AR/Billing Manager- Patient Financial Services FT

Hunt Regional Healthcare•Greenville, TX

10d

About The Position

The Billing and Accounts Receivable Manager provides strategic and operational oversight of hospital district billing functions and accounts receivable operations. The role ensures timely, accurate, and compliant billing for inpatient and outpatient services; manages DNFB performance, revenue cycle metrics, and billing staff; and is accountable for billing integrity, regulatory compliance, cash flow optimization, and departmental performance. The manager also oversees AR follow-up, denial resolution, payment posting, and cash collection optimization, while maintaining accountability for AR performance, regulatory compliance, and staff productivity. The position reports to the Director of Patient Financial Services and VP of Financial Operations, and supervises Billing Specialists, AR Specialists, and assigned revenue cycle staff. Hospital billing and follow-up experience is required. An associate degree or higher is preferred, as is supervisory experience. Strong knowledge of Medicare, Medicaid, and commercial payer regulations, along with proficiency in hospital billing systems and revenue cycle metrics, is required. The role may require extended hours due to the nature of hospital services. It involves primarily sitting and extended computer-screen use, with occasional standing, walking, bending, stooping, reaching, lifting, pushing, and pulling. The work environment is generally clean, with potential minimal exposure to contagious diseases when proper safety precautions are used.

Requirements

Hospital billing and follow-up experience required.
Strong knowledge of Medicare, Medicaid, and commercial payer regulations.
Proficiency in hospital billing systems and revenue cycle metrics.
Comply with HIPAA standards and the HMHD Compliance Plan and Code of Conduct.

Nice To Haves

Associate degree or higher preferred.
Supervisory experience preferred.

Responsibilities

Oversee daily billing activities and claim submission.
Ensure compliance with federal, state, and payer regulations.
Collaborate with Coding, HIM, Case Management, and Patient Access to ensure revenue integrity.
Monitor charge capture, claim edits, corrections, and adjustments.
Manage DNFB inventory and aging within established benchmarks.
Monitor key metrics, including DNFB days, clean claim rate, billing lag, denial rate, and net collections.
Analyze trends and implement corrective action plans.
Provide regular performance reporting to leadership.
Supervise, hire, train, and evaluate staff.
Establish productivity standards and ensure accountability.
Promote compliance, collaboration, and continuous improvement.
Lead workflow improvements and system optimization efforts.
Monitor total AR, aging categories, and payer mix daily.
Maintain AR days within established benchmarks.
Prioritize high-dollar and aged accounts for resolution.
Ensure timely claim follow-up based on payer guidelines.
Oversee denial tracking, trending, and root cause analysis.
Ensure timely appeals submission and documentation.
Adhere to the HMHD Compliance Plan and Code of Conduct, complete required compliance training, and comply with HIPAA standards.
Apply critical thinking and systematic review to prevent errors, follow safety regulations, and support ongoing learning.
Maintain patient confidentiality and professional service and communication standards.
Use company resources responsibly, perform work accurately and promptly, support the team, and maintain a cooperative and professional work environment.