Accounts Receivable Manager - Tucson, AZ (Corporate-Bonita)

Looking to build a lasting career?  Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?

• Top-level compensation packages
• Exceptional health, dental, and disability benefits
• Career and compensation advancement programs
• Student loan forgiveness programs
• 401k company match
• Bilingual pay differential
• Holiday, PTO and employer paid life insurance
• Clinical licensure supervision and reimbursement
• Evidence-based treatment approaches, training, and supervision
• One of the first fully vaccinated COVID-19 workplaces in Arizona

Intermountain Centers and its statewide affiliates, Community Partners Integrated Healthcare, Pinal Hispanic Council, Intermountain Health Center, Intermountain Foster Care, Behavioral Consultation Services and MHRI Housing are currently recruiting career-minded individuals interested in opportunities within the largest adult and child service continuum in Arizona.

General Summary:  Intermountain Centers for Human Development is seeking a highly skilled and detail-oriented Accounts Receivable (AR) Manager specializing in Medicaid fee-for-service claims processing. This role is essential to ensuring the accuracy and efficiency of our revenue cycle management, particularly in handling AR collections, recoupments, and write-offs. The AR Manager will work independently and will collaborate closely with internal teams and external payers to optimize cash flow and maintain compliance with Medicaid regulations.

JOB RESPONSIBILITIES:

Accounts Receivable Management:

• Manage the AR lifecycle: Oversee the entire accounts receivable process for Medicaid fee-for-service claims, including charge capture, claims submission, payment posting, and follow-up.
• AR Aging Analysis: Regularly analyze and review aging reports to identify overdue accounts. Prioritize high-risk accounts and develop specific action plans to expedite collections.
• Claim Discrepancy Resolution: Investigate and resolve discrepancies in claims, working closely with the billing and coding teams to ensure accurate submissions and minimize denials.
• Medicaid Billing Compliance: Ensure all billing practices comply with Medicaid guidelines and state-specific regulations, maintaining thorough documentation for audits.

Collections:

• Strategize Collections: Develop and implement aggressive yet compliant strategies to collect outstanding receivables from Medicaid and other payers. Focus on reducing days sales outstanding (DSO) and improving cash flow.
• Payer Communication: Establish and maintain regular communication with Medicaid plans and other payers to follow up on unpaid claims, verify payment status, and resolve any issues that delay payment.
• Escalate Unpaid Claims: Escalate unresolved claims to higher levels within payer organizations when necessary, utilizing all available channels to expedite payment.

Recoupments:

• Monitor Recoupments: Track and manage all recoupment activities, ensuring that any overpayments are identified promptly and recouped efficiently without disrupting cash flow.
• Negotiation and Resolution: Negotiate with payers on recoupment amounts, disputing any unjustified claims and seeking favorable terms for repayment when necessary.
• Documentation: Maintain meticulous records of all recoupment cases, including correspondence, negotiations, and final resolutions, to ensure transparency and audit readiness.

Write-Offs:

• Write-Off Management: Approve and process write-offs in line with company policies. This includes reviewing accounts for final determination, ensuring all possible collection efforts have been exhausted.
• Trend Analysis: Perform regular analysis of write-off trends to identify underlying causes and recommend improvements to prevent future write-offs. This might include refining claims processes, adjusting billing practices, or enhancing payer communications.
• Internal Reporting: Provide detailed reports on write-offs, including justifications and financial impact assessments, to senior management for review.

Reporting and Data Analysis:

• Comprehensive Reporting: Generate detailed monthly, quarterly, and annual AR reports, highlighting key metrics such as collection rates, aging balances, recoupments, and write-offs.
• Data-Driven Decision Making: Use data analysis to identify patterns, forecast cash flow, and recommend actionable improvements to the revenue cycle process.
• Collaboration: Work closely with the finance and operations teams to align AR activities with overall financial goals and strategic objectives.

Compliance and Continuous Improvement:

• Regulatory Compliance: Stay informed about changes in Medicaid billing regulations and implement necessary updates to ensure compliance across all AR activities.
• Process Optimization: Continuously review and refine AR processes to enhance efficiency, reduce errors, and shorten the revenue cycle.
• Training and Development: Lead training sessions for staff on best practices in AR management, Medicaid billing, and compliance to ensure the team is up-to-date with industry standards.

QUALIFICATIONS:

• Education: Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field.
• Experience: Minimum of 5 years of experience in accounts receivable management, with a strong focus on Medicaid claims processing within a behavioral health or healthcare setting.
• Technical Skills: Proficiency in AR management software, electronic health records (EHR) systems, programming languages SQL preferred, and advanced Microsoft Excel skills for data analysis.
• Regulatory Knowledge: Deep understanding of Medicaid billing requirements, including state-specific variations, and experience with compliance and audit processes.
• Problem-Solving: Demonstrated ability to identify, analyze, and resolve complex AR issues, particularly in the context of collections and recoupments.
• Communication: Excellent verbal and written communication skills, with the ability to effectively negotiate and interact with payers, internal teams, and senior management.
• Independence: Strong ability to work independently, manage multiple priorities, and meet tight deadlines in a dynamic environment.

REGULATORY:

• Minimum 21 years of age.
• DPS Level I fingerprint clearance if required (must possess upon hire and maintain throughout employment).
• CPR, First Aid, AED certification, if required (must possess upon hire and maintain throughout employment).
• Current, valid Arizona Driver’s License and 39-month Motor Vehicle Report and proof of vehicle registration liability insurance to meet insurance requirements, if required.
• Initial current negative TB test result, if required (Employer provides).

Questions about this position?  Contact us at HR@ichd.net.

ICHD is an equal opportunity employer.  ICHD does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.