Quadris Team LLC

Role Description Quadris Team, LLC & Sage Clinical RCM is seeking a dynamic Account Manager for Healthcare Accounts Receivable in a high performing and fast-paced RCM environment, working with hospital and physician groups across the United States, to lead and support KPI's of our healthcare finance partners! As an Account Manager, under general supervision, you will be the primary point of contact for the client account and manage a diverse group of revenue cycle professionals. The position is responsible for maximizing team success and future growth opportunities by providing guidance, education and training to produce team excellence, employee satisfaction and timely claim resolution. - Promote revenue cycle strategy development - Manage AR analysis - Provide support related to departmental activities in accordance with federal, state, and payer-specific billing requirements - Interface with client(s) and client staff - Work closely with leadership on action items and trends identified - Manage Quality Assurance, team goals and performance standards - Coordinate AR functions and offer solutions and recommendations for continuous improvement - Encourage a work environment that embraces a cohesive, synergetic, and collaborative team - Demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision, and values Qualifications - Experience within the healthcare industry & proven knowledge of Healthcare Accounts Receivable and RCM - Experience supporting, coaching and training a thriving high-performance team - Professional and effective communication both written and verbal - Detail oriented to produce solid documentation - Ability to interpret, communicate, and enforce written policies and procedures - Knowledge of Insurance Payers GOV, NON-GOV, COMM, VA, Medicare/Medicaid, etc. - Proven skills in handling challenging team member situations - Ability to flex schedule to meet the demands of your team and the business - Demonstrate innovative and creative problem-solving skills - Support your team in their effectiveness, career development, and team morale - Demonstrate the ability to manage time efficiently and effectively - Must have working knowledge of Windows, Microsoft Office Suite & Payer Websites - Experience/working knowledge of Meditech, Athena and EPIC a plus Requirements - Continually assess team performance - Handle escalated issues in a professional, confidential, and timely manner - Participate in the interview and selection process - Create and review recommended job aids for ongoing team education and continuous improvement - Ability to oversee multiple projects and work with a sense of urgency - Provide input and play a key role in completion of performance evaluations - Assess with the utmost of integrity and sensitivity to counsel performance and behavioral issues - Manage Quality Assurance initiatives - Assess results and communicate results to leadership - Enforce adherence to all company, regulatory and business standards, and policies - Propose process improvements to enhance both client and employee satisfaction - Meet consistently with Team Leads as necessary - Manage team huddles/meetings as needed - Ensure delivery of the highest degree of customer service satisfaction - Attend Leadership meetings as requested Benefits - Equal Employment Opportunity employer - Employment contingent upon a criminal background check - Previous employment verification and references - Participation in eVerify

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Revenue Cycle Director is responsible for directing and overseeing the overall objectives, strategic initiatives, and policies of the organization's revenue cycle activities to optimize the patient financial interaction along the care continuum. Responsible for the day-to-day operations of core RCM functions including billing, collections, coding, and credentialing, managing a team of highly skilled RCM professionals within the guidelines and standards of healthcare compliance. Must demonstrate a commitment to the organization's strategic plans, short-and-long-term goals and mission, vision, and values by representing the company in a caring and professional manner. Primary / Essential Expectations For Success - Develops, directs, implements, and maintains policies and procedures of RCM in consultation with our Healthcare Partners, as defined in the engagement contract. - Manages a team of skilled RCM professionals, including coaching and development. - Facilitates effective resolutions to complex billing issues with health plans, vendors, and internal stakeholders. - Provides critical analysis of RCM statistics highlighting opportunities for improvement. - Meets KPI goals and RCM services and pursues continuous improvement. - Lead client calls. - Effectively driving performance improvement activities in a timely manner. - Monitor deliverables for various Quadris clients including credentialing, coding, and AR projects. - Integral partnership with Director of Operations for innovation, technology solutions, and needs for AR projects. - Service line delivery expansion and market ideas. - Perform other duties as assigned. Qualifications - Bachelor's Degree in healthcare or an administration related field from an accredited college or university or 5 years of work-related experience in Healthcare RCM or similar field. - 5+ years of experience leading RCM needs in a healthcare environment. - Experience in diverse management platforms; for-profit, non-profit, acute healthcare, critical access and skilled nursing. Requirements - Hospital Revenue Cycle experience, leading people and projects. - Applicable knowledge of governing regulations and standards relating to healthcare RCM. - Technology and digital acumen for report analysis and interpretation. - Executive level knowledge of technology for RCM workflow and operational maximization. - Executive level communication skills with video, phone, verbal, presentations, and email. - Can positively drive change management. - Discretion and discernment. - Ability to effectively prioritize the work to meet deadlines and expectations. - Worked in multiple facilities (hospital) in a vendor environment leading RCM. - Executive level knowledge of industry KPIs tailored to the client needs. - Brings positive energy to the work environment. - Uses critical thinking skills. - Ability to work independently and within a team atmosphere. - Ability to partner with Quadris clients with a consultant mindset, using project management knowledge to move identified gaps to success. Physical/Mental Environment - Prolonged periods of sitting at a desk and working on a computer. - Must be able to lift 15 pounds at one time. - Must be able to structure your home office to ensure confidentiality of Quadris proprietary information, and to ensure patient information is secure meeting regulatory expectations. Company Description Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our Clinic AR Excellence team to fill the role of AR Specialist Profee Follow up. We are a 100% remote team supporting our Hospital and Physician clients across the United States! See us at www.quadristeam.com We are looking for high performing, passionate and results driven team members to join our group. Location: REMOTE - Work from Home Opportunity Ideal candidate will reside in PST, MST or CST time zones Job FOCUS: This position is responsible for Billing, Re-Billing, Post-payment and Account Follow-up and/or grievance preparation of assigned Client EMR Accounts Receivable. The responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. Partners with other team members and health plans to facilitate the appropriate and prompt payment of claims. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner. Primary / Essential Expectations For Success: The Primary responsibilities and essential job duties effectively and efficiently performed include but are not limited to the following: BILLING - Reviews and/or scrubs final billed initial claims for accuracy and completeness prior to submitting to payer - Calculates Tier, Outlier, DRG and/or other Fee Schedule based reimbursement - Submits electronic and/or hard copy claims with any attachments as per the contract timely filing criteria - Documents all account activity in the hospital system and The Q with clear and concise notes INSURANCE FOLLOW-UP - Within appropriate timeframes, contact the health plan by phone or website to determine status of claim - Documents all follow-up actions in the hospital account notes and database and sets up account for additional review based on client expectations for follow-up of unresolved accounts POST PAYMENT REVIEW - Researches and validates the paid or partially paid claim status is in accordance with the expectations outlined in the client contract agreement - Deliberately and thoroughly reviews any denied, dis-allowed, or non-covered claims / charges and determines accuracy based on contract language - Resolves any technical issues when warranted with payer - Follows client specific procedures to request adjustments and refunds - Prepares appeal and necessary documentation for authorization, coding, level of care and/or length of stay denials - Follow guidelines for prioritization and timely filing deadlines Physical / Mental Demands, Environment: - Prolonged periods of sitting at a desk and working on a computer - Must be able to lift 15 pounds at one time - Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations Skills Needed to Be Successful: - Maintains compliance with regulations and laws applicable to job - Professional level of communication with video, phone and email - Ability to effectively prioritize the work to meet deadlines and expectations - Meets the quality and productivity measures as outlined by Quadris - Brings positive energy to work - Uses critical thinking skills - Being present and focused on assigned tasks and eliminates distractions - Being a self-starter - Ability to work independently and within a team atmosphere Core Talent Essentials: - High School diploma or equivalent - 2+ years previous experience in healthcare revenue cycle management - Ability to work independently and within a team atmosphere - Advanced proficiency of CPT and ICD-10, and full-scope revenue cycle management framework - Self-motivated and passionate about our mission and values of quality work - Must have professional level skills in MS products such as Excel, Word, Power Point. - Proficient application of business/office standard processes and technical applications Certifications: - Active national certification CRCR through Healthcare Finance Management Organization (HFMA), or can test successfully for the certification within 6 months from hire date Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.