Tandym Group has an immediate opportunity for an Epic A/R Manager with a client in Texas. This role will be focused on improving A/R performance for a health system undergoing an Epic transformation.

Responsibilities:

• Manages and oversees all revenue cycle activities related to billing, collection, denial management, insurance follow up.
• Performs statistical data analysis, and prepares trending reports of key A/R performance metrics.
• Develops strategic plans for the A/R team and ensures that goals and objectives are properly defined and clearly established.
• Monitors, tracks, and evaluates staff productivity and performance.
• Promotes best practices in automation and workflow management used for claims submission and collection activities.
• Utilizes information technology to improve recoveries and reduce accounts receivables. Assists with the development of front end edits based on denial trends.
• Collaborates with key stakeholders within the revenue cycle to develop effective policies and procedures to ensure operational efficiency.
• Develops effective working relationships with insurance carriers, subcontractors, provider enrollment, managed care and the Office of Compliance.
• Assist with the development of quality assurance protocols and manage results.

Must Have Experience:

• Minimum of 10 years in Revenue Cycle operations.
• 3+ years of managerial experience withinHB A/R management (experience managing the management/supervisory layer over collections).
  • Understanding of how to drive performance for both A/R supervisors and individual contributors.
• Understanding of how a Hospital Revenue Cycle Business office works.
  • Understands the difference between and nuances of different insurance companies
• Expert level knowledge of back-end revenue cycle process including patient access, claims, denials management, appeals, billing, collections and follow-up.
  • Understands that collecting on denials is different than collecting claims in the 0-60 bucket.
• Experience within a large hospital or integrated healthcare delivery system.
• Strong experience utilizing Epic for Revenue Cycle operations.
• Experience with utilizing Epic Reporting and working with claims data
• Identify trends, root causes and opportunities for A/R performance improvement.
• Familiarity with Revenue Cycle Operations Process Improvement
  • How to best utilize Epic
  • Streamline current workflows

Nice To Have Experience:

• Experience with Meditech.
• Any Revenue Cycle certifications such as CRCR (Certified Revenue Cycle Representative)
• Training Experience