About The Position

Supervises and coordinates the day-to-day billing and follow-up team responsible for billing and follow-up on government and commercial accounts and related activities within the Hospital revenue operations at Heywood Healthcare. Motivates staff to achieve the highest levels to meet the organization goals for customer service, operational and financial performance. This position reports directly to the Manager of Coding and Patient Accounts.

Requirements

  • Must possess a comprehensive knowledge of revenue cycle functions and systems, as normally obtained through an Associate's degree in Business or Healthcare Administration or a related field, and minimum of five years of experience within a hospital patient accounts department or large medical practice.
  • Candidate must have strong knowledge of patient account processes and revenue cycle objectives, with a demonstrated track record.
  • Exhibits supervisory skills that emphasize team-building and strong leadership with the ability to provide clear oversight and coordination of department services, while also functioning as an individual contributor.
  • Strong written and verbal communication skills. Ability to communicate effectively with payors and work with all levels of colleagues to expedite revenue cycle processes while supporting customer service.
  • Effective critical thinking and problem-solving skills. Ability to analyze data and prepare related reports and summaries.
  • Strong organizational skills supervising direct reporting relationships.
  • Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Heywood Health Care.

Nice To Haves

  • Supervisory or team leader experience preferred.

Responsibilities

  • Knows, understands, incorporates, and demonstrates the Heywood Healthcare Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides hands-on supervision of daily activities and workflows of the billing and follow-up team handling billing and follow-up of government and commercial accounts in order to achieve optimal area performance and colleague productivity goals as part of the revenue cycle process
  • Provides supervision and coordination of assigned tasks of billing and follow-up colleagues handling government and commercial accounts. Responsible for understanding complexities involved in supporting denials operational activities spanning multiple states, regional health ministries, payer environments, and technologies to supervise colleagues accordingly
  • Monitors timeliness of claims billed, paid/settled, and reviews documentation in appropriate system(s).
  • Ensures colleagues carry out duties and responsibilities in an effective manner, which in turn promotes maximized reimbursement based upon services delivered.
  • Identifies and implements solutions to problems and issues affecting accurate billing and follow-up activities.
  • Focuses efforts of colleagues on proactive practices, which includes contacting payors directly for payments due on accounts and reviewing and responding to all mail correspondence in a timely and efficient manner.
  • Identifies and participates in continuous quality improvement initiatives across the Patient Accounting team and other functional areas in order to streamline processes.
  • Participates in the redesign of billing processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes.
  • Reviews and track trends of the billing and follow-up process and makes recommendations for problem and issue resolutions based upon colleague findings; reports findings to Patient Accounting leadership.
  • Prepares service level metrics and explanatory summaries for the Manager and Director of Patient Accounting and other Heywood leadership.
  • Evaluates potential new colleagues and makes recommendations for hiring.
  • Assists with identifying training needs and coordinating with department trainer to develop and conduct training programs, including on-the-job training.
  • Assists with establishing performance standards for billing and follow-up colleagues. Monitors and tracks colleague activities against established performance standards and provides immediate feedback to achieve performance improvement.
  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Standards of Behavior, CARE Values and Always Behaviors, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Benefits

  • competitive wages
  • great benefits
  • generous earned time off

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

1-10 employees

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