Precertification / Accounts Receivable Manager

RCCA seeks an Accounts Receivable Manager. This position manages the operations of accounts receivables teams within a centralized business office to ensure timely and accurate reimbursement. Ensures effective communication with all practice business offices and provides information, issue resolution, and research of outstanding receivables issues. Assists in the development and implementation A/R policies, procedures, and training programs.

Employment Type: Full Time

Location: Teaneck, NJ

As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities.

We believe these benefits underscore our commitment to the well-being and professional growth of our employees.

• Function as a liaison between Central Business Office, physicians, and practice sites to resolve accounts receivable issues and questions.
• Oversee the Eligibility and Pre-authorization teams for Oncology treatments and oral pharmacy services, ensuring all patient eligibility is verified accurately and promptly.
• Develop and maintain relationships with insurance providers to facilitate efficient eligibility verification processes and pre-authorization submissions.
• Collaborate with healthcare providers to gather necessary documentation required for pre-authorization and ensure timely approval of oncology treatments and oral pharmacy prescriptions.
• Implement and oversee technology solutions to streamline eligibility checks, pre-authorization processes, and reduce manual errors.
• Monitor and report on pre-authorization approval rates and turnaround times, identifying areas for improvement.
• Coordinate with the billing department to ensure that pre-authorized treatments are billed correctly and in a timely manner.
• Conduct regular audits to ensure adherence to internal policies and external regulations, staying informed about changes in healthcare regulations related to oncology and pharmacy services.
• Assist in the development and implementation of training programs for corporate and practice employees, including training on eligibility and pre-authorization procedures, to improve A/R and billing functions.
• Maintain a working knowledge of applicable laws and regulations as they relate to assigned responsibilities and communicate regulatory and industry standards to employees.
• Conduct audits to ensure compliance and monitor productivity in the A/R, eligibility, and pre-authorization functions.
• May coordinate facilities and office management functions including payroll submission. Supervise, through multiple subordinate supervisors, teams of employees involved in the Pre-authorization and eligibility of Accounts Receivable for the Central Business Office.

• High school diploma or equivalent required, bachelor's degree preferred.
• Minimum seven years of medical business office experience, including at least two years in a management or supervisory capacity.