Assistant Director, Medical Billing

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

SUMMARY

Under general supervision, responsible for management of Atrius Health revenue cycle operations which includes claims submission, payment posting, insurance follow up, denial management, appeals, credit procedures, underpayment recoveries and patient estimates. Manages all insurance billing and AR management processes. Responsible for the collection of approximately $500M in fee-for-service revenues. Designs and implements strategies, initiatives, policies, procedures, and systems to improve service excellence, increase collections and decrease bad debt and insurance denial expense.

EDUCATION/LICENSES/CERTIFICATIONS

Bachelor’s degree, preferably in Business and/or Health Administration (or equivalent education, training or experience).

EXPERIENCE

7-10 years professional experience in a professional billing department, with at least 5 years in a manager capacity. Prior healthcare collections and billing experience with superior knowledge of Massachusetts and Federal collection laws. Demonstrated leadership capabilities. Strong understanding of medical billing practices and payer policy and procedures. Extensive experience with automated physician practice management systems required, EPIC Professional Billing preferred. Extensive working knowledge of eligibility transaction sets and web-site tools is required.

SKILLS

Excellent organizational, communication, and interpersonal skills required. Strong organizational, analytical, communication, and motivational skills.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

BENEFITS INCLUDE:

• Up to 8% company retirement contribution
• Generous Paid Time Off
• 10 paid holidays
• Paid professional development
• Generous health and welfare benefit package