Director, Billing & Accounts Receivable

Job Summary: This position provides leadership and oversight to the billing and accounts receivable activities for our FQHCs that are on our instance of Epic and/or in our Share Services model. The ideal candidate will lead and manage a team of billing and operational resources, ensuring compliance with state and federal guidelines, optimize accounts receivable performance, and provide strategic support to both C3 and our FQHCs financial goals. The position collaborates with the Revenue Integrity Director and Credentialing Manager particularly around claim form logic, denial management, and optimal Epic workflow and reporting. The Director of Billing and Accounts Receivable should have a background in FQHC billing requirements, proficiency in using Epic, and a solid understanding of healthcare billing regulations, particularly in Massachusetts. Responsibilities: Supervises and mentors the billing team, providing training and support to maintain high standards of accuracy and productivity Helps create the vision for the C3 to be the go-to resource for an affordable and efficient MSO in Billing and Credentialing Facilitates positive collaboration with other leaders within the MSO, across C3, and at the Health Centers Conduct regular performance reviews and address performance issues promptly Foster a collaborative and professional team environment Remains current on billing codes, payer requirements, and policy changes Establishes, updates, and maintains policies and procedures governing billing and collections, ensuring the documentation is always current, complete, and user-friendly Identifies process and technology improvements to improve the effectiveness and efficiency of revenue cycle operations. Collaborates with internal and external constituents to execute improvements Oversees all AR including insurance and self pay Oversees daily billing operations for the FQHC(s), ensuring accurate and timely processing of claims Monitors and analyzes billing processes to identify areas for improvement and implement solutions Ensures daily reconciliation of claims transmitted to claims acceptance is completed in a timely manner Manages accounts receivable, ensuring collections are optimized and follow-up processes are timely and efficient Utilizes and creates Epic WQs to best manage and segment the assigned work to team members to ensure productivity standards are met and all AR is managed timely Regularly completes denial management trending and root cause analysis to implement denial prevention strategies Serves as the primary point of contact for EPIC-related billing processes and configurations Ensures optimal utilization of the EPIC system to streamline workflows and enhance billing and AR efficiency Collaborates with IT and EPIC support (CTC) teams to resolve technical issues and implement system updates Follows ticket management processes and criteria when needing technical system support or updates Required Skills: Proficiency with Epic systems, including configuration and reporting A minimum of 7-10 years of progressive experience in healthcare billing, with at least 3-5 years in a managerial role Qualifications: Bachelors degree in healthcare administration, business, finance, or a related field preferred