High School Diploma or GED; Bachelor's Degree preferred in related field.
7+ years in revenue cycle management or account receivables in healthcare/health insurance.
5+ years supervisory/management/leadership experience preferred.
Experience with offshore billing preferred.
Strong knowledge of revenue cycle metrics and medical billing requirements.
Responsibilities
Directs and manages Accounts Receivable operations, including staff recruitment and training.
Oversees daily operations like EDI and denial management.
Implements best practices and continuous improvement initiatives in A/R.
Monitors outstanding accounts and leads resolution action plans.
Develops and tracks departmental metrics and benchmarks.
Benefits
Collaborative work environment that encourages inter-departmental relationships.
Executive oversight for system upgrades relevant to A/R inventory.
Engagement with executive leadership through performance summaries.
Opportunities for cross-functional teamwork and professional growth.
Participates in regular strategy meetings with varied stakeholders.
Full Job Description
Job Summary
The Senior Director, Account Receivable is responsible for implementing and supporting the strategic vision for assigned Accounts Receivable (A/R) functions within our Service Delivery
Essential Functions and Tasks
Directs, leads, and manages Account Receivables: recruits, selects, orients, trains, coaches, counsels, and disciplines staff
Oversees and manages the day-to-day operations and effectiveness accounting operations, including but not limited to, accounts receivable, Electronic Data Interchange (EDI), and rejection management and denial management.
Implements and optimizes departmental best practices, policies, and standardized workflows for account receivable operations through continuous improvement initiatives
Oversees the overall health of outstanding accounts receivables. Implements and manages action plans to target and resolve outstanding accounts receivables through effective inventory management and root cause analysis
Develops, monitors, and achieves key departmental metrics and enterprise benchmarks to measure performance
Encourages and maintains productive inter-departmental relationships through collaborative communication, leadership, and end to end problem solving
Uses analysis to proactively identify fluctuations in collection trends, payment processing effectiveness, etc., and assists with the preparation of executive summaries for the leadership team
Provides executive oversight for system upgrades for AR inventory applications
Holds regular meetings with all levels of management to review accounting data and address concerns
Design/Implement BPO tracker comparing performance to set KPI's
Works with Offshore and U service delivery/collections staff to understand and maintain client expectations
Participates in bi-weekly meetings with offshore team to discuss client-specific issues and KPI metrics
Coordinates with offshore lead generation and delivery team to streamline the new business
Performs special projects and other duties as assigned internal and offshore
Manages vendor relationship, assignments
Performs special projects and other duties as assigned
Education and Experience Requirements
High School Diploma or GED
Bachelor's Degree in Healthcare Administration, Business Administration, Benefits, or related field, preferred, or equivalent training and/or experience
At least five (7) years of revenue cycle management experience or account receivables in the healthcare and/or health insurance industry
At least two (5) years of supervisory/management/leadership experience, preferred
Offshore Billing experience preferred
Knowledge, Skills, and Abilities
Strong working knowledge of revenue cycle metrics
Working knowledge of medical billing requirements
Knowledge of business and financial processes, procedures, and processes
Strong supervisory/management skills
Strong management level oral, written, and interpersonal communication skills
Strong financial reporting skills
Strong healthcare data analysis skills
Strong presentation development and delivery skills
Strong word processing, spreadsheet, database, and presentation software skills
Strong decision-making skills
Strong organizational skills
Strong time management skills
Strong problem-solving skills
Strong mathematical skills, in addition, subtraction, multiplication, and division of whole numbers and fractions; computing percentages; and working with decimals
Ability to effectively present information, including financial reporting and healthcare analytics, and respond to questions from groups of executives and managers
Ability to adapt communication style to suit different audiences
Ability to communicate with business stakeholders and IT staff in a tactful, mature, and professional manner
Ability to lead and manage cross-functional teams
Ability to initiate and maintain professional relationships.
Ability to see reoccurring issues and fix them or identify and solve front-end issues
Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Compensation
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
This position is also eligible for a discretionary incentive bonus in accordance with company policies.
