Director, Contracts and Billing

5 hours ago

Needham, United States 813 Consultants Full time

Full job description

Summary of position: The primary functions of the Director of Billing and Contracts will include: Responsibility for the creation and monitoring of all government (federal, state, cities/towns) contracts and management of the accounts receivable functions including but not limited to billing, including third party billing, collections, reconciliation, closing schedule adherence, and bad debt risk assessments.


Education:


Required: Bachelor’s Degree in Accounting, Business, or related field of study


Experience


Required: At least seven years accounting, billing, and contracting experience including third-party billing. Experience with clearinghouses and electronic payment systems (eg Payspan, Optum financial).Proficient with Microsoft Office including Excel and cloud-based systems. Demonstrated ability to learn new software applications and be proficient


Preferred: Experience with third-party billing for behavioral health services. Familiarity with EDI for medical billing.


Abilities


Required: Ability to meet deadlines and follow through with multiple projects simultaneously. Ability to multitask and shift priorities based on day-to-day needs. Ability to respond to and follow through with requests quickly and professionally. Excellent verbal and written communication skills. Must be able to sit at workstation for prolonged periods of time, consistent with OSHA standards. Must have the ability to access different building locations, equipment, mailboxes, etc. Must have ability to access off campus programs. Must have ability to lift packages up to 10 pounds.


Essential functions:


  • Responsible for the billing and accounts receivable staff, emphasizing accurate and timely billing in accordance with the monthly closing schedule and follow-up through the collection process. May cover billing functions as needed to cover volume of claims and staff absences.
  • Responsible for diligent collection efforts of all accounts receivable
  • Responsible for establishing and implementation of billing and collection procedures for the accounts receivable function
  • Prepare contracts that support program goals, budgets, and the Strategic Plan of the Agency
  • Maintain contract list including general ledger and UFR mapping
  • Update and negotiate annual rates and maintain dialogue with key state agency and third party insurance officials regarding new initiatives and funding changes
  • Responsible for ensuring timely and accurate billing and financial reimbursement. Responsible for analyzing trends and following up with appropriate internal and external stakeholders to troubleshoot issues and maximize financial reimbursement.
  • Function as point of contact for billing vendors and insurance companies.
  • Collaborate with EHR and Analytics team to ensure the timely implementation of technical changes, updates to procedures, and reporting requirements in response to legal, regulatory, and payer changes.
  • Work with the Chief Financial Officer to review monthly financial statements. Prepare monthly Accounts Receivable reports for the Finance Committee.
  • Perform other duties as assigned


Supervision to be received: Chief Financial Officer


Supervision to be exercised: Billing Staff and Consultant


Job Type: Full-time


Experience:

  • Negotiation: 1 year (Preferred)


Ability to Commute:

Needham, MA 02492 (Required)

Ability to Relocate:


Needham, MA 02492: Relocate before starting work (Required)

Work Location: In person

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