Description:
Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement. QMC is committed to providing services in a manner that ensures compliance with all applicable billing and reimbursement regulations while maximizing the capture of allowable reimbursement for each client. The commitment to adherence to both principles make QMC the partner of choice for emergency medical transportation providers.

SUMMARY

The A/R Management Director is responsible for leading and managing all revenue cycles related to outstanding insurance accounts receivable, insurance denials and appeals processes to ensure timely and accurate collections to maximize reimbursement. The Director meets regularly with department managers to review processes, standardize work flows and monitor overall team performance. Additional responsibilities include management and oversight of Key Performance Indicators (KPIs), addressing deficiencies which will improve overall department results. Maintains positive and productive business relations with payer representatives to discuss and resolve barriers to accurate and timely claims payments.

EDUCATION

• Associates degree and / or extensive work related experience is required.

EXPERIENCE

• 2 to 5 years working in healthcare billing, health insurance or equivalent operations work environment.
• 2 to 5 years of direct supervisory experience required

Knowledge, Skills, Abilities

• Working knowledge of billing, claim submissions requirements, remittances, insurance credits and
• refunds, A/R management, contract variances and appeal processes within the Healthcare industry
• Excellent verbal / written communication skills with all levels: executives, peers, associates and clients
• Strong computer skills, including Microsoft Word, Excel, PowerPoint and Outlook
• Proven process improvement methodology and proven success in driving change management
• Proven ability to attract, develop and retain associates that drives a culture of accountability and
• continuous improvement
• High-level leadership and decision-making skills
• Detail oriented and organized, with exceptional prioritization skills
• Must have the ability to work in a fast-paced environment

ESSENTIAL DUTIES & RESPONSIBILITIES

• Strong leadership support and oversight of the A/R Management team which will ensure metrics are in place to drive effectiveness and efficiency in areas of responsibility
• Demonstrates strong leadership guidance with internal business partners, insurance companies, government entities, patients and external clients
• Job requires strong collaboration with internal partners to drive success
• Responsible for building and retaining a high-performance team; ensures clear goal alignment within the team and drive performance management to policies
• Develop training programs for the specific needs for growth of A/R Management team
• Drive cash flow through receivables management by establishing effective organizational process and policy.
• Meet weekly with all A/R Managers to review work flow, deficiencies within the process and staffing concerns
• Identify staff deficiencies and ensure proper training is provided
• Continuously evaluate the effectiveness of the team, empowering the team to have the courage to test status quo and demonstrate a continuous improvement mindset
• Lead new project implementations through to a successful outcome driving efficiencies
• Ensure there is open communications on any issues providing solutions for resolutions
• Review any team interpersonal conflicts with HR for direction working towards resolution
• Ensures all follow-up is performed timely and accurately to prevent/limit potential claim denials and avoid issues with timely filing deadlines
• Handle high level problem accounts which deals directly with payer, patient, or third party
• Serves as a clear and effective conduit of the technical knowledge on processing issues
• Works with Management to establish productivity standards for area of responsibility and monitors the standards
• Develop processes to improve cash flow and downsize receivables
• Prepare monthly, quarterly, annual and ad-hoc reporting for upper management
• Develop metrics, goals and KPI’s to measure and track business results
• Travel may be required
• Requires a minimum of 8.5 hours per day

OTHER RESPONSIBILITIES:

• Adhere to all QMC HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information.
• Ensures consistent adherence to company attendance policies.
  Requirements: