Associate Director - Billing & Revenue Cycle

Position: Associate Director Revenue Cycle

Department: Finance

Reports to: Chief Financial Officer

Status: 100% Full-time Regular Exempt

Probation: 180 days

Benefits: Medical Dental Vision; also including Life Insurance Long-Term Disability Employee Assistance Program and a 403(b) Retirement Plan

CENTERS MISSION: Building a world where LGBT people thrive as healthy equal and complete members of society.

DEPARTMENT SUMMARY: As the nations largest and most experienced provider of LGBT medical and mental health services we help LGBTQ people lead healthier happier lives by keeping their minds and body well. All services are free or low cost. Were also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community.

JOB SUMMARY: Under the direction of the Chief Financial Officer the Associate Director Revenue Cycle works in partnership with Health Services leadership to oversee and optimize all phases of the revenue cycle for Health and Mental Health Services (HMHS). This role is directly responsible for ensuring efficient and accurate processes across charge entry eligibility verification claims preparation payment posting adjustment processing cash application and patient refunds. The Associate Director leverages multiple electronic systemsincluding the EHR practice management software claims platforms automated eligibility tools payment clearinghouses and revenue cycle reporting systemsto drive operational excellence and maximize reimbursement.

ESSENTIAL FUNCTIONS

35% Billing Operations Management

Oversee all aspects of billing including timely electronic and manual charge submissions and collection monitoring

Ensure accounts are billed accurately and payments and adjustments are applied correctly

Create and implement standardized procedures for billing and collections

Perform monthly close prepare financial accruals and report actual revenue

Maintain current knowledge of billing practices and regulatory standards

Work with Health Information Systems to integrate and streamline account processes

Manage third-party insurance relationships to improve collections and reduce denials

20% Process Improvement and Compliance

Develop and implement strategic and operational plans to enhance billing office functions

Monitor revenue cycle performance and address process deficiencies

Establish internal auditing procedures for billing accuracy and compliance

Control discounts and write-offs through clearly defined procedures

20% Reporting and Analysis

Develop and analyze reports to support leadership decision-making

Create denial management reports and workflows to improve cash flow and reduce receivables

Collaborate with operations to improve data quality and reduce denials

25% Management Responsibilities (Budgetary & Direct Supervisory)

Supervise and manage billing office staff

Recruit hire train mentor and coach staff to support individual and team performance

Develop and implement training programs on insurance billing CPT and ICD-10 coding and procedural updates

Serve as a resource to staff and other departments on billing operations policies and procedures

REQUIRED QUALIFICATIONS

Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people

A passion for the Centers work and its mission to make the world a better place for LGBTQ people

Minimum of 8 years of billing management experience or equivalent education at a mid-sized medical outpatient practice using an electronic Practice Management System

Candidate must possess a solid proven background in aspects of medical revenue cycle management

Thorough knowledge of Federally Qualified Healthcare Center billing practices including various insurance billing & collection requirements (Sliding Fee HMO PPO Medicare Medi-Cal and others)

Proficiency with Microsoft office products and advanced Excel skills

Knowledge of ICD-10 HCPCS and CPT Coding

Excellent communication and presentation skills

Strong reporting and analysis skills

Demonstrated leadership/management and ability to work effectively with clients and senior management

Demonstrated ability to work effectively with people of diverse races ethnicities nationalities sexual orientations gender identities gender expression socio-economic backgrounds religions ages English-speaking abilities immigration status and physical abilities in a multicultural environment.

PREFERRED QUALIFICATIONS

Allscripts/Veradigm and/or Payor Path experience

AAPC Certified Professional Coder (CPC)

The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race color ancestry national origin sexual orientation gender identity and expression sex pregnancy childbirth and related medical conditions religion disability age military or veteran status including status as a victim of domestic violence assault or stalking genetic information (including family medical history) political affiliation or activities medical or health conditions and marital status.

The Center has implemented a policy requiring all staff to be up-to-date with COVID-19 vaccinations as a condition of employment subject to applicable federal state and local laws. For more information please contact .