Director of Accounts Receivable

Lifeworks Services-posted about 19 hours ago
$98,000 - $108,000/Yr
Full-time • Director
Hybrid • Richfield, MN
1,001-5,000 employees
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The Director of Accounts Receivable provides strategic leadership and oversight of the organization’s medical claims processing, billing, and accounts receivable management. This role ensures compliance with Medicaid, other program requirements, HIPAA regulations, and contractual obligations, while driving operational efficiency and maintaining financial integrity. The Director of Accounts Receivable is accountable for the end-to-end claims process, including submission, collections, adjustments, and payment posting, as well as implementing robust internal controls and audit procedures. Leveraging data analytics and KPI reporting, this position develops strategies to optimize cash flow, reduce claim denials, and minimize uncollectible accounts. Collaboration is key; as the Director of Accounts Receivable works closely with cross-functional teams, including Program Services, IT, and Compliance to enhance systems, streamline workflows, and deliver exceptional customer service. This role is critical to safeguarding organizational revenue and supporting long-term financial stability.

  • Developing and maintaining department strategies by leveraging weekly aged claims reports to prioritize collections and mitigate risk of uncollectible claims.
  • Facilitating resolution with program leaders to resolve problematic outstanding claims, and when necessary, recommending and seeking approval for uncollectible expense.
  • Maintaining the days of sales outstanding to established goals.
  • Overseeing the organization’s medical claims/Medicaid billing, collections, and other customer accounts in compliance with generally accepted accounting principles (GAAP), government and private contracts, and Health Insurance Portability and Accountability Act (HIPAA).
  • Ensuring payments across systems are posted timely and accurately for proper aged reporting.
  • Ensuring timely and accurate claims processing, claims adjustment, and payment of claims.
  • Conducting routine audits validating system data transfers into billing systems and validating bill rates, revenue recognized, outstanding balances, uncollectible accounts, etc.
  • Selecting, supervising developing, motivating, and retaining accounts receivable and billing staff. Responsibilities include coaching, goal setting, career counseling, providing daily work direction, recognizing and reinforcing desired performance.
  • Ensuring proper segregation of duties between billers, claims research and payment posting along with overall compliance with insurance and/or government contracts.
  • Maintaining current understanding of medical claims processing as it relates to medical billing including Medicaid service regulatory changes, insurance contracts, and overall medical billing practices.
  • In collaboration with Controller, assisting with general ledger monthly close reconciliations for accounts receivable balances and recorded revenue.
  • Advocating and owning systems required to support day to day activities, including recommending changes or supporting upgrades as a subject matter expert regarding the medical claims processing functions. This includes actively monitoring and suggesting necessary improvements for compliance to provider requirements, efficient processing, and accuracy in claims processing.
  • Working collaboratively with program services, IT, Compliance, HR, and Payroll, providing excellent customer service, improving processes and the delivery of projects and initiatives.
  • Contributing to the organization's mission by complying with Lifeworks policies and procedures, using resources wisely.
  • Following safety procedures and assisting in identifying safety needs for self and others.
  • Perform other duties as assigned.
  • Bachelor’s degree in a related field.
  • Minimum 5 years of progressive experience in medical billing, Medicaid claims processing, and accounts receivable management.
  • 5 years of professional, supervisor, and/or management experience.
  • Proven experience billing through medical billing software(s) and using a clearinghouse.
  • Advanced aptitude of medical coding and billing.
  • Advanced skills in Excel.
  • Fluent in English, verbal and written.
  • Proficiency in Microsoft Office Suite.
  • Must pass a background study with the Department of Human Services, a drug test, clean driving record and have reliable transportation to use for work driving purposes (e.g., in-office, on-site training locations, etc.).
  • Have expertise in medical billing systems and electronic claims processing.
  • Possess strong proficiency in Microsoft Excel and financial and billing system reporting tools.
  • Understand Medicaid and insurance billing regulations, adjudication processes, and revenue cycle management.
  • Are familiar with government and private payer contracts.
  • Have strong auditing and reconciliation skills; ability to identify discrepancies and implement corrective actions.
  • Are knowledgeable of segregation of duties and internal controls for billing operations.
  • Have experience participating in system upgrades or acting as a Subject Matter Expert (SME) for billing systems.
  • Can develop and implement process improvements for efficiency and compliance.
  • Are experienced with HIPAA regulations.
  • Have strong analytical and problem-solving skills to research claim denials and identify root causes of errors.
  • Demonstrate leadership and staff development skills and ability to establish and cultivate strong relationships, including the ability to coach and mentor employees effectively in a remote/hybrid work model.
  • Perform the essential functions of the job, with or without reasonable accommodations.
  • Understand and communicate written and verbal directions.
  • Have regular attendance, reliability and punctuality is necessary to meet the needs of the business.
  • Are organized with excellent attention to detail.
  • Can work independently with excellent time management skills.
  • Work effectively with others to reach common goals and objectives.
  • Are skilled at establishing and cultivating strong relationships.
  • Take initiative and strengthen relationships with current and new community.
  • Professional certifications such as Certified Revenue Cycle Representative (CRCR) or Certified Medical Reimbursement Specialist (CMRS) preferred.
  • 18 days of PTO accrued in the first year of employment
  • 11 paid holidays (New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, and a Personal Holiday)
  • Medical, dental, vision, life, AD&D insurance, short & long-term disability coverage
  • Health Savings Account (HSA), Flexible Savings Account (FSA), and prescription drug coverage
  • Up to $3,000 annually in tuition reimbursement
  • 403(b) retirement plan – Lifeworks contributes 3% of your salary and matches up to 4% of employee contributions
  • Employee Assistance Program (EAP)
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