Lifeworks Services, Inc. · 1 month ago
Director of Accounts Receivable
Richfield,MN,US
Full-time
Hybrid
Lead/Staff, Director/Executive
$98K/yr - $108K/yr
5+ years expLifeworks Services, Inc. is an industry leader in partnering with people with disabilities. The Director of Accounts Receivable provides strategic leadership and oversight of medical claims processing, billing, and accounts receivable management, ensuring compliance and driving operational efficiency.
ChildrenHealth CareNon Profit
Responsibilities
Developing and maintaining department strategies by leveraging weekly aged claims reports to prioritize collections and mitigate risk of uncollectible claims
Facilitating resolution with program leaders to resolve problematic outstanding claims, and when necessary, recommending and seeking approval for uncollectible expense
Maintaining the days of sales outstanding to established goals
Overseeing the organization’s medical claims/Medicaid billing, collections, and other customer accounts in compliance with generally accepted accounting principles (GAAP), government and private contracts, and Health Insurance Portability and Accountability Act (HIPAA)
Ensuring payments across systems are posted timely and accurately for proper aged reporting
Ensuring timely and accurate claims processing, claims adjustment, and payment of claims
Conducting routine audits validating system data transfers into billing systems and validating bill rates, revenue recognized, outstanding balances, uncollectible accounts, etc
Selecting, supervising developing, motivating, and retaining accounts receivable and billing staff. Responsibilities include coaching, goal setting, career counseling, providing daily work direction, recognizing and reinforcing desired performance
Ensuring proper segregation of duties between billers, claims research and payment posting along with overall compliance with insurance and/or government contracts
Maintaining current understanding of medical claims processing as it relates to medical billing including Medicaid service regulatory changes, insurance contracts, and overall medical billing practices
In collaboration with Controller, assisting with general ledger monthly close reconciliations for accounts receivable balances and recorded revenue
Advocating and owning systems required to support day to day activities, including recommending changes or supporting upgrades as a subject matter expert regarding the medical claims processing functions. This includes actively monitoring and suggesting necessary improvements for compliance to provider requirements, efficient processing, and accuracy in claims processing
Working collaboratively with program services, IT, Compliance, HR, and Payroll, providing excellent customer service, improving processes and the delivery of projects and initiatives
Contributing to the organization's mission by complying with Lifeworks policies and procedures, using resources wisely
Following safety procedures and assisting in identifying safety needs for self and others
Perform other duties as assigned
Qualification
Required
Bachelor's degree in a related field
Minimum 5 years of progressive experience in medical billing, Medicaid claims processing, and accounts receivable management
5 years of professional, supervisor, and/or management experience
Have expertise in medical billing systems and electronic claims processing
Possess strong proficiency in Microsoft Excel and financial and billing system reporting tools
Understand Medicaid and insurance billing regulations, adjudication processes, and revenue cycle management
Are familiar with government and private payer contracts
Have strong auditing and reconciliation skills; ability to identify discrepancies and implement corrective actions
Are knowledgeable of segregation of duties and internal controls for billing operations
Have experience participating in system upgrades or acting as a Subject Matter Expert (SME) for billing systems
Can develop and implement process improvements for efficiency and compliance
Are experienced with HIPAA regulations
Have strong analytical and problem-solving skills to research claim denials and identify root causes of errors
Demonstrate leadership and staff development skills and ability to establish and cultivate strong relationships, including the ability to coach and mentor employees effectively in a remote/hybrid work model
Perform the essential functions of the job, with or without reasonable accommodations
Understand and communicate written and verbal directions
Have regular attendance, reliability and punctuality is necessary to meet the needs of the business
Are organized with excellent attention to detail
Can work independently with excellent time management skills
Work effectively with others to reach common goals and objectives
Are skilled at establishing and cultivating strong relationships
Take initiative and strengthen relationships with current and new community
Must pass a background study with the Department of Human Services, a drug test, clean driving record and have reliable transportation to use for work driving purposes
Preferred
Professional certifications such as Certified Revenue Cycle Representative (CRCR) or Certified Medical Reimbursement Specialist (CMRS) preferred
Proven experience billing through medical billing software(s) and using a clearinghouse
Advanced aptitude of medical coding and billing
Fluent in English, verbal and written
Proficiency in Microsoft Office Suite
Benefits
18 days of PTO accrued in the first year of employment
11 paid holidays (New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, and a Personal Holiday)
Medical, dental, vision, life, AD&D insurance, short & long-term disability coverage
Health Savings Account (HSA), Flexible Savings Account (FSA), and prescription drug coverage
Up to $3,000 annually in tuition reimbursement
403(b) retirement plan – Lifeworks contributes 3% of your salary and matches up to 4% of employee contributions
Employee Assistance Program (EAP)
Company
Lifeworks Services, Inc.
Lifeworks is a Minnesota 501(c)(3) nonprofit organization founded in 1965 by parents of children with disabilities.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Gertrude Matemba Mutasa
President and CEO
Recent News
Business Journals
2022-11-20
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