Position Description: AR Billing Manager
Full Job Description
At Optima Dermatology, our mission to revolutionize skin care is made possible by our world class team that is highly engaged, mission-driven, and inspired to set the new standard in dermatology. We are growing rapidly and looking for key team members who believe in our mission and want to make a difference in the lives of our patients. We foster a collaborative environment that is fun and hardworking and promise you will work alongside amazing colleagues you are proud to call your teammates.
POSITION SUMMARY:
The AR Billing Manager, reporting to the Director of Revenue Cycle, oversees the daily operations of accounts receivable (AR) and patient financial collections teams within Optima Dermatology's Revenue Cycle Management (RCM) division. This role ensures the department achieves organizational goals, particularly regarding KPIs including Net Collection Rate, Days in AR, and Cost to Collect Rate, while maintaining compliance with industry standards and regulations.
Primary Responsibilities:
- Partner with the Director of Revenue Cycle to ensure adequate staffing, equitable workload distribution, and team performance. Provide coaching, development, and disciplinary action as necessary, following HR guidelines.
- Lead continuous training for AR and patient collections teams. Facilitate regular team meetings to review performance, discuss improvement strategies, and provide data-driven decision support.
- Implement individual performance evaluations and succession planning to promote team growth and cross-functional expertise.
- Conduct routine audits and one-on-one meetings with staff, offering timely, constructive feedback to ensure team engagement and alignment with key performance metrics.
- Perform annual performance appraisals in collaboration with Human Resources, ensuring fair and objective evaluations.
- Regularly review and audit call interactions based on Optima's patient call guidelines. Conduct live audits weekly to assess and improve team performance.
- Standardize AR collection workflows and identify areas for process improvement. Make data-backed recommendations for operational efficiency and KPI optimization.
- Report significant trends, risks, and opportunities within the RCM process to the Director of Revenue Cycle.
- Provide mentorship and technical guidance to department staff, fostering a collaborative and supportive work environment.
- Monitor team performance, focusing on achieving departmental KPIs such as Net Collection Rate, Days in AR, and Cost to Collect Rate. Actively work to meet or exceed these targets.
- Ensure all activities comply with HIPAA, PCI regulations, and internal company policies. Report any compliance concerns promptly.
- Maintain up-to-date knowledge of practice management systems, payer guidelines, and industry trends to support the department’s strategic goals.
- Collaborate cross-functionally with billing teams to resolve account discrepancies and expedite payment collection.
- Act as a subject matter expert in RCM processes, offering professional insights and support to providers, medical staff, and internal teams.
- Respond to inquiries from internal and external clients with professionalism and in a timely manner.
- Lead special projects and other assigned duties as needed to support departmental goals.
Knowledge Skills and Abilities:
- Expertise in accounts receivable processes, healthcare billing, and best practices.
- Ability to analyze data to identify trends, resolve issues, and optimize performance.
- Strong leadership and team management skills, with a proven ability to set expectations, motivate teams, and hold individuals accountable.
- Exceptional verbal, written, and interpersonal communication skills, with the ability to engage diverse stakeholders.
- Ability to work in a fast-paced, collaborative environment, balancing flexibility with organizational needs.
- Proficiency in training and coaching staff for ongoing professional development.
- Comprehensive knowledge of healthcare regulations, including HIPAA, PCI, and compliance standards.
- Proficient in the use of practice management systems, billing software, and data analytics tools.
Position Requirements:
- Bachelor’s degree or equivalent experience preferred. At least 10 years of experience in healthcare billing or coding, with an emphasis on AR management, evaluation, and surgical billing.
- A minimum of 5 years of management experience in healthcare AR, ideally in a high-volume, KPI-driven environment.
- Proven ability to manage teams of 10+ in a multi-site or remote environment, with responsibility for performance management and achieving KPI targets.
- In-depth knowledge of healthcare reimbursement processes, payer guidelines, CPT, and ICD-10 coding.
- Experience with practice management systems and data analytics tools to track performance and drive improvement.
- Strong organizational skills with the ability to balance independent work and team collaboration.
- Commitment to professional courtesy and customer service excellence when engaging with internal and external stakeholders.
