Billing Operations Lead

Primary Health Medical Group • Boise, ID

6d • Onsite

About The Position

Primary Health Medical Group is Idaho's largest independent medical group, specializing in family practice and urgent care. With multiple locations throughout the Treasure Valley, we are able to offer patient-centered care where medical decisions respect the unique needs of each patient and their families. Benefits are one of the ways we support and encourage the health and well-being of you and your family. But health is more than just physical. We also promote a positive work-life balance and offer flexible scheduling options. We provide a comprehensive benefits package available to most employees, which includes: Medical coverage with a broad range of plans to offer more personalized coverage Dental coverage with two plan options Voluntary vision insurance Life, disability, and long-term care insurances 401(k) with an employer match Employee Assistance Program (EAP) available to all employees and their dependents at no cost Generous paid time off (based on position hours) Bonus opportunities. Together we'll align our mission, service standards, workplace, and careers. We will flourish with teamwork, celebrate our company culture, and encourage an atmosphere of positivity and fun. We will strive to be the medical provider of choice, offering continuity of care and expanding to meet the needs of a growing community. We will do this together as a team with integrity and respect for our patients and each other.

Requirements

• High school diploma or equivalent.
• 3-5 years of progressive experience in healthcare revenue cycle or medical billing, with a minimum of 2 years in medical billing and at least 1 year in a lead or supervisory, or vendor-oversight capacity
• Experience managing third-party collections vendors or external billing agents strongly preferred
• Strong knowledge of healthcare billing, collections regulations, and payer-specific coverage guidelines, including HIPAA and FDCPA compliance requirements
• Experience with IVR platforms, automated payment reminder campaigns, or patient communication workflows
• Ability to analyze data, identify trends, and recommend process improvements
• Proficiency in Microsoft Word, Excel (pivot tables, VLOOKUP, reporting), and PowerPoint (executive-ready presentations)
• Demonstrated ability to manage KPIs and produce performance dashboards for internal and vendor teams
• Ability to multitask, manage a large workload, and maintain a professional manner under busy and stressful circumstances
• Outstanding communication skills, both written and verbal; comfortable presenting to leadership and interfacing with clinical staff and patients

Nice To Haves

• An associate's or Bachelor's degree in Healthcare Administration, Business, or a related field is preferred
• Certified Revenue Cycle Representative (CRCR) or equivalent preferred but not required

Responsibilities

• Appropriately staff the Billing Specialist team, maintaining the schedule in the payroll program
• Establish job duties and create workflows for the Billing Specialist team
• Onboard and train new Billing Specialist hires
• Provide ongoing training and audit the Billing Specialist team
• Complete and conduct performance and disciplinary reviews for Billing Specialist team members
• Serve as the primary operational liaison for contracted billing and collection vendors
• Prepare and review daily claim batches for clearinghouse or paper submission
• Oversee the preparation, review, and transmission of pre-collections and collections files to external vendors
• Manage the patient service termination workflow and coordinate with clinical leadership as required
• Design and oversee outbound payment reminder campaigns to reduce days in A/R and improve collection rates
• Serve as the escalation point for complex patient billing disputes and supervisor-level calls
• Develop, maintain, and present billing performance dashboards and reports
• Perform all duties of a Billing Specialist as needed, including payment posting, refund and void processing, voicemail management, payer correspondence, and reconciliation of recurring reports
• Support the Director of Reimbursement in monitoring departmental costs related to vendor contracts, staffing, and operational tools
• Perform special projects and other duties as requested by the Director of Billing and Reimbursement or senior leadership, including cross-functional audits and process improvement initiatives

Benefits

• Medical coverage with a broad range of plans to offer more personalized coverage
• Dental coverage with two plan options
• Voluntary vision insurance
• Life, disability, and long-term care insurances
• 401(k) with an employer match
• Employee Assistance Program (EAP) available to all employees and their dependents at no cost
• Generous paid time off (based on position hours)
• Bonus opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED