Payments and Credits Manager

Summary/Objective

The Payments and Credits Manager is responsible for leading and managing the strategic direction of payment and credit balance functions to optimize efficiencies and maximize revenue. This role supervises day-to-day revenue cycle management operations, analyzing and reviewing the payment and credit balance portion of billing services to ensure accuracy and timeliness. The Manager assigns and oversees work related to credit balance accounts and monitors patient accounts to identify trends that may cause balance errors. This role works closely with leadership and other department managers to ensure optimal performance of the entire revenue cycle.

Essential Functions

1. Provides daily leadership and operations support to the payments team within Billing Services to include supervision of payment systems/sources and staff to ensure optimal results and work flow.

2. Spearheads workflow strategy to efficiently coordinate and mobilize daily import and posting of ERA, patient and lockbox payments.

3. Monitors, analyzes, and provides reimbursement reporting on insurance payers to Management.

4. Serves as an escalation source and resource to team and other departments and assists in resolving payer issues.

5. Supervises and maintains staffing schedules.

6. Maintains compliance, policies, trainings, communication and engagement throughout the team.

7. Researches, detects trends and resolves a wide variety of complex payments issues to include internal system issues, payer system issues and merchant vendor issues.

8. Works closely with other department supervisors and leadership regarding department communications and acts as a liaison between departments, Centers and third party vendors.

9. Remains knowledgeable on cash application processes, third party payment requirements and regulatory guidelines at the federal, state and local levels for payer types.

10. Identifies possible process improvements & standardization.

11. Assists with training, orientation, performance appraisals, and disciplinary actions for assigned personnel.

12. Forecast staffing needs and works closely with Human Resources when a need arises to perform candidate interviews and selection.

13. Other duties as assigned.

Competencies

1. Financial Management.

2. Ethical Conduct.

3. Thoroughness.

4. Collaboration Skills.

5. Time Management.

6. Organization Skills.

7. Project Management.

8. Personal Effectiveness/Credibility.

Supervisory Responsibility

The Payments and Credits Manager manages all employees of the Billing team and is responsible for the performance management and hiring of the employees within that department.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.

Travel

No travel is expected for this position.

Job Qualifications

Minimum Qualifications/Experience:

• Five plus years’ experience in healthcare billing with a strong working knowledge of coding, third party payer’s billing requirements, authorizations and collections

• Previous Management experience required with experience in staff supervision

• Knowledge in medical terminology

• Detail oriented, self-motivated, a problem solver and a team player

• Ability to navigate multiple computer screens and browsers quickly and accurately

• Ability to excel in a very fast-pace team environment

• Ability to continuously “exceed” company and customer expectation

• Strong communication skills & professional demeanor

Education/Certifications:

• Bachelor’s Degree in Business, Finance, Healthcare preferred or equivalent education, training and experience.

Additional Eligibility Qualifications

None required for this position.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Compliance

Adheres to Envision’s Code of Conduct and Compliance Policies and attends annual Compliance training as set forth by the Company.

Company Benefits

The following benefit programs are available to eligible employees. Benefits eligibility is dependent on a variety of factors, including employee classification.

• Health Benefits: Medical/Dental/Vision/Life Insurance
• Company Matched 401k Plan
• Employee Stock Ownership Plan
• Paid Time Off + Paid Holidays
• Employee Assistance Program

OSHA Exposure Rating: 1

It is reasonably anticipated NO employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids.

Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.