Job Summary

The Senior Patient Accounts Manager oversees assigned patient accounts operations and leads direct reports to ensure accurate, timely billing, collections, payment posting, and accounts receivable management. The role supports improved cash flow and reduces bad debt through staff development, resolution of complex billing and payer issues, standardized workflows, and performance monitoring. In partnership with the Director of Finance and Patient Revenue, the Senior Manager analyzes trends, develops reporting and KPIs, and drives process improvements in accordance with company policies and payer requirements.

Duties and Responsibilities

• Ensure accuracy of payer information entered into the patient billing system and report any system set-up errors that hinder billing to the Director.
• Provide guidance to billers on effectively working claims and following up on claim denials.
• Monitor staff productivity and work queue completion, audit work for accuracy and compliance, and provide timely coaching and feedback to address gaps and support staff development. Identify and document performance gaps, determine training and development needs, and provide coaching and follow-up to support improvement.
• Problem solve and prioritize work for billing and Patient Account Managers.
• Responsible for ensuring the timeliness of processing and correction of rejected claims.
• Keep Billing Specialists up to date on third party coverage contracts, ensuring that current contractual terms are understood and applied correctly.
• Establish and maintain a regular process for follow up on claims.
• Maintain the accuracy of the Billing Manual to include contact information and collection processes for each payer. Create job aids for billing staff.
• Compile and prepare reports for Director and FQHCs analyzing trends and making recommendations for improvement. Help develop KPIs for department and help set up monthly reporting to track KPIs.
• Escalate billing/payment concerns the Director prior to monthly payer meeting. Attend payer and other meetings in Director’s absence.
• Assure accurate and timely payment posting and monthly status of credit balances.
• Ensure accurate timekeeping and manage performance of direct reports in accordance with established company policies and procedures.
• Follow the Program Code of Conduct and obey all relevant laws, statutes, regulations, and requirements applicable to Medicaid, Medicare and other State and Federal health care programs.
• Perform any other duties as assigned.

Minimum Qualifications

• High School diploma or equivalent. Bachelor’s degree in business administration, Health Care Administration or related field required preferred.
• Five years’ FQHC Billing experience required.
• Five years’ management experience in a healthcare setting preferred FQHC.
• eClinicalWorks experience preferred.
• Function with minimal direct supervision.
• Demonstrates skill in use of personal computers, various programs and applications (excel) required to competently execute job duties.
• Demonstrates effective management skills.
• Has knowledge of quality management process.
• Demonstrates ability to establish and maintain effective internal and external working relationships.
• Must have strong financial management knowledge and experience.
• Must be an effective communicator with strong oral, written and presentation skills.

Working conditions

This job operates in a remote location from your home location.  This role requires a dedicated, quiet workspace with the ability to adhere to HIPAA and other privacy policies.  A reliable and high-speed Wi-Fi connection or home internet is required to perform the essential functions of this role.

Physical requirements

• Ability to communicate clearly and exchange accurate information constantly.
• Ability to remain stationary for long periods of time.
• Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.

Direct reports

Billing Coordinator