Payment Posting & Credit Resolution Manager

at  Anne Arundel Dermatology

Overview:
Founded over 40 years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. With 250+ clinicians and 110+ locations across 7 states, we’re thriving, growing, and looking to add talented individuals to our team!

• Responsible for revenue cycle performance of all AAD clinics by ensuring payments are posted efficiently and accurately, and follow-up of those payments are handled according to state and federal regulations as well as according to internal contracts.
• Implementation and testing of regulatory requirements affecting payment processing and cash posting. This includes adherence with the most current version of X12 HIPAA mandated transactions, EDI 835 Health Care Claim Payment/Advice Transaction Set utilizing HIPAA-compliant ANSI standard Claim Adjustment Reason Codes and accompanying Remittance Advice Remark Codes, when appropriate.
• Coordinate with cross functional resources to resolve problems, identify process improvements, and coordinate activities for areas including, but not limited to remittance information for all AAD changes pertaining to the payment posting functions as well as review and test build of system upgrades or changes that effect payment processing, cash posting and refunds.
• Coordinate with Finance and internal audit to ensure all deposits are posted as directed and all money and files in balance within all internal and external systems.
• Monitor credit inventory and ensure resolution is occurring within regulatory deadlines.
• Review and authorize internal adjustments and requests for refunds that result in a change in the status of a patient’s account and AAD’s accounts receivable. Investigate adjustments and refunds as necessary to assure that all appropriate efforts to resolve were successfully exhausted. Provide feedback to staff regarding errors in refund and adjustment transactions.
• Monitor status of staff workload using ad hoc and/or system produced reports that identify weekly activity performed, trends in activity and impact of unworked accounts.
• Provide feedback to staff regarding the status of assignments and instruction in processes that will resolve balances and meet or exceed best of practice standards.
• Ensures credit balances do not exceed acceptable thresholds of an Accounts Receivables Day, and that all standards and compliance rules are being adhered to.
• Ensure reporting is in place to track and trend daily credit balance movement and average time to resolve an account.
• Use business acumen and judgment in relation to review of accounts to attest a refund is due.
• Manage and oversee the completion and resolution of credit balance work lists.
• Escalate issues timely with appropriate follow up until a resolution is in place.
• Work collaboratively across various teams requiring information, support, expertise, or production of targeted work outcomes according to productivity and quality standards.
• Manage team by providing leadership to ensure a highly sustainably engaged workforce is in place, with ongoing review of productivity, quality, and staffing needs.
• Ensure talent is identified, hired, and trained and that the new hire and onboarding process is completed in a way that fosters success and a positive employee experience