under pressure.

 

  • Strong ability to adapt to change; takes responsibility for own actions and positioned as an individual that is able to be counted on to ensure the accomplishment of projects/assignments based on commitments made.
  • Strong business auditing skills and attention to detail, with the ability to identify, evaluate and report on financial transactions and internal controls. Assess and report on the efficiency and effectiveness of business process and operations.
  • Ability to provide a high level of customer service to internal and external customers
  • Effective decision making skills that allow for logical, sound judgment in the use of resources; assessing and determining an appropriate course of action based on factors available, including set procedures and guidelines; selecting solutions and alternatives in a timely manner.
  • Ability to work independently and drive execution by understanding actions and performance necessary to motivate staff and provide an environment that strives for continuous improvement.
  • Strong leadership skills with the ability to clearly communicate verbal or written expectations; outlines goals and objectives for all levels of staff within the team to achieve success.
  • Capacity to evaluate interviewed candidates and make decisions that will match the most qualified individual to a position based on job function and requirements; strong talent champion that minimizes turnover.
  • Represents the office/Organization in a positive manner; supports and encourages strong morale and spirit in his/her team.
  • Fosters a positive team work environment, to include, respectful, open communication and management practices while exercising confidentiality of sensitive subject matter at all times.
  • Can marshal resources to complete tasks and orchestrate multiple activities at once to accomplish goals
  • Can negotiate skillfully in tough situations; can win consensus without damaging relationships
  • Works well with others; ability to work with and communicate with individuals of varying disciplines.



Education
Associates Degree; Bachelors preferred or the equivalent work experience


Physical Requirements
General Office Demands


Benefits and Company Statement
McKesson believes superior performance – individual and team – that helps us drive innovations and solutions to promote better health should be recognized and rewarded. We provide a competitive compensation program to attract, retain and motivate a high-performance workforce, and it’s flexible enough to meet the different needs of our diverse employee population.

We are in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting.

But we can’t do it without you. Every single McKesson employee contributes to our mission—whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. Talented, compassionate people are the future of our company—and of healthcare. At McKesson, you’ll collaborate on the products and solutions that help us carry out our mission to improve lives and advance healthcare. Working here is your opportunity to shape an industry that’s vital to us all.

McKesson is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.

Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

Agency Statement
No agencies please.


A little about us:
McKesson is in business for better health.

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