Manager - accounts receivable (physician)

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Job Description Summary:

The Manager of Accounts Receivable is responsible for overseeing the daily management of payer denials, insurance follow-up activities, unpaid accounts receivable balances, and external vendor relationships. This role ensures the timely and accurate resolution of denials, maintains key work queue performance indicators for claim edits and follow-up activities, and partners closely with Registration leadership to reduce registration-related denials and improve front-end revenue cycle performance.

A critical component of this position is the analysis of accounts receivable performance, denial trends, and operational reporting to identify opportunities for process improvement and automation. The Manager is expected to recommend, develop, and implement automation enhancements and workflow efficiencies that streamline operations, reduce manual effort, improve productivity, and support overall revenue cycle performance.

The Manager serves as a key liaison between Clinical Enterprise (Physician Group) leadership and external billing service vendors, fostering effective communication, accountability, and operational alignment. In addition, this position provides leadership and oversight for staff responsible for accounts receivable management, ensuring the accurate capture, billing, reconciliation, and resolution of charges while supporting organizational financial goals and revenue cycle performance.

This position is Remote in Ohio.

Responsibilities And Duties:

1. Manages daily Accounts Receivable operation for OHPMS.
2. Works closely with Director of Practice Operations and practice managers, ensures timely and accurate capture and reconciliation of charges, point of service payments and adjustments. Monitors internal financial controls for organization and reports any issues to Director of Finance.
3. Manages coding staff to ensure timely and accurate coding of physician charts and charge capture. Works closely with organization compliance team to ensure all standards are met.
4. Ensures timely resolution of unbilled and billed claims rejection edits.
5. Interfaces with software vendor and billing service to ensure timely processing of claims submission, insurance follow up and payment posting. Monitors service standards to ensure compliance.
6. Monitors customer service activities and ensures timely and quality response to patients.
7. Manages patient collections process to optimize patient cash receipts; monitors collection agency performance.
8. Assists in month end closing by providing required financial data to accounting in timely manner.
9. Meets with practice managers on monthly basis to review financial statements and ensure service standards are met.
10. Ensures accuracy of practice management systems design and update tables when required.
11. Works closely with credentialing coordinator to ensure timely and accurate processing of physician credentialing information; updates information system with appropriate provider information.
12. Reviews managed care reimbursement to ensure negotiated fees are being paid.
13. Reviews fee schedule to ensure optimal reimbursement for all health services.
14. Develops, monitors and reports key indicators of accounts receivable performance and intervene to ensure targets are met.
15. Acts as liaison with external billing services to assure receivables are handled appropriately.

Minimum Qualifications:

Bachelor's Degree (Required)

Additional Job Description:

JOB SUMMARY

This position is responsible for the daily operation of Accounts Receivable. The Manager of Accounts Receivable ensures timely and accurate processing of physician credentialing information. He/she works closely with the Director of Practice Operations, acts as the liaison between MSF and external billing services, and manages subordinate staff to ensure accurate capture and reconciliation of billing charges.

MINIMUM QUALIFICATIONS

Bachelor's Degree
Field of Study: Business
Years of experience: 5
5+ years of Health Care Billing Experience in a management role.

SPECIALIZED KNOWLEDGE

Bachelor’s degree from four-year college or university; or two years directly related Experience in addition to minimum work Experience required; or eight years directly related Experience in addition to work Experience required; or equivalent combination of may be substituted in lieu of degree.

DESIRED ATTRIBUTES

Previous experience in Professional/Physician Billing.
Epic experience.

BEHAVIORAL COMPETENCIES

Leadership Competencies

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

OPG Physician Billing

Join us!

... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment.

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio.