• Oversee charge entry, claims submission, payment posting, denial management, and accounts receivable recovery.
• Perform and oversee daily billing activities, including auditing claims for accuracy and compliance.
• Monitor aging reports and drive reduction in outstanding A/R and denial rates.
• Ensure accurate use of CPT, ICD-10-CM, and HCPCS coding in a physician medical practice setting.
• Collaborate with providers and clinical staff to resolve documentation and coding discrepancies.
• Support high transaction volume typical of a physician specialty practice.
• Work closely with other departments to streamline procedures that will help ensure correct billing to patients and payers in a timely manner and improve the department's performance and service. 
• Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and payers. 
• Follow and monitor compliance with PHS policies and standards. 
• Monitor and report on key performance indicators Including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters. 
• Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers. 
• Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks. 
• Ensure compliance with relevant federal, state, and payor-specific billing requirements.
• Establish regularly scheduled meetings with applicable RCM staff to discuss strategies and ensure everyone is educated on the direction of the department. 
• Establish clear performance expectations with team members and maintain a culture of accountability.
• Assist in hiring; train and support the ongoing development of team members.
• All other projects, goals or issues as directed or indicated by RCM Director.
• Communicate and work closely with RCM Director on day-to-day issues and provide clear, constructive feedback in a timely manner.

• High School Diploma
• 5 years of experience in a supervisory role in a healthcare setting
• Expertise in healthcare billing and collections, including ICD-10, HCPCS, and CPT coding knowledge, especially E&M coding and requirements. 
• Thorough knowledge of patient financial services processes and standards related to billing, collections, and cash posting. General knowledge of patient registration, finance, and data processing. 
• Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid, and managed care processes. 
• Ability to work and communicate effectively with a diverse group of people, including other department managers, staff, physicians, patients, and the public. 
• Ability to read, analyze, and interpret financial reports, contracts, and other legal documents. 
• Outstanding ability to work independently to achieve results. Often, there is no precedent for and little help in carrying out assigned tasks. Must originate, plan, adapt, and invent to accomplish tasks. 
• Ability to set and maintain priorities when dealing with multiple demands and interruptions. 
• Strong analytical and problem-solving skills. 
• Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth. 
• Excellent customer service skills.
• Proficient computer skills including email, word processing and Excel. 
• Proven, results-driven leader with a strong track record of meeting objectives while ensuring full compliance with organizational policies, rules, and regulatory requirements.

WHY YOU'LL LOVE WORKING HERE 

 We believe in supporting our team—both on the job and in life. Full-time employees enjoy a well-rounded benefits package designed to support your health, financial security, and overall well-being.

Principle Health Systems has earned multiple Top Workplaces honors, including national recognition as a Top Workplace in the USA and being named a Top Workplace in the Healthcare Industry for three years in a row—a reflection of our commitment to a positive and rewarding work environment.

OUR BENEFITS INCLUDE: 

• Comprehensive medical, dental, and vision insurance
• Company-paid basic life and long-term disability coverage
• Voluntary benefits, including short-term disability, accident, and critical illness insurance
• 401(k) retirement plan to help you plan for the future
• Generous Paid Time Off (15 days annually, accrued bi-weekly)
• 9 paid company holidays each year
• On-demand access to earned wages—get paid when you need it
• Confidential support services for you and your family
• Mileage reimbursement and shift differentials are available for eligible roles
• Exclusive employee discounts on fitness memberships, car services, and more!

READY TO MAKE AN IMPACT?

Join a team that values your contribution, supports your growth, and is committed to delivering exceptional patient care. 

If you’re looking for a meaningful career with a company that puts people first, we’d love to hear from you.

We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact hradmin@principlehs.com.