Accounts Rec Billing Lead

Pioneers Memorial Healthcare District; Brawley (CA); On-site; USD 29,000 - 33,000; Full time

Job summary

Pioneers Memorial Healthcare District in Brawley, CA is seeking an Accounts Rec Billing Lead to coordinate and oversee daily billing, collections, productivity and A/R aging for the designated team, with focus on Medicare, Medi-Cal and Commercial payers.

The full-time clerical position requires 3–5 years in a healthcare business office with billing experience, strong analytical and communication skills, and the ability to train staff and drive process improvements.

Qualifications

• Three to five years in a healthcare business office environment is required; hospital billing experience preferred.
• Familiarity with Medicare, Medi-Cal, and commercial payer processes.
• Ability to review data and drive accurate AR reporting.

Responsibilities

• Coordinate and oversee day-to-day billing and A/R activities for designated team.
• Ensure timely billing and payer account resolution across Medicare, Medi-Cal, and Commercial.
• Maintain knowledge of billing policies and respond to co-worker questions.
• Support efficiency improvements and report findings to leadership.
• Set productivity standards for timeliness and output.
• Train staff and manage scheduling to ensure coverage.
• Provide feedback to leadership on claim quality and account resolutions.
• Troubleshoot health information systems and A/R platforms.

Skills

Billing knowledge

Healthcare accounting

Leadership

Analytical thinking

Education

High School Diploma

Tools

Affinity HIS

Billing software

MS Office

Job description

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Accounts Rec Billing Lead

Full Time CLERICAL Brawley, CA, US

30+ days ago Requisition ID: 1461

Salary Range: $21.00 To $24.38 Hourly

SUMMARY

Responsible to coordinate and oversee the day-to-day activities of billing, collections, productivity, quality and A/R aging of designated team, with particular hands-on attention to A/R billing and follow-up. A/R categories are Medicare, Medi-Cal and Commercial.

ESSENTIAL FUNCTIONS:

• Coordinate and oversee day-to-day activities within the designated team to include but not limited to, over-seeing the timely billing and account resolution of all payers in category.
• Demonstrates a thorough knowledge and understanding of billing and follow-up policies on and on-going basis and answer questions from co-workers when necessary.
• Practices continuous efficiency/process improvement implements corrective action, monitors and reports findings to the Director of Patient Accounting.
• Establishes productivity standards for timeliness and productivity of responsible activities.
• Performs staff job responsibilities as needed. Coordinates respective staff member’s work schedules, whereby assuring adequate coverage, in an effort to carry out day-to-day responsibilities.
• Performs internal training of new/current employees, as well as cross training current employees whereby assuring coverage of critical job duties to ensure competency level.
• Manages and identifies inappropriate employee behavior, initiates and monitors corrective actions according to organizational policies and procedures.
• Keeps informed of all Government, HMO, PPO, Workers Compensation, and third-party payer regulations and procedures affecting the billing, collection, and reimbursement of claims.
• Provides feedback to Director, Registration Manager, and/or other departments as it relates to quality of work generated by departments and their impact of claim submission and subsequent account resolutions.
• Acts in the capacity of health information system (Affinity) analyst and troubleshooter, as well as other A/R systems.

OTHER RESPONSIBILITIES:

Other duties as assigned from time to time.

Customer Service.

SUPERVISORY RESPONSIBILITIES:

Billers and collectors part of A/R team.

EDUCATION, KNOWLEDGE, SKILLS, ABILITIES, AND EXPERIENCE:

• High school diploma and/or equivalency. Three to five years in a healthcare Business Office environment is required; Healthcare, hospital preferred, billing experience is required with knowledge of claims submission and follow-up processes for Third Party Payers, HMO/PPO, Workers Compensation, Medicare, and Medi-Cal. Familiarity with reimbursement structures as it applies to all payers.
• Mathematical ability is required to review and complete statistical data on various reports; Strong clerical background is required.
• Experience with on-line terminal equipment and automated systems, including personal computers and adding machines. Ability to prioritize multiple projects; Ability to compile and analyze data.
• Strong oral, written, and interpersonal communication skills.
• A full-time employee who can demonstrate that they have the ability to develop positive working relations with all internal and external people they come into contact with.

LICENSES AND CERTIFICATIONS:

Preferred but not required- Certified Revenue Cycle Specialist (CRCS) Certification.

AGE OF POPULATION SERVED:

Newborn Infant/Pediatric Adolescent Adult Geriatric All No Patient Care X

PHYSICAL REQUIREMENTS :

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.