Job Description
Job Description
Collections Manager (Pay to Patient) - Behavioral Health – Exact Billing Solutions (EBS)
Lauderdale Lakes, FL
About Exact Billing Solutions
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
POSITION SUMMARY & PURPOSE
Are you an experienced collections professional ready to take your career to the next level with a growing, fast-moving company? We have multiple clinic locations, and we're expanding, so timely collections are critical to our operations. The work you will do can make a real difference to the lives of our client families and children by allowing us to open clinics where they are desperately needed.
The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position.
POSITION ESSENTIAL DUTIES & RESPONSIBILITIES
The following are duties and responsibilities that the P2P Collections Manager shall provide:
- Lead a specialized P2P Coordinator collections team to collect money from clients.
- The P2P Coordinator team involves a diverse array of responsibilities, centralizing around collections of insurance payments provided to the clients for services rendered for ABA therapy services. The P2P Coordinator is responsible for effective communication and coordination with client(s), families and insurance companies to obtain the necessary information, payments, or follow-up for fulfillment of the account.
- P2P Manager will oversee the collection of outstanding credit and invoices to minimize loss per company policy.
- Create strategies to increase successful collections on outstanding debt.
- Run reports and analyze data on collections and share them with executive staff.
- Implement policies and procedures to avoid gaps and maintain a smooth-running department.
- Develop goals that complement the overarching business goals of the company.
- Communicate clearly to clients about payments or documentation received.
- Assist with job training for new employees.
- Provides direction and support for department staff to answer and resolve problems relating to patient accounts.
- Reviews and ensures that assigned work is completed accurately and in time by P2P Coordinator staff.
- Assist with special projects as assigned.
- Handles difficult or complex questions and escalated phone calls from patient(s)/families or insurance companies.
- Communicates backlogs, problems, and/or payor issues to leadership.
- Assists leadership with potential employee interviews.
- Conduct employee performance reviews.
- Assures that any billing changes or follow-up procedures are relayed to staff.
- Monitor and report daily work for employees.
- Prepares and sends P2P Coordinator productivity reports to leadership.
- Approve and manage employee time off requests.
- Approve timecards in the payroll system.
- Other duties as assigned, within skillsets and abilities
Requirements
- Requires a minimum of a Bachelor’s, preferably in Health Services Administration, Healthcare Sciences, Business Administration or Finance.
- Minimum of 3-5 years of experience in management role supervising or leading employees within a healthcare setting (Collections or Insurance preferred).
- Strong knowledge of policies and procedures relating to Patient Accounting activities, insurance adjudication, insurance claims and denials management.
- Strong knowledge of principles and techniques of patient accounting and billing including Common Procedural Terminology (CPT) and ICD-10 coding
- Experience with CollaborateMD EMR and billing software programs.
- Ability to read Explanation of Benefits (EOBs) and insurance correspondence.
- Willingness to submit to drug and background screenings.
- Advanced proficiency in Microsoft Office (Excel, Word, PowerPoint).
- Excellent managerial and financial skills.
- Exceptional organizational skills with strict adherence to deadlines and sense of urgency.
- Ability to manage high-stress situations and ensure healthy relationships with clients.
- Effective verbal and written communication skills as you will be communicating with patients/patient families on a regular and consistent basis.
- Proficiency in Microsoft Excel and Microsoft Word to maintain and interpret comprehensive reports crucial for operational insights.
- Proficiency in navigation of computer systems and equipment.
- Regularly update the master spreadsheet with claims and incoming payments to ensure data accuracy and consistency.
- Utilize analytical skills to decipher data and make informed decisions.
- Display high-level energy, integrity, and commitment to the role and team objectives
Benefits
- 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
- Medical, dental, vision, long-term disability, and life insurance.
- Generous 401(k) with up to 6% employer match.
Exact Billing Solutions (EBS) Culture
Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.
Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.