Oversee the daily operations of patient financial services and medical records functions, including billing, collections, payment posting, accounts receivable follow-up, denial management, appeals, financial assistance, prior authorizations, and records management.
Provide leadership, coaching, training, and performance management for assigned staff while monitoring key revenue cycle and departmental performance metrics.
Partner with Patient Access, Coding, Clinical Operations, leadership, payers, vendors, and internal teams to improve reimbursement, reduce denials, strengthen compliance, and support a positive patient financial experience.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required.
- At least 3 years of progressively responsible experience in healthcare revenue cycle operations, patient financial services, medical records, or related healthcare business functions.
- At least 1 year of leadership, supervisory, lead, or team coordination experience.
Required Knowledge and Skills
- Knowledge of healthcare billing, collections, accounts receivable follow-up, denial management, financial assistance programs, and reimbursement processes.
- Working knowledge of Medicare, Medicaid, commercial insurance, managed care, and payer reimbursement methodologies.
- Knowledge of Critical Access Hospital (CAH) and Rural Health Clinic (RHC) reimbursement principles.
- Knowledge of HIPAA, patient privacy requirements, release of information processes, and medical record retention requirements.
- Ability to interpret payer policies, reimbursement regulations, and contractual requirements.
- Strong leadership, coaching, mentoring, organizational, analytical, problem-solving, and decision-making skills.
- Excellent written, verbal, and interpersonal communication skills.
- Proficiency with EHRs, revenue cycle systems, Microsoft Office, and other healthcare technology platforms.
Preferred Qualifications
- Associate's or bachelor's degree in Healthcare Administration, Business Administration, Accounting, Finance, Health Information Management, or a related field.
- Experience in a CAH, RHC, FQHC, or other rural healthcare environment.
- Previous supervisory experience in billing, collections, denial management, prior authorizations, financial assistance, or medical records.
- Experience with Epic, Cerner CommunityWorks, or Cerner Millennium.
- Experience with revenue cycle reporting tools, analytics platforms, clearinghouse systems, and payer portals.
- Professional certification such as CRCR, CPB, CHFP, or RHIT.
- Experience with process improvement initiatives, accreditation surveys, regulatory audits, or revenue cycle optimization projects.
Location
Idaho, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 month ago
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