Is the Manager, Billing & Accounts Recievable position at Community Care Cooperative fully remote?

Yes, this Manager, Billing & Accounts Recievable position at Community Care Cooperative is a remote position. The role is available for candidates in United States.

Is this a full-time or part-time Manager, Billing & Accounts Recievable role?

This is a full-time Manager, Billing & Accounts Recievable position at Community Care Cooperative.

What is the salary range for the Manager, Billing & Accounts Recievable position?

The salary range for this Manager, Billing & Accounts Recievable role is $102.561k - $125.638k.

How do I apply for the Manager, Billing & Accounts Recievable position at Community Care Cooperative?

You can apply for this Manager, Billing & Accounts Recievable position by clicking the "Apply Now" button on this page, which will take you to Community Care Cooperative's application portal.

Manager, Billing & Accounts Recievable at Community Care Cooperative

United States

$102.561k - $125.638k

<p style="margin-left:.25in;" data-pasted="true"><br></p><p style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;"><strong>Location: </strong>Remote</span></p><h1 style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;">Organization Summary:</span></h1><p style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;">Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.</span></p><h1 style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;">Job Summary:</span></h1><p style="margin-left:17.95pt;"><span style="font-family: arial, sans-serif; font-size: 12px;">This position provides day-to-day management and oversight of billing and accounts receivable activities for our FQHCs that are on our instance of Epic and/or in our Shared Services model. The ideal candidate will manage and support a team of billing A/R Specialists, ensuring compliance with state and federal guidelines, optimizing accounts receivable performance, and supporting C3 and our FQHCs’ financial goals. The position works closely with the Director of Billing to manage the billing team, monitor billing workflows, perform denial management, and support timely claim resolution, follow-up, and reporting. The Billing and Accounts Receivable Manager should have proficiency in using Epic, a solid understanding of healthcare billing regulations, particularly in Massachusetts, and a background in FQHC billing is preferred.</span></p><h1 style="margin-left:17.95pt;"><span style="font-family: arial, sans-serif; font-size: 12px;">Responsibilities:</span></h1><ul style="list-style-type: disc;"><li style="font-family: arial, sans-serif; font-size: 12px;">Supervises and mentors the A/R Specialists, providing training and support to maintain high standards of accuracy and productivity</li><li style="font-family: arial, sans-serif; font-size: 12px;">Conduct regular performance reviews and address performance issues promptly</li><li style="font-family: arial, sans-serif; font-size: 12px;">Foster a collaborative and professional team environment</li><li style="font-family: arial, sans-serif; font-size: 12px;">Remains current on billing codes, payer requirements, and policy changes</li><li style="font-family: arial, sans-serif; font-size: 12px;">Supports the development, updating, and maintenance of policies and procedures governing billing and collections </li><li style="font-family: arial, sans-serif; font-size: 12px;">Identifies and recommends process and technology improvements to improve the effectiveness and efficiency of revenue cycle operations. </li><li style="font-family: arial, sans-serif; font-size: 12px;">Oversees daily billing operations for the FQHC(s), ensuring accurate and timely processing of claims</li><li style="font-family: arial, sans-serif; font-size: 12px;">Monitors and analyzes billing processes to identify areas for improvement and implement solutions</li><li style="font-family: arial, sans-serif; font-size: 12px;">Ensures daily reconciliation of claims transmitted to claims acceptance is completed in a timely manner</li><li style="font-family: arial, sans-serif; font-size: 12px;">Manages accounts receivable, ensuring collections are optimized and follow-up processes are timely and efficient</li><li style="font-family: arial, sans-serif; font-size: 12px;">Utilizes Epic WQs to best manage and segment the assigned work to team members to ensure productivity standards are met and all AR is managed timely</li><li style="font-family: arial, sans-serif; font-size: 12px;">Regularly completes denial management trending and root cause analysis to assist in denial prevention strategies</li><li style="font-family: arial, sans-serif; font-size: 12px;">Serves as a point of contact for EPIC-related billing processes</li><li style="font-family: arial, sans-serif; font-size: 12px;">Collaborates with IT and EPIC support (CTC) teams to resolve technical issues and implement system updates</li><li style="font-family: arial, sans-serif; font-size: 12px;">Follows ticket management processes and criteria when needing technical system support or updates</li><li style="font-family: arial, sans-serif; font-size: 12px;">Monitors progress towards AR management and cash collections goals</li><li style="font-family: arial, sans-serif; font-size: 12px;">Recommends, supports, and implements strategies to reduce denials and improve collections</li><li style="font-family: arial, sans-serif; font-size: 12px;">Ensures all billing activities comply with state and federal regulations, including those specific to FQHCs and Massachusetts healthcare laws</li><li style="font-family: arial, sans-serif; font-size: 12px;">Maintains knowledge of Medicaid, Medicare, and commercial insurance policies applicable to FQHCs</li><li style="font-family: arial, sans-serif; font-size: 12px;">Works closely with vendors and other third parties to facilitate timely and accurate data capture and collections</li><li style="font-family: arial, sans-serif; font-size: 12px;">Consistently provides service excellence to all patients, family members, visitors, volunteers, and co-workers in a manner that reflects C3’s mission and core values</li><li style="font-family: arial, sans-serif; font-size: 12px;">Other duties as assigned</li></ul><h1 style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;">Required Skills:</span></h1><ul style="list-style-type: disc;"><li style="font-family: arial, sans-serif; font-size: 12px;">Proficiency with Epic billing workflows, work queues, reporting, and issue resolution</li><li style="font-family: arial, sans-serif; font-size: 12px;">A minimum 5 years of progressive experience in healthcare billing, including supervisory or team lead experience preferred</li><li style="font-family: arial, sans-serif; font-size: 12px;">Knowledge of Massachusetts healthcare billing regulations and payer requirements</li><li style="font-family: arial, sans-serif; font-size: 12px;">Strong leadership, excellent communication skills across stakeholders, attention to detail, and critical thinking skills</li><li style="font-family: arial, sans-serif; font-size: 12px;">Results driven and outcome focused</li><li style="font-family: arial, sans-serif; font-size: 12px;">Must be innovative, comfortable with ambiguity, well-organized, and committed to moving quickly and collaboratively in the context of a rapidly changing organization</li><li style="font-family: arial, sans-serif; font-size: 12px;">Proficiency in Microsoft Office Suite</li><li style="font-family: arial, sans-serif; font-size: 12px;">Must have a strong commitment to quality assurance and exceptional customer service</li><li style="font-family: arial, sans-serif; font-size: 12px;">A strong commitment to the organization’s mission</li></ul><h1 style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;">Desired Other Skills:</span></h1><ul style="list-style-type: disc;"><li style="font-family: arial, sans-serif; font-size: 12px;">Certification in medical billing or coding (e.g., CRCR, CPC, CPB) is a plus</li><li style="font-family: arial, sans-serif; font-size: 12px;">Experience with Epic EHR functionality</li><li style="font-family: arial, sans-serif; font-size: 12px;">Familiarity with the MassHealth ACO program</li><li style="font-family: arial, sans-serif; font-size: 12px;">FQHC billing experience preferred</li><li style="font-family: arial, sans-serif; font-size: 12px;">Experience with anti-racism activities, and/or lived experience with racism is highly preferred</li></ul><h1 style="margin-left:.25in;"><span style="font-family: arial, sans-serif; font-size: 12px;">Qualifications:</span></h1><ul style="list-style-type: disc;"><li style="font-family: arial, sans-serif; font-size: 12px;">Bachelor’s degree in healthcare administration, business, finance, or a related field preferred</li></ul><p style="margin-left:0in;"><span style="font-family: arial, sans-serif; font-size: 12px;"><br></span></p><p style="margin-left:97.55pt;"><span style="font-family: arial, sans-serif; font-size: 12px;"><strong><em>** </em></strong></span><strong><em><span style="font-family: arial, sans-serif; font-size: 12px;">In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **</span></em></strong></p>

Apply Now

Remote Opportunity

Manager, Billing & Accounts Recievable

Join Community Care Cooperative as a senior professional working remotely from United States. Explore the role, benefits, and apply in one place.

Manager, Billing & Accounts Recievable

Community Care Cooperative

Full Time

$102.561k - $125.638k

2 months ago

Location: Remote Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs).

United States

Engineering

Senior

Accounts Receivable Management

Denial management

Team Leadership

+5 more

Job Description

Location: Remote

Organization Summary:

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices in Massachusetts and across the country. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

Job Summary:

This position provides day-to-day management and oversight of billing and accounts receivable activities for our FQHCs that are on our instance of Epic and/or in our Shared Services model. The ideal candidate will manage and support a team of billing A/R Specialists, ensuring compliance with state and federal guidelines, optimizing accounts receivable performance, and supporting C3 and our FQHCs’ financial goals. The position works closely with the Director of Billing to manage the billing team, monitor billing workflows, perform denial management, and support timely claim resolution, follow-up, and reporting. The Billing and Accounts Receivable Manager should have proficiency in using Epic, a solid understanding of healthcare billing regulations, particularly in Massachusetts, and a background in FQHC billing is preferred.

Responsibilities:

Supervises and mentors the A/R Specialists, providing training and support to maintain high standards of accuracy and productivity
Conduct regular performance reviews and address performance issues promptly
Foster a collaborative and professional team environment
Remains current on billing codes, payer requirements, and policy changes
Supports the development, updating, and maintenance of policies and procedures governing billing and collections
Identifies and recommends process and technology improvements to improve the effectiveness and efficiency of revenue cycle operations.
Oversees daily billing operations for the FQHC(s), ensuring accurate and timely processing of claims
Monitors and analyzes billing processes to identify areas for improvement and implement solutions
Ensures daily reconciliation of claims transmitted to claims acceptance is completed in a timely manner
Manages accounts receivable, ensuring collections are optimized and follow-up processes are timely and efficient
Utilizes Epic WQs to best manage and segment the assigned work to team members to ensure productivity standards are met and all AR is managed timely
Regularly completes denial management trending and root cause analysis to assist in denial prevention strategies
Serves as a point of contact for EPIC-related billing processes
Collaborates with IT and EPIC support (CTC) teams to resolve technical issues and implement system updates
Follows ticket management processes and criteria when needing technical system support or updates
Monitors progress towards AR management and cash collections goals
Recommends, supports, and implements strategies to reduce denials and improve collections
Ensures all billing activities comply with state and federal regulations, including those specific to FQHCs and Massachusetts healthcare laws
Maintains knowledge of Medicaid, Medicare, and commercial insurance policies applicable to FQHCs
Works closely with vendors and other third parties to facilitate timely and accurate data capture and collections
Consistently provides service excellence to all patients, family members, visitors, volunteers, and co-workers in a manner that reflects C3’s mission and core values
Other duties as assigned

Required Skills:

Proficiency with Epic billing workflows, work queues, reporting, and issue resolution
A minimum 5 years of progressive experience in healthcare billing, including supervisory or team lead experience preferred
Knowledge of Massachusetts healthcare billing regulations and payer requirements
Strong leadership, excellent communication skills across stakeholders, attention to detail, and critical thinking skills
Results driven and outcome focused
Must be innovative, comfortable with ambiguity, well-organized, and committed to moving quickly and collaboratively in the context of a rapidly changing organization
Proficiency in Microsoft Office Suite
Must have a strong commitment to quality assurance and exceptional customer service
A strong commitment to the organization’s mission

Desired Other Skills:

Certification in medical billing or coding (e.g., CRCR, CPC, CPB) is a plus
Experience with Epic EHR functionality
Familiarity with the MassHealth ACO program
FQHC billing experience preferred
Experience with anti-racism activities, and/or lived experience with racism is highly preferred

Qualifications:

Bachelor’s degree in healthcare administration, business, finance, or a related field preferred

** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **

Skills

Accounts Receivable Management

Denial management

Team Leadership

Revenue Cycle Operations

Microsoft Office Suite

FQHC Billing

Epic Billing

Healthcare Billing Regulations

Ready to Apply?

Join Community Care Cooperative today

Salary Range

$102.561k - $125.638k

Posted 2 months ago

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