Position Summary

Oversees accounts receivable operations to ensure timely follow-up, denial resolution, and cash collection while improving overall revenue cycle performance. Initiates and maintains provider credentialing and enrollment.

PLEASE SPECIFY MEDICAL BILLING A/R EXPERIANCE IN DETAIL ON RESUME

Essential Duties and Responsibilities

Accounts Receivables (AR)
Monitor AR aging and ensure timely follow-up on unpaid claims.
Monitor and evaluate the individual workload of the AR team and restructure/redistribute as needed.
Oversee denial management and appeals.
Analyze reimbursement concerns, including aging reports.
Supervise and coach AR staff.
Address patient inquires and disputes related to invoices, EOB’s and payments.
Develop and implement written AR policies and procedures.
Ensure timely filing compliance and unapplied credit balance resolution.
Create and maintain a team shared spreadsheet of all appeals and overturn rate.
Other duties as assigned.
Team Leadership & Operations > AR Team Members
Supervise, train, and evaluate staff performance.
Train and create a collection of standard appeal letters for team use.
Create training documents for positions as well as a streamlined approach to nuances.
Establish productivity and quality standards.
Conduct regular audits for accuracy and compliance.
Develop and maintain standard operating procedures.
Identify process improvement opportunities.
Create goals and measurable accountability measures.
Compliance & Quality
Ensure compliance with payer policies, CMS guidelines, and regulatory requirements.
Maintain HIPAA confidentiality standards.
Support internal and external audits.

Performance Metrics

Days in AR overall
Reporting of clean claim ratios and detailed breakdown of failures
Provide detailed report of clean claim failures by the end of each month.
AR over 90/120 days
Provide detailed report to the C-Suite on or before the 10 of each month providing outliers and steps completed to resolve/capture payment.
Denial rate and overturn rate.
Provide detailed report to the C-Suite on or before the end of each month.
Staff productivity goals and measures reported to c-suite on or before the end of each month.

Qualifications

High school diploma required; associate degree preferred.
3–5 years of related healthcare revenue cycle experience.
Supervisory or team lead experience preferred.
Knowledge of medical billing systems, payer requirements, and healthcare workflows.
Strong organizational, analytical, and leadership skills.

Work Environment

Frequently stationery for long periods of time.
Regular use of hands and fingers for clinical tasks, computer work, and medical equipment operation.
Ability to lift, move, or assist patients and/or equipment up to 20 pounds without assistance.
Visual acuity sufficient to read medical information, labels, and computer screens.
Ability to hear and communicate clearly with patients, providers, vendors, and team members.
Prolonged computer use and phone communication.
Must be able to adhere to process protocol.
Must be able to apply established protocols in a timely manner.

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off

Application Question(s):

Do you live in Billings or will you permanently reside in Billings by 6/10?

Experience:

Medical Billing: 5 years (Required)
Medical A/R: 2 years (Required)
Leadership: 1 year (Required)

Work Location: In person

Ortho Montana

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