IDX A/R Improvement Manager

Job Family:

Business Operations

Travel Required:

Up to 10%

Clearance Required:

None

What You Will Do:

The IDX (Centricity Business) Accounts Receivable Improvement Manager plays a crucial role in optimizing the revenue cycle management process by overseeing various aspects of accounts receivable, including denial management, process improvement, key performance indicator (KPI) enhancement, edit review, staffing quality assurance, and future planning in anticipation of Epic Conversion. Working under the general direction of the Executive Director, the A/R Improvement Manager will serve as a leader within our Physician A/R management team. This role involves analyzing and enhancing current workflows, implementing effective strategies for denial prevention and resolution, collaborating with cross-functional teams, and driving overall efficiency and effectiveness within the revenue cycle department while monitoring all work activities to ensure compliance with established policies and procedures. Uses tact and sensitivity when communicating with patients, visitors, co-workers, and other Health System personnel. The A/R Improvement Manager will possess both technical and business skills to manage the accounts receivables successfully and will perform all job-related duties as assigned.

As the IDX (Centricity Business) Accounts Receivable Improvement Manager, you will have the opportunity to shape the efficiency and financial health of the organization by implementing strategic initiatives that optimize the revenue cycle process, enhance KPIs, and ensure a successful transition to the Epic system. Your role will play a pivotal part in achieving financial stability and operational excellence within the revenue cycle department.

Denial Management and Process Improvement:

• Identify trends and root causes of claim denials and underpayments and develop strategies to minimize these occurrences.
• Collaborate with teams to implement corrective actions, such as improving claim submission accuracy and addressing coding or documentation issues.
• Design and implement denial prevention initiatives to ensure timely and accurate reimbursement.

KPI Improvement and Analysis:

• Analyze and evaluate key performance indicators related to accounts receivable, such as Days in Accounts Receivable, Aging Reports, and Collection Rates.
• Develop and implement strategies to improve KPIs, including reducing outstanding balances and increasing collections.

Edit Review (Claims, TES/CM):

• Lead the review and analysis of claims edits, payment errors, and remittance discrepancies.
• Collaborate with teams to resolve edit-related issues and implement corrective actions to prevent future occurrences.

Staffing Quality Assurance and Productivity Enhancement:

• Evaluate staff performance and productivity, providing regular feedback and coaching to ensure optimal workflow execution.
• Implement quality assurance measures to monitor accuracy, compliance, and efficiency of accounts receivable staff.

Future Management Backfill or Replacement:

• Strategically plan for future staffing needs, especially considering potential staff turnover or new hires.
• Develop succession plans and strategies to ensure a smooth transition during staff changes.
• Establishes and develops collaborative relationships with other leaders in the Revenue Cycle

Epic Conversion Preparation and Involvement:

• Participate in the planning and execution of the transition from IDX to Epic.
• Collaborate with the Epic Conversion team to identify potential challenges, solutions, and opportunities for process enhancement.

Cross-Functional Collaboration:

• Collaborate with billing, coding, clinical, and administrative teams to enhance the overall revenue cycle process.
• Coordinate with Project Management and automation team to ensure technical infrastructure supports effective accounts receivable management.
• Upon identification of issues, research issue to determine whether it is an isolated instance or a trend and follows up the appropriate Revenue Cycle leadership to facilitate communication and resolution of the issues.

Data Analysis and Reporting:

• Utilize data analytics to identify trends and patterns within the accounts receivable process.
• Generate regular reports and presentations to communicate performance metrics and improvement initiatives to stakeholders.

What You Will Need:

• Bachelor's degree.
• Minimum of 7 years' experience in healthcare revenue cycle management, preferably with expertise in IDX (Centricity Business).
• Familiarity with Epic systems and previous involvement in conversion projects is a plus.
• Excellent analytical, problem-solving, and communication skills.
• Strong understanding of healthcare billing, coding, and reimbursement practices.

What Would Be Nice To Have:

• Relevant certifications in revenue cycle management, healthcare finance, or project management are advantageous.
• Worked with denial management, process improvement, and enhancing accounts receivable KPIs.
• Experience with staffing management, including performance evaluation and productivity enhancement.
• Leadership capabilities with the ability to drive change and collaborate effectively across departments.
• Ability to initiate and follow through on projects and work independently with minimal supervision required.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.