Job Description

Job Description

OVERVIEW

To excel in this role, you must have a true understanding of all types of hospital denials and how to resolve them effectively. A solid collections background and the willingness to dig into denials alongside your team are imperative for success. This is a highly rewarding position for a motivated professional who thrives on helping hospitals recover revenue that would otherwise be lost.

ERISA Recovery, a frontrunner in the Federal ERISA appeals process for collecting complex and aged claims, seeks a proactive Collections Manager to spearhead our Analyst team. This leadership role is central to contacting hospitals and insurance companies to address and remediate denials, securing payments on claims previously considered lost. The Collections Manager will be pivotal in harnessing Business Intelligence Insights to establish, manage, and refine performance goals for Analysts, ensuring these goals align with the company's strategic growth objectives. We are looking for a candidate with a robust management background, capable of driving team performance through effective communication, leadership, and a relentless pursuit of excellence.

KEY RESPONSIBILITIES

• Performance Goal Management: Utilize BI insights to establish clear performance goals for Analysts, manage and refine these objectives to enhance team performance continually.
• Daily Performance Engagement: Conduct daily reviews with Analysts to offer strategic support and interventions for achieving performance goals.
• Strategic Reporting: Report directly to the CEO/CFO and Senior Director on team strategies, goals, and performance metrics.
• Client Liaison: Managed requests between clients and internal collection staff, streamlining communication workflows and fostering strong, trust-based relationships
• SOP Development and Optimization: Lead the creation and implementation of departmental SOPs and task management standards to enhance productivity and streamline operations.
• Team Coaching and Standards Compliance: Provide ongoing coaching and training to ensure team adherence to standards, regulations, and best practices.
• Collaborative Teamwork Enhancement: Foster collaboration with back-office and other departmental teams for a unified approach to meeting organizational objectives.
• Revenue Cycle Expertise Development: Deepen the team’s expertise in the revenue cycle process, including billing, insurance appeals, and hospital collections, to improve operational efficiency.
• Essential Skills & Qualifications

EXPERIENCE REQUIREMENTS

• 5+ years of acute care experience.
• 5+ years of management experience, with a demonstrated ability to develop and execute performance goals.
• Expertise in data analysis for performance management and operational enhancement.
• Exceptional leadership, team management, and interpersonal communication skills.
• Detail-oriented with the capability to oversee multiple projects and issues simultaneously, ensuring accurate and timely completion.
• Proficient in MS Office suites, Electronic Health Record systems, and Insurance Claims Portals.
• A comprehensive understanding of hospital claims denials, medical terminology, CPT codes, modifiers, diagnosis codes, and payor contracts.

Please note: Only applicants with vast knowledge of hospitals claims denials need apply.

BENEFITS:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Paid lunches

ERISA Recovery is an Equal Opportunity Employer

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