The Director of Billing and Accounts Receivable is the lead member of a team whose primary responsibility is the processing of insurance and other third party payer claims. The Director collaborates with the Chief Financial Officer and Chief Executive Officer to ensure timely and accurate submission of patient remittance claims and management of accounts receivable. The Director of Billing supervises all billing, collections, and receivable staff.
• Responsible for leading, developing and monitoring the performance of the AR Department, which consists of managers, supervisors, team leads and representatives.
• Develops AR strategies to identify global trends, maximize efficiency and increase reimbursement opportunities.
• Continually monitors KPIs such as: AR over 90 days %
• Days in AR
• Trending Cash Flow
• Assists with setting monthly cash collection goals and working with AR managers to help meet and exceed goals. Provides detailed feedback to client services in the event the goals are not met
• Establishes and maintains adequate staffing levels to effectively manage production goals. Adjusts levels as necessary.
• Ensures proper AR training is available for the software systems used by the AR staff.
• Maintains a detailed knowledge of state and federal regulations, documentation and billing requirements.
• Helps to review and evaluate AR policies and procedures and make suggestions for revisions and updating information.
• Collaborate with other leaders to design and implement strategic objectives that support corporate initiatives, regulatory requirements and business needs.
• Direct the management of the overall responsibilities associated Account Receivable Management Team effectively and in accordance with all applicable health and federal code and laws.
• Direct department’s participation in internal and external audits, benchmark reviews and studies while incorporating new controls and techniques to increase efficiency and integrity that ensure compliance.
• Lead the development of strategies, planning and implementation of initiatives that improve customer service, increase corporate profitability and awareness of NORCAL Ambulance’s vision and core values.
• Provide career planning, coaching & guidance to managers and team members in an effort to develop rapport and plan for attrition and department evolution.
• Demonstrated leadership and proven management
• Strong negotiation and influence management
• Proven project management
• Sound judgment in making effective business decisions
• Proven ability to drive execution and achieve results
• Proven ability to cultivate and leverage relationships
• Strategic orientation to process improvements
• Effective oral and written communication
• Knowledge of and familiarity with specific Ambulance Billing
• Knowledge of bankruptcy laws, credit/collection policies & procedures, Division of Insurance, HIPPA Compliance, and other applicable laws and regulations
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: Bachelor’s degree required or 8 to 10 years of related experience and/or training; or equivalent combination of education and experience. Masters’ Degree in Business Administration or Accounting preferable, but not required.
Language Ability: Ability to hear, read and interpret information such as patient care reports, call in requests, and written instructions such as insurance claim forms and procedure manuals. Ability to type and write routine call information and correspondence. Ability to speak effectively before groups of customers, or employees.
Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Certifications/Licenses: Valid California Driver’s License.
Equipment: To perform this job successfully, an individual must use a variety of office equipment including phones, fax/copier and computers with specialty software programs.
Work Environment: This job operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands: Ability to lift and carry up to 10 pounds; sit for extended periods of time, up to 6-8 hours per day; keyboard and use a computer for extended periods of time, up to 6 hours per day; communicate in writing, by phone and in person in a businesslike, professional manner; be mobile within an office setting; assemble papers, paper punch, staple, file, photocopy; apply sufficient force to open and close file drawers. Visual acuity to perform close detail work for preparation and proofreading of business correspondence and operating a computer terminal.