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
