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MGA Homecare: Collections Manager

MGA Homecare

This is a Full-time position in Dallas, TX posted July 7, 2021.

0.54Job DescriptionJob SummaryThe Collection Manager will be responsible for overseeing the timely collection of outstanding accounts receivables.

The manager will work closely with Billing team on claim adjudication, The position will require extensive interaction with state Medicaid (MCO) Plans and will report to the Corporate Director of Revenue Cycle.Duties and ResponsibilitiesBilling/Claims Processing:Assists Billing Specialist & Authorizations Specialist in resolving current months rejected or unbilled claimsincluding denials researchcorrected claim resubmissionsecondary billing.Produces and presents progress against performance measuresBilling TrackerDenial TrackerMonthly Adjustments reportingAccount Management:Accountable for timely collections of outstanding accounts.Communicates with facility staff to gather necessary supplemental informationUtilizes payor portals, and payor provider relations lines to timely follow up on submitted, denied and resubmitted claims and appeals.Communicates with Billing Specialists and Authorizations Specialists to gather necessary information for resubmission of claims or processing to secondary/tertiary payersReviews, corrects, and resubmits claims for internal system-identified errorsPrepares documentation for appealsProduces and presents progress against performance measures (Collection Tracker)Participates in monthly account reviews with Director of RCMParticipates in other focus reviews as neededConducts analysis of all accounts to complete timely adjustments to AR/claims, Analyze revenue impact to the Income Statement from adjustments and report findings to upper management.Assists with preparation of state and/or government audit reports as required including quarterly credit balance for MedicaidFacility Support:Ensures accurate and timely status of assigned accounts during monthly AR reviews.Communicates with supervisor regarding trends and suggested solutions.Completes various administrative activities & performs other duties as assigned.General Duties and Responsibilities:Responsible for collections of all accounts for the assigned state and payer groups.Performs weekly review of AR aging for all account balances and acts to meet expectations & KPIsResponsible for resolving escalated business issues.Adjust workload timing and request training to meet business needs of the facilities servedSupports and executes the mission, ethics, and goals of the company effectively.Represents themselves in a positive and professional manner in the company and community.Adheres to dress code with a clean and neat professional appearance.Reports on time and as scheduled to complete work within designated time.Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.QualificationsAssociate degree or equivalent experience required; Bachelor’s Degree preferred.Minimum 2 years of applicable experience in a healthcare (Homecare preferred) billing and collections environment.Experience working with Texas Medicaid and it’s contracted Managed Care Organizations (MCOs)Understanding of healthcare business service functions, including billing and collections, including HCFA/UB04, in a Homecare environment preferred.Elevated level of customer service experience.Must be proficient in the use of a personal computer and windows environment software with intermediate level of keyboarding skills.Intermediate level of MS Office Products – Word and Excel.Must have strong interpersonal skills including verbal and written communications.Additional InformationAll your information will be kept confidential according to EEO guidelines.PandoLogic.

Category: Finance, Keywords: Collection Manager

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