AR/Billing Manager- Patient Financial Services FT

EQUAL EMPLOYMENT OPPORTUNITY

Race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate shall not be a factor in employment for this position. Due to the nature of hospital services, it may become necessary to work extended hours.

POSITION SUMMARY

The Billing and Accounts Receivable Manager provides strategic and operational oversight of all hospital district billing functions and AR operations. This role ensures timely, accurate, and compliant billing across inpatient and outpatient services while managing DNFB performance, revenue cycle metrics, and billing staff. The position is accountable for billing integrity, regulatory compliance, cash flow optimization, and overall departmental performance. The is also responsible for oversight of the hospital district’s AR operations, ensuring timely follow-up, denial resolution, accurate payment posting, and optimization of cash collections. This role maintains accountability for AR performance, regulatory compliance, and staff productivity

POSITION SUPERVISORY RESPONSIBILITIES

Reports To:

Director of Patient Financial Services

VP- Financial Operations

Supervises:

Billing Specialists, AR Specialists and assigned revenue cycle staff

POSITION REQUIREMENTS

Minimum Education

Associates or Higher Degree Preferred

Minimum Work Experience

Hospital billing and follow up experience required

Supervisory experience preferred

Required Licenses/Certifications

None

Required Skills, Knowledge, and Abilities

Strong knowledge of Medicare, Medicaid, and commercial payer regulations.

Proficiency in hospital billing systems and revenue cycle metrics.

Preferred Qualification

PHYSICAL REQUIREMENTS

Light work, exerting up to 20 pounds of force occasionally, and/or up to 10 pounds frequently, and negligible amount of force constantly to move objects. Involves sitting for long periods of time. Occasionally requires standing, walking, bending, stooping, reaching, lifting, pushing, and pulling. Requires near and midrange vision, talking, hearing, and repetitive movement of wrists, hands, and fingers. Requires viewing computer screens for extended periods. The incumbent works in a good environment under clean working conditions; one or more disagreeable elements may be present to a small degree from time to time. There is potential for exposure to contagious diseases from patient contact, but this risk is minimal when proper safety precautions are used.

QUALITY BEHAVIORAL EXPECTATIONS

Generally and in all job specific duties: Uses critical thinking skills to determine evidence based solutions. Systematically gathers and reviews pertinent information to prevent errors (PDCA – Plan, Do, Check, Act). Pursues individual or team learning and growth opportunities to continually build skills. Understands and abides by all safety regulations.

SERVICE EXCELLENCE BEHAVIORAL EXPECTATIONS

Generally and in all job specific duties: Maintains patient confidentiality. Rounds regularly with patients, direct reports and/or customers. Uses telephone and elevator etiquette. Acts as an employee ambassador. Committed to know hospital service lines and shows pride in our organization. Uses AIDET when dealing with internal or external customers.

FISCAL RESPONSIBILITY BEHAVIORAL EXPECTATIONS

Generally and in all job specific duties: Takes responsibility for solving problems. Treats company resources responsibly. Performs work functions timely and accurately. Respects our environment; keeps public areas neat and clean and returns supplies to the appropriate areas.

PEOPLE BEHAVIORAL EXPECTATIONS

Generally and in all job specific duties: Supports the team through good attendance. Maintains a professional appearance. Creates a positive team environment; flexible and supportive setting an example of cooperation. Uses meaningful communication; provides honest feedback that is valuable and not critical and discourages negative talk and gossip. Respect co-workers.

JOB SPECIFIC FUNCTIONS

1. Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
2. Conduct reflects HMHD’s values and a commitment to HMHD’s Code of Conduct.
3. Attends the required corporate integrity and compliance training and education programs.
4. Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
5. Complies with all HIPAA standards.
6. Oversee daily billing activities and claim submission.
7. Ensure compliance with federal, state, and payer regulations
8. Collaborate with Coding, HIM, Case Management, and Patient Access to ensure revenue integrity.
9. Monitor charge capture, claim edits, corrections, and adjustments.
10. Manage DNFB inventory and aging within established benchmarks.
11. Monitor key metrics (DNFB days, clean claim rate, billing lag, denial rate, net collections
12. Analyze trends and implement corrective action plans
13. Provide regular performance reporting to leadership
14. Supervise, hire, train, and evaluate staff
15. Establish productivity standards and ensure accountability.
16. Promote compliance, collaboration, and continuous improvement.
17. Lead workflow improvements and system optimization efforts
18. Monitor total AR, aging categories, and payer mix daily
19. Maintain AR days within established benchmarks
20. Prioritize high-dollar and aged accounts for resolution
21. Ensure timely claim follow-up based on payer guidelines
22. Oversee denial tracking, trending, and root cause analysis
23. Ensure timely appeals submission and documentation.