Senior AR & Payment Posting Manager

Take charge of your future with “The Future of Pain Relief”, Alliance Spine & Pain! PTO * MEDICAL * DENTAL * 401k *$25k LIFE INSURANCE*We are a thriving Outpatient Pain Management Practice who seeks qualified & dynamic Healthcare Professionals!8 Major Holidays off, no weekends, no overnights and you'll never be On-Call!If you are a Patient Navigator looking for a career you can grow in and work alongside some of the top providers in the area, then Alliance Spine and Pain Centers is the right place for you. This is full-time position that offers a great benefits package!Job SummaryProvides direct supervision to the Accounts Receivables and payment posting staff. Ensure payments received from the insurance companies and patients for reimbursement to the providers for services rendered to patients are posted in an accurate and timely manner. Upholds Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information. Validate the payer EFT/ERA enrollment to ensure all payments are being received in an electronic format. Oversees the daily functions of the remits received within the clearinghouse and works closely with Management to ensure ERA are successfully received from the payer. To ensure payments are being deposited to the appropriate bank. Daily validation of posting reconciliation and patient accounts are balanced and are equal to the deposit received amount. Verifies posting accuracy and reviews batches for posting error trends. Performs the more complex elements of the work, applying an advanced level of expertise and judgement to achieve desired work outcomes. Documents trends and initiates corrective action to ensure maximum cash reimbursement, prompt payment for services rendered and uninterrupted cash flow. Acts as a liaison between the Enrollment/Credentialing/and Patient Collection departments. Work as a Working Manager within the department. Initiates cross functional/departmental discussions and initiatives to remove barriers and improve communications and workflows. All initiatives will be quantitative and solution oriented.Job SummaryProvides direct supervision and management to the Payment Posting department. Develops effective working relationships with all personnel that are involved in the Revenue Cycle Process (Receptionists, Schedulers, Etc.). Distributing work, monitoring workloads and backlogs while making necessary adjustments.Essential Duties And ResponsibilitiesAssists VP, Revenue Cycle with budget preparation and budget analysisOversees departmental functions, workflows, policies and procedures to ensure that all Federal and State regulations and contractual agreements are followed.Provides insights on posting processes, payer changes and system enhancements, which will improve the overall quality, and highest level of customer serviceRuns daily and weekly reports to analyze performance of departmentEnsures payments are being processed to the patient account in a concise and timely manner.Trains staff in proper posting, reconciliation procedures, and accounts receivable follow-upLeads the development and implementation of initiatives to achieve departmental goals.Oversees the performance and development and mentoring of service staff.Answers questions about unposted payments on claims where payments have been received from the payer.Verifies posting accuracy and reviews batches for posting error trends.Participates in professional development efforts to ensure currency in health care practices and trends.Initiates cross functional/departmental discussions and initiatives to remove barriers and improve communications and work flows. All initiatives will be quantitative and solution oriented.Identifies/initiates technology solutions to improve employee productivity and quality.Works with other staff to follow-up on accounts until an outstanding balance is paid in full.Assists with error resolution from within the Practice Management System and Clearinghouse.Participates in regularly scheduled training with the VP of Revenue Cycle for leadership developmentAssists VP of Revenue Cycle in determining training needs of employees in the payment posting department.Communicates progress and deficiencies of current personnel, workflow and production to Director of Revenue CycleMaintains accessibility to employees for questions and additional training.Determines staff hours, schedules, breaks, and lunches.Responsible for monitoring overall production.Completes monthly, quarterly and yearly evaluations.Covers day-to-day payment posting dutiesMaintains required payment records, reports, and files.Distributing work, monitoring workloads and backlogs while making necessary adjustments.Attends Management meetings and communicates to outside departments, in addition to monthly updates to resource materials provided to external offices.Other duties as assigned by VP, Revenue CyclePersonnel TrainingDetermines training needs of employees in the Accounts Receivable & Payment Posting department.Monthly audit and training sessions with team for continual development.Maintains accessibility to employees for questions and additional training.Personnel CommunicationDetermines staff hours, schedules, breaks and lunches.Monitors overall production.Maintains accessibility as a BACKUP contact for employees who are late, sick, etc.Provides yearly progress reviews of all direct staffCustomer ServiceAnswers in a professional and friendly manner phone inquiries from patients, physicians, hospitals and carriers and completes necessary duties to resolve the account.Interviews caller to assess the situation, resolving problems quickly and accurately.Keeps accurate record of all phone inquiries.Education/Experience/Skills/CertificationsBachelor’s Degree in Business Administration or Healthcare Administration. Minimum of 4 year’s medical office payment posting experience. A Minimum of 2 year’s management experience is required. Knowledge of clinical policies and procedures. Knowledge of medical terminology and insurance carriers. Knowledge of computer programs and applications. Knowledge of grammar, spelling and punctuation. Skilled in gathering, interpreting and reporting insurance information. Skilled in trouble-shooting insurance problems and claims. Skilled in written and verbal communication. Ability to identify payment posting problems and recommend solutions. Ability to sort and file insurance forms and associated information. Ability to work effectively with patients, employees and the public.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee frequently is required to reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.The noise level in the work environment is usually moderate.Possible exposure to infectious/contagious disease, hazardous chemicals and materials, needle sticks, blood and body fluids.