Associate Director, RCM Accounts Receivable

Join Our Caring Community

Become a part of our caring community and help us put health first. This is a hybrid position; 1 day in office / 4 days remote. Must live within the greater Kansas City metropolitan area.

Responsible for healthcare claims accounts receivable operations in accordance with company policies and procedures. Meets or exceeds established cash collections and Day Sales Outstanding (DSO) goals. Works directly with program, branch, area, regional and divisional leadership, and external payers to effectively manage end-to-end claims processing activities. Performs all duties inherent in a managerial role including staff selection, development, corrective action, succession planning and team building. Prepares departmental budget and monitors expenses to ensure compliance with approved budgetary expectations.

Key Responsibilities

• Directs accounts receivable activities to maximize reimbursements. Ensures accurate, timely billing and collection. Develops credit / collection strategies and implements plans to ensure accounts receivable balances are within stated objectives.
• Ensures appropriate staff development, training and succession planning. Evaluates staff performance, and responsible for department hiring, terminations, promotions and salary actions
• Serves as company liaison to state, federal and third-party payers
• Participates in company leadership meetings at the branch, area, regional and divisional level and ensures proactive and effective communications with field management
• Provides company leadership with updates on accounts receivables. Assists in developing branch-specific plan of correction as needed
• Continually assesses operational efficiencies and implements continuous improvement processes. Works with internal business partners on reimbursement issues and in maintaining SOX compliance
• Establishes monthly FSU goals and evaluates performance on cash, DSO and budget metrics. Develops action plans accordingly
• Maintains knowledge of current regulations, policies and procedures of state, federal and third-party reimbursement programs and assists staff in interpreting and applying technical and business requirements
• Prepares departmental budget and monitors expenses to ensure compliance with approved budgetary constraints. Ensures that sales adjustments and write-offs are properly approved and processed
• Interacts with internal business partners to improve processes and procedures to achieve overall company accounts receivable goals. Review payer contracts for proper billing to achieve accurate revenue recognition
• Drives change throughout the organization and makes contributions to the company's goals and objectives by improving performance of self, team and business
• Establishes credibility with customer base, demonstrate interpersonal, collaborative, and relationship-building skills
• Demonstrates ability to communicate difficult or sensitive information; and demonstrate the ability to manage new business processes
• Manages multiple projects, deadlines and priorities and be able to collaborate and influence across functions and at all levels of the organization
• Accountability in self and others, facilitates synergy throughout the organization and is able to execute on agreed upon goals and objectives in a timely manner
• Performs other related duties as assigned.

Requirements

Additional Information :

CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including :

Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours : 40

Pay Range : $115,200 - $158,400 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits : Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About CenterWell Home Health : CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company : CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and the fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE : HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer : It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.