job summary:
The AR Director is responsible for ensuring the consistency and quality of the AR effort across the company. The AR
Director will assist in the overall direction and management of the Revenue Cycle team, to oversee operations of AR
coding, EMR software, charge entry, denial management, Audits, accounting and cost reporting relations and accounts
receivable follow up. The AR Director will maximize the revenue and cash flow while maintaining a high level of
operational, employee, and customer relations. Working under the direction of the VP Revenue Cycle Management to
meet short- and long-term strategic goals, will create written guidelines, policies and procedures in accordance with
implementation of all work processes as a result of meticulous analysis at the centralized billing office.
location: Montebello, California
job type: Permanent
salary: $150,000 - 170,000 per year
work hours: 9 to 5
education: Bachelor's degree
experience: 7 Years
responsibilities:
This position is charged with the responsibility to plan, organize and carry out the overall functions of the Accounts
Receivable Director in accordance with applicable law, and as directed by VP Revenue Cycle Management.
? Every effort has been made to identify the essential functions of this position. However, this in no way implies that the
position description is all-inclusive. The omission of specific duties does not exclude them if situations arise that fall
under your cognizance and require your action.
? The Accounts Receivable Director manages the billing, accounts receivable and collections function for Centralized
Billing office (CBO)
? Assumes leadership for billing and collections for all reimbursement including Medicare, Medicaid, Insurance, Third
Party and Managed Care.
? Ability to multi-task and manage deadlines in a changing environment
? Ability to communicate effectively, both orally and in writing, with a wide variety of customers, company personnel, etc.
? Collaborates with the SVP Revenue Management, SVP Business Services, VP of Finance, Controller and Chief
Financial Officer for each of their sectors managed under the Central Billing office in developing and executing
enterprise-wide standardization and efficiency visions and strategies that support overall performance.
? Development of procedures for the collection of accurate patient to ensure expeditious, "clean" billing and/or
reimbursement for the patient services and procedures, as well as policies for collection of admission deposits, co-
pays, deductibles and compliance reports.
? Establishes service and financial performance standards, goals, and targets for each facility covered under the
Central Business Office. Leads and develops strategies to ensure best practices are utilized throughout the Revenue
Cycle. Assists in the development of long range planning and goals for the System revenue cycle initiatives. Develops
long term strategic plans for future state processes and structures.
? Assists in the identification of key elements which have a direct impact on revenue collections and develop information
and administrative systems to capture critical statistics; report information to employees whose performance impact
these elements; key elements consider for optimal cash collections.
? Analyzes and utilizes the information systems related to the flow of intra-departmental information and third party
payers; recommends enhancements to software and/or hardware, as appropriate with the objective being to improve
the lack of information between entitles that will expedite the performance, of billing and collections.
? Primary executive responsible for new revenue cycle system implementations. Overall leader for revenue cycle
decision making, timely implementation of such systems, and comprehensive training to maintain and maximize
operating performance levels in the CBO.
? Stays well informed with ongoing healthcare changes, competition and best practices to plan and execute strategic
initiatives, training & development, internal& external audits, to mitigate organizational risk.
? Manages Patient Administrative Service and Patient Financial Services of CBO, including all the functions of
insurance verification, billing and claims, collections, cash management/reconciliation and financial reporting and
analysis.
? Manages, monitors, and oversees payer denial function. Works collaboratively with various clinical, contracting,
admissions and case management functions to reduce or eliminate payer denials. Assist with Collaborating with
Senior Leadership at each facility to identify and improve denial management opportunities.
? Ensures timely cash, contractual allowance, and refund processing, and reconciliation of the same. Ensures
reconciliation between revenue cycle and financial systems for revenue, cash, contractual allowance, bad debt, write
offs, recoveries, unposted cash, cash deposits, and all other adjustments.
? Responsible for all cost center budgetary compliance, month-end reporting, receivable levels (days in AR and aging),
cost center productivity.
? Plans, coordinates, and executes year-end audits with public accounting firms and third-party auditors as they relate
to AR operations. Resolves conflicts regarding public accounting firms, third-party auditors, and investigate parties.
? Maintains appropriate internal control safeguards over AR records and collection of cash. Maintains compliance
standards for providing accurate information on all facility or health system billings.
? Strong analytical skills
? Ensure timeliness of billing and collection.
? Facilitate movement of necessary billing paperwork.
? Look up resident balances and answer basic resident questions when asked
? Develop relationships with key third party payer (Medicaid, Medicare, third party insurance plans) to assist in
effectiveness of collecting problem claims and working out systematic claims problems.
qualifications:
QUALIFICATIONS:
Education: High School graduate or equivalent required; college degree preferred
Work Experience: 5-7 years' experience as an AR Consultant preferred
5-7 years' experience as a supervisor
Possesses knowledge and experience in Medicare, Medicaid and Managed Care billing
Possesses skills in private collection
Possesses excellent computer skills, including keyboarding, use of computer applications and MS
Office
skills: Managed Care, Medicare/Medicaid, Denial Management, Coding/Batching
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.