About the role
Overview Lead and manage credit resolution operations across Hospital and Professional billing to ensure accurate, timely handling of credits, refunds, adjustments, and account reconciliations. Drive policies, controls, and workflows that minimize unapplied/unidentified credits, reduce write-offs, accelerate cash application, and maintain compliance with regulatory, audit, and institutional requirements.
Qualifications Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.
Experience: Minimum of 3 to 4 years of progressive revenue cycle experience , including at least 1 to 2 years in billing operations (HB and/or PB) within a hospital or multi-site health system with a two-year degree.
- Minimum of 3 years of supervisory experience in hospital and/or professional billing operations.
- A formal degree may be substituted with 6+ years of direct, hands-on revenue cycle and supervisory experience.
- Demonstrated experience with Epic and revenue cycle technologies.
- Proven success leading teams through organizational change and process improvement initiatives.
- License/Certification/Registration: Not required.
- Strong technical knowledge of:
- Payment posting processes
- Electronic Remittance Advice (ERA) transactions
- Lockbox operations
- Refund workflows
- General ledger (GL) reconciliation
- Excellent analytical and problem-solving skills, including the ability to:
- Conduct root-cause analysis
- Identify operational issues
- Implement sustainable corrective actions
- Proven leadership and coaching abilities, with experience:
- Establishing productivity standards
- Monitoring quality metrics
- Managing team performance and accountability
- Strong proficiency in:
- Dashboard reporting
- Data analysis and interpretation
- Microsoft Excel
- Data-driven decision making
- Effective communication and stakeholder management skills, with the ability to collaborate across:
- Clinical operations
- Financial services
- Information Technology (IT) teams
- High attention to detail, integrity, and professionalism.
- Demonstrated commitment to:
- Regulatory compliance
- Audit readiness
- Operational accuracy
- Continuous process improvement.
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