Manager, Accounts Receivable

At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.

With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.

Join us and become part of a trusted network committed to excellence in orthopedic care.

Job Duties:

• Responsible for holding self and team members accountable for meeting performance expectations.
• Assist in setting and maintaining department standards.
• Assist with responsibilities of one on one and general staff meetings.
• Assist in training and remediation as needed.
• Supports leadership in oversight of designated Revenue Cycle Management domestic and offshore staff as needed to ensure all RCM functions are worked within the established timeframes.
• Works with staff to resolve discrepancies and improve accuracy.
• Maintains a strong working knowledge of both upstream and downstream processes.
• Improves processes within department emphasizing quality and efficiency, while identifying and removing bottlenecks.
• Prepares reports as needed for various departments and leadership.
• Anticipates and resolves problems demonstrating good judgment.
• Report audit metrics for employees to monitor accuracy and productivity rates.
• Identify trends and root causes related to inaccurate insurance billing, and report to manager while resolving account errors.
• Conduct team meetings to educate on insurance guidelines, claim denials, and re-training efforts as needed.
• Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account.
• Keeps abreast of all reimbursement billing procedures of third-party payors.
• Develop and maintain working knowledge of current DME products and services offered by the company.
• Maintain patient confidentiality and function within the guidelines of HIPAA.
• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback.
• Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.
• Establishes annual goals and objectives for the department based on the organization’s strategic goals.
• Perform other related duties as assigned.

Competency, Skills and Abilities:

• Strong ability to co-manage in a multi-site/state environment.
• Independent Thinker and Decision Maker.
• Strong analytical and problem-solving skills with attention to detail.
• Excellent verbal and written communication.
• Excellent customer service skills.
• Proficient computer skills and knowledge of Microsoft Office specifically Excel and PowerPoint.
• Ability to prioritize and manage multiple projects.
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.
• Working experience with 270/271, 276/277 and 835/837 files.
• Epic experience required.

Minimum Job Qualifications:

• A bachelor’s or associate degree in Healthcare Administration, Finance, Accounting, or a related field is required.  
• Two-Five years’ relevant experience in healthcare accounts receivable management, claims processing, and medical terminology training are required.

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