• Provide member-centered, evidence-based model of care across multiple products • Ensure smooth and safe transition for members between various care settings • Assess individual care goals and coordinate medical and supportive services • Connect members with community resources to support their needs and objectives

Role Description The Manager – Cash/Collections is responsible for overseeing the daily operations of the collections team within the Revenue Cycle department. This role ensures the timely and effective collection of patient account balances and third-party reimbursements, improves cash flow, and promotes compliance with internal policies and external payer requirements. The manager will collaborate with other departments, lead performance improvement initiatives, and supervise staff performance in accordance with quality and productivity goals. - Supervise day-to-day operations of collections team to meet quality and productivity goals. - Monitor aging reports by payer to ensure timely resolution and payment. - Analyze and act on EOBs and denials to resolve issues affecting cash collections. - Collaborate with internal teams to identify root causes of payment delays and implement solutions. - Approve adjustments and refunds per policy guidelines. - Assist in recruitment, training, coaching, and performance evaluations of staff. - Prepare, analyze, and present daily, weekly, and monthly financial reports. - Maintain and update business office policies, procedures, and contract documentation. - Foster interdepartmental collaboration and maintain strong working relationships. - Ensure compliance with federal, state, payer, and organizational billing and collections requirements. Qualifications - Knowledge of healthcare billing and collection practices, including insurance payer requirements. - Proficiency in electronic billing systems and Microsoft Office applications. - Strong analytical and problem-solving skills. - Ability to lead, coach, and develop team members. - Effective communication and interpersonal skills with internal and external stakeholders. - Ability to manage multiple priorities in a fast-paced environment. Requirements - Associate’s Degree in Business, Finance, Healthcare Administration, or related field (Required). - Bachelor’s Degree in Business, Finance, Healthcare Administration, or related field (Preferred). - 3-5 years healthcare revenue cycle experience (Preferred). - Prior Experience in a supervisory or management role in collections (Preferred). Benefits - Competitive benefits. - Supportive workplace culture. - Commitment to training and mentoring.

• Responsible for the oversight of healthcare management staff • Works closely with functional area managers to ensure consistency in health interventions • Accountable for meeting the financial, operational and quality objectives • Oversee the implementation of healthcare management services • Ensure implementation and monitoring of best practice approaches • Develops high performing teams and acts as a liaison with other key business areas • Manage resources responsible for identification of members and monitoring of care

• Provide oversight to the Part C/Part B Preservice Expedited/Standard Appeal team • Ensure timely, customer focused response to appeals, complaints, and grievance • Identify trends and emerging issues and report on and give input on potential solutions • Independently research and translate policy and procedures into intelligent responses • Successfully work across functions and segments to create and trend reports for resolution of escalated cases