The Director of Billing and Collections oversees our billing department and optimizes revenue cycle management for our EMS services. The ideal candidate will have a strong background in healthcare billing, exceptional leadership skills, and a commitment to maximizing collections while maintaining compliance with regulatory requirements.
Duties/Responsibilities
Develop and implement strategies to optimize the EMS billing process and improve collections efficiency.
Lead and mentor the billing and collections team, providing guidance and support to meet departmental goals.
Monitor billing activities to ensure accuracy, timeliness, and compliance with healthcare regulations, including HIPAA and Medicare/Medicaid guidelines.
Analyze billing data and trends to identify opportunities for process improvements and revenue enhancement.
Collaborate with EMS leadership, including operations and clinical teams, to streamline billing workflows and resolve billing-related issues.
Establish and maintain relationships with payers, including insurance companies and government agencies, to facilitate claims processing and resolve disputes.
Prepare regular reports and presentations on billing and collections performance for senior management.
Position Qualifications
Bachelor's degree in healthcare administration, business administration, or related field; master's degree preferred.
Experience in healthcare billing and collections management, preferably in an EMS or ambulance service setting.
Strong knowledge of healthcare billing regulations, including HIPAA, Medicare, and Medicaid guidelines.
Proven leadership abilities with experience managing and developing a team.
Excellent analytical and problem-solving skills, with the ability to interpret complex billing data and trends.
Exceptional communication and interpersonal skills, with the ability to effectively collaborate with internal and external stakeholders.
Proficiency in healthcare billing software and other office software, such as RescueNet, Waystar, Crystal Reports, Payspan, Five9, and Microsoft Office
Preferred Requirements
Experience with Big Four (public) accounting
Master's Degree or MBA
CPA (Certified Public Accountant) license
Competencies
Leadership: Motivate teams, set expectations, and foster accountability.
Billing Expertise: Knowledgeable in healthcare billing processes and regulations.
Analytical Skills: Interpret billing data for decision-making.
Communication: Clear and effective verbal and written communication.
Relationship Building: Build positive relationships with stakeholders and payers.
Attention to Detail: Ensure accuracy in billing processes.
Technology Proficiency: Proficient in healthcare billing software.
General Requirements
Ability to successfully pass a thorough background investigation and drug test
Valid driver's license
Working Environment
Office setting
Physical Requirements
Occasional lifting of office supplies and other materials associated with the position
Requirements will vary; must be able to perform the essential duties of the position with or without a reasonable accommodation
All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.
