Unclassified - Fort Myers, FL

posted about 2 months ago

Full-time - Mid Level
Fort Myers, FL

About the position

Come grow with us! Elite DNA Behavioral Health is one of the largest providers of behavioral and mental health services in Florida - and we are expanding quickly! We believe in providing high-quality, accessible care to our patients and a supportive environment that allows our team to grow professionally. Our goal is to hire you - the best talent - to support our mission and allow you to grow with us. We thrive on a mutual goal of providing excellent care to our patients through our comprehensive care services and collaborative culture. Elite DNA is the pioneer of the care coordination approach to mental health, where all patients are matched with their ideal services and providers prior to receiving direct care. Our team is at the forefront of providing leading-edge therapy services - from psychotherapy to psychiatry - to specialized programs such as psychosocial rehabilitation, EMDR, and group therapy. Everything we do here at Elite DNA is guided by integrity and compassion for our patients and employees. When you join the Elite DNA team, you will feel proud to be a part of the group that helps children, adults, and families in our communities live better lives. Job Summary: Elite DNA Behavioral Health is seeking to hire a full-time Supervisor for Revenue Cycle Accounts Receivable in the Fort Myers office. The Supervisor of Revenue Cycle - Accounts Receivable is tasked with overseeing, improving, and ensuring the smooth operation of the revenue cycle process through the development of staff, maintenance of work integrity, and enhancement of team performance. Managing a team of Medical Collectors / Accounts Receivable Representatives, the Revenue Cycle Manager is accountable for efficiently supervising revenue cycle operations. This role mandates meeting or surpassing established revenue, metrics, and objective goals for the department. Adaptability to a challenging environment is essential. The ideal candidate should possess experience in the Behavioral Health sector and an advanced understanding of various insurance carriers, including Medicare, Medicaid, Blue Cross/Blue Shield. Candidates should demonstrate the ability to identify and effectively resolve issues, communicate all matters to leadership, work independently, devise resolution plans for issues, and promptly report any delays or concerns in claim processing.

Responsibilities

  • Track and communicate key metric measures.
  • Manage the operations and revenue cycle functions to successfully achieve financial and productivity goals.
  • Oversee the daily operations of AR team.
  • Perform regular communication with internal clients including ownership of outcomes and deliverables.
  • Provide daily management and support to team to ensure they are working effectively and correctly completing assigned tasks.
  • Regularly conduct audits of team members and provide individual feedback monthly (minimum); identify needs for and provide training to address any competency and quality gaps in performance.
  • Troubleshoot problematic accounts, identify trends, and root causes, and lead internal and interdepartmental initiatives to resolve issues.
  • Create action plan to drive AR reduction, track progress for AR action plans and any AR aging off target, ensure team is aware of and following payor rules and guidelines, identify payor contractual issues that need addressed.
  • Review and confirm correct usage of contractual and backend adjustment.
  • Review worklist and productivity.
  • Conduct weekly AR team meetings and 1:1 meetings.
  • Maintain communication and escalate issues as needed.
  • Other responsibilities as assigned.

Requirements

  • 3 years of experience in Behavioral Health Account Receivable management.
  • 3 years of management experience in revenue cycle managing either people or projects.
  • Knowledge of ICD-10, CPT code, EOBs, financial reports, state, and payer specific rules.
  • Understanding of HIPAA regulations.
  • Working knowledge of all major payers.
  • Ability to work under pressure while successfully meeting deadlines.
  • A positive, open, and friendly attitude to colleagues and clients.
  • Excellent organization, time management, and prioritization skills required.
  • Research capabilities when confronted with an issue.
  • Proficient with Microsoft Office suite.
  • Strong attention to detail and speed while working within tight deadlines.
  • Exceptional ability to follow oral and written instructions.
  • A high degree of flexibility and professionalism.
  • Excellent organizational skills.
  • Outstanding communications skills; both verbal and written.

Nice-to-haves

  • Experience with Athena practice management system.
  • Strong Microsoft Office skills in Excel, Outlook, and Teams.

Benefits

  • Health insurance
  • Dental insurance
  • Paid time off
  • Employee assistance program
  • Vision insurance
  • Life insurance
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