Overview Oversee day-to-day operations of payor follow-up for hospital or professional billing, driving AR performance, cash acceleration, and reduction of aged inventory and avoidable denials. This role manages claim statuses, insurance follow-up, denials and underpayment workflows, and operational execution of work queues and escalation pathways, partnering with Revenue Integrity, Patient Access, HIM, Coding/CDI, Managed Care, Finance, IT and Compliance. Qualifications Education Associate degree in Healthcare Administration/Management, or related field highly preferred. Experience Minimum of 3-4 years progressive revenue cycle experience, including at least 1-2 years in billing operations (HB and/or PB) in a hospital or multi-site health system with two-year degree. Minimum of 3 years of supervisory experience in hospital and/or professional billing operations. Will substitute formal degree requirements with 6+ years of direct hands-on revenue cycle and supervisory experience. Demonstrated experience with Epic and revenue cycle technologies. Proven success leading teams through organizational change and process improvement initiatives. Other Qualifications Working knowledge of CMS and commercial billing rules (UB-04, CMS-1500, NCCI, MUEs, LCD/NCD). Strong Excel skills and basic comfort with reporting; ability to use data to monitor team performance and drive improvements. Knowledge of regulatory requirements (CMS, HIPAA) and basic compliance awareness. Strong coaching and collaboration skills; experience working cross-functionally with Coding, HIM, Patient Access, and Revenue Integrity. Solid communication, organization, problem-solving skills, and interpersonal skills.

Qualifications:

Education Associate degree in Healthcare Administration/Management, or related field highly preferred. Experience Minimum of 3-4 years progressive revenue cycle experience, including at least 1-2 years in billing operations (HB and/or PB) in a hospital or multi-site health system with two-year degree. Minimum of 3 years of supervisory experience in hospital and/or professional billing operations. Will substitute formal degree requirements with 6+ years of direct hands-on revenue cycle and supervisory experience. Demonstrated experience with Epic and revenue cycle technologies. Proven success leading teams through organizational change and process improvement initiatives. Other Qualifications Working knowledge of CMS and commercial billing rules (UB-04, CMS-1500, NCCI, MUEs, LCD/NCD). Strong Excel skills and basic comfort with reporting; ability to use data to monitor team performance and drive improvements. Knowledge of regulatory requirements (CMS, HIPAA) and basic compliance awareness. Strong coaching and collaboration skills; experience working cross-functionally with Coding, HIM, Patient Access, and Revenue Integrity. Solid communication, organization, problem-solving skills, and interpersonal skills.