Job Description

The Patient Accounts Lead is responsible for acting as a subject matter expert in billing and revenue cycle transactions, providing training, education, and support to clinic staff and the Central Billing Office (CBO) employees. This role is the first point of escalation for accounts receivable (AR) issues and plays a key role in improving financial performance by monitoring key performance indicators and ensuring compliance with billing regulations. The Patient Accounts Lead also supports process improvement initiatives across the revenue cycle.

Essential Functions

• Provides comprehensive training and education to clinic staff and CBO employees through onsite sessions and webinars, ensuring adherence to billing procedures and revenue cycle practices.
• Develops and updates training materials and documentation to reflect current billing practices, policies, and regulatory requirements.
• Serves as the first point of escalation for accounts receivable (AR) issues, troubleshooting billing discrepancies and resolving delayed claims or payments.
• Acts as a "Super User" for practice management software, providing technical support and assistance to staff using the system.
• Monitors key performance indicators (KPIs), including claim notes, AR aging reports, and workflow dashboards, to identify trends and address factors impacting financial performance.
• Collaborates with clinic personnel to review financial data and reports, making recommendations to improve processes and enhance financial outcomes.
• Ensures compliance with all federal and state billing regulations, providing ongoing training and updates to staff as guidelines evolve.
• Acts as a resource and subject matter expert for team members, providing support in the absence of the supervisor and offering guidance on complex billing issues.
• Identifies opportunities for operational improvements within clinic workflows and revenue cycle processes, recommending and implementing changes as needed.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Bachelor's Degree in Business, Healthcare Administration, or a related field preferred
• 3-5 years of revenue cycle management with a general knowledge of ICD9 and CPT coding required
• 2-4 years of employment within the organization in a similar role preferred

Knowledge, Skills and Abilities

• Strong knowledge of healthcare billing processes, revenue cycle management, and insurance regulations.
• Excellent communication and training skills, with the ability to present information effectively in both one-on-one and group settings.
• Proficiency in practice management software and other relevant billing systems.
• Strong organizational and time-management skills, with the ability to manage multiple tasks and priorities.
• Analytical and problem-solving skills, with the ability to identify issues and recommend solutions.
• Ability to work independently and as part of a team, demonstrating leadership in resolving issues and improving processes.
• Occasional travel may be required to provide onsite training and support for clinic locations.