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CenterWell Home Health

Associate Director, RCM Accounts Receivable

CenterWell Home Health, Topeka, Kansas, United States

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Associate Director, RCM Accounts Receivable

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Associate Director, RCM Accounts Receivable

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CenterWell Home Health This is a hybrid position; 1 day in office/4 days remote. Must live within the greater Kansas City metropolitan area. Base pay range $115,200.00/yr - $158,400.00/yr Overview Responsible for healthcare claims accounts receivable operations in accordance with Company policies and procedures. Meets or exceeds established cash collections and Day Sales Outstanding (DSO) goals. Works directly with program, branch, area, regional and divisional leadership, and external payers to effectively manage end-to-end claims processing activities. Performs all duties inherent in a managerial role including staff selection, development, corrective action, succession planning and team building. Prepares departmental budget and monitors expenses to ensure compliance with approved budgetary expectations. Responsibilities Directs accounts receivable activities to maximize reimbursements. Ensures accurate, timely billing and collection. Develops credit/collection strategies and implements plans to ensure accounts receivable balances are within stated objectives Ensures appropriate staff development, training and succession planning. Evaluates staff performance, and responsible for department hiring, terminations, promotions and salary actions Serves as Company liaison to state, federal and third-party payers Participates in company leadership meetings at the branch, area, regional and divisional level and ensures proactive and effective communications with field management Provides company leadership with updates on accounts receivables. Assists in developing branch-specific plan of correction as needed Continually assesses operational efficiencies and implements continuous improvement processes. Works with internal business partners on reimbursement issues and in maintaining SOX compliance Establishes monthly FSU goals and evaluates performance on cash, DSO and budget metrics. Develops action plans accordingly Maintains knowledge of current regulations, policies and procedures of state, federal and third-party reimbursement programs and assists staff in interpreting and applying technical and business requirements Prepares departmental budget and monitors expenses to ensure compliance with approved budgetary constraints. Ensures that sales adjustments and write-offs are properly approved and processed Interacts with internal business partners to improve processes and procedures to achieve overall Company accounts receivable goals. Review payer contracts for proper billing to achieve accurate revenue recognition Drives change throughout the organization and makes contributions to the company’s goals and objectives by improving performance of self, team and business Establishes credibility with customer base, demonstrate interpersonal, collaborative, and relationship-building skills Demonstrates ability to communicate difficult or sensitive information; and demonstrate the ability to manage new business processes Manages multiple projects, deadlines and priorities and be able to collaborate and influence across functions and at all levels of the organization Accountability in self and others, facilitates synergy throughout the organization and is able to execute on agreed upon goals and objectives in a timely manner Performs other related duties as assigned Qualifications Bachelor’s Degree in Healthcare administration or the equivalent preferred A minimum of 7 years healthcare related billing/collection experience preferred A minimum of 5 years in a management role generally required Experience with Electronic Medical Record (EMR) systems and Technology related to collections/billing; Homecare Homebase system experience preferred Exhibits expertise in the use of Microsoft Excel, Word, Outlook Strong knowledge of accounts receivables procedures and general accounting principles Excellent organizational and verbal/written communication skills Strong skills in time management, critical thinking and innovative problem solving, and be able to identify and develop talent through coaching, mentoring, and training Approximate percentage of time required to travel: 10% Additional Information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Benefits Health benefits effective day 1 Paid time off, holidays, and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Schedule 40 hours per week Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. Seniority level

Director Employment type

Full-time Job function

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