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Medical Billing and AR Director
2 months ago
Oxford Solutions, Inc. is seeking a seasoned Medical Billing and AR Manager to lead our Funded Billing and Cash Posting teams. As a key member of our organization, you will be responsible for managing billing claims, overseeing cash receipts and denial postings, and ensuring efficient operations and compliance with regulatory and payer requirements.
Key Responsibilities- Team Leadership: Build, lead, and develop a high-performing Billing & Cash Posting team, ensuring efficiency and growth.
- Billing and Cash Management: Manage day-to-day billing claims to insurance companies and governmental agencies, as well as timely and accurate cash receipts and denial postings.
- Escalated Issues: Act as the go-to resource for escalated issues, such as customer inquiries, sales staff concerns, and third-party payer challenges.
- Process Improvement: Develop and implement efficient processes, tools, and templates to streamline operations and support strategy execution.
- Team Development: Hire, train, and coach team members, providing regular performance feedback and ensuring team compliance with corporate policies, payer requirements, and government regulations.
- Cross-Functional Collaboration: Work closely with the Collections, Funding, and Contracting teams to ensure cohesive and efficient cross-department operations.
- Reporting and Analysis: Compile and analyze reports to reflect Billing & Cash Posting activities, driving data-driven improvements.
- Continuous Improvement: Engage in continuous process improvement initiatives, particularly in leveraging technology for enhanced efficiency.
- Education: Bachelor's degree with at least 5 years of experience in medical collections, or 3 years of medical accounts receivable management in a complex payer setting.
- Knowledge and Skills: Strong knowledge of state, federal, and third-party payer criteria; knowledge of Durable Medical Equipment (DME) Billing and Prior Authorization preferred; familiarity with payment posting processes, contractual adjustments, and refunds.
- Soft Skills: Excellent communication, leadership, and customer service skills; proficient in MS Office (Word, Excel, PowerPoint, Outlook); experience with healthcare database applications and IT process enhancements preferred.
- Leadership and Problem-Solving: Ability to lead a team in a fast-paced, changing environment, with a focus on efficiency and results; proven ability to implement process improvements and drive digitalization and automation.
