Head of Billing and Collections

This is a fully remote position, open to applicants in California, +4 more states.

📋 Description

• Overseeing the daily functions of the billing and collections department.

• Ensuring claims and invoices are submitted accurately and on time.

• Managing the revenue cycle processes effectively.

• Leading a team to enhance collections performance.

• Concentrating on minimizing claim denials and managing payments according to payer contracts.

• Optimizing cash collections within a high-volume environment.

• Supervising billing and accounts receivable staff, delegating daily tasks, training new hires, and mentoring team members in billing practices.

• Developing and executing policies, procedures, and best practices to boost billing efficiency and maintain revenue integrity.

• Monitoring accounts receivable aging reports to identify and address delinquent accounts, underpayments, and denials.

• Managing the resolution of rejected claims, submitting appeals for denied claims, and reconciling pharmacy payments.

• Ensuring adherence to HIPAA, state and federal regulations, as well as payer contracts.

• Generating and analyzing financial reports while tracking key performance indicators for pharmacy leadership.

• Acting as a liaison between pharmacy staff, the finance department, and insurance payers concerning billing matters.

⛳️ Requirements

• A minimum of 8 years of experience in billing, collections, and accounts receivable management.

• Strong comprehension of the revenue cycle from billing to collections.

• Proficiency in various billing software and advanced Microsoft Excel skills.

• Proven ability to drive operational excellence and achieve high-quality outcomes.

• Excellent analytical, problem-solving, and communication abilities, with a capacity to lead effectively in a fast-paced environment.

• Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field (preferred).

• At least 3 years of experience in medical/pharmacy billing and team leadership (preferred).

• Familiarity with pharmacy adjudication systems and third-party payer regulations is advantageous (preferred).

🏝️ Benefits

• Dental, vision, and multiple group medical plans available.

• A 401(k) retirement savings plan.

• Group life insurance coverage.

• Accidental death and dismemberment (AD&D) insurance.

• Flexible spending account (FSA) and health savings account (HSA) options.

• Commuter benefits provided.

• Employer-paid short-term (STD) and long-term disability (LTD) insurance.

• Additional supplemental insurance plans (including spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program).

• Flexible vacation time offered.

• Accrued paid sick time available.

• Ten paid holidays, including two floating holidays for full-time non-exempt employees.

• Eight weeks of paid parental leave for eligible employees.

• Additional paid weeks for the birthing parent.

• Four weeks of paid caregiver leave.

• A monthly Lifestyle Spending Account allowance.