[Hiring] Director, Billing & Correspondence @Ventra Health

Role Description

The Director of Billing and Correspondence is responsible for overseeing and managing the billing and correspondence operations of the EMHM business unit. This leadership role involves ensuring that billing processes are efficient, accurate, and in compliance with all regulatory requirements while managing correspondence related to account inquiries. The Director will drive strategy, lead cross-functional teams, implement process improvements, and enhance customer satisfaction.

Essential Functions and Tasks

• Strategic Leadership:
  • Lead and develop the overall billing and correspondence strategy in alignment with company goals.
  • Manage and mentor a team of billing specialists and correspondence managers.
  • Ensure that all billing and correspondence practices adhere to company policies, legal requirements, and industry standards.
  • Foster internal relationships throughout the organization to promote teamwork.
• Billing Operations Management:
  • Oversee the preparation, distribution, and tracking of accurate invoices for all services provided.
  • Ensure timely and accurate billing in accordance with contracts, terms, and customer agreements.
  • Implement and enforce the best practices in the billing processes to ensure minimal errors and delays.
  • Collaborate with internal departments (Front RCM, Coding, AR, Cash Posting, Client Success and others as applicable) to ensure billing information is up-to-date and accurate.
  • Update and maintain insurance D120 database.
  • Maintain the TES process, achieve all client deadlines.
  • Monitor and maintain the Post Demo update process.
• Correspondence Oversight:
  • Manage communication related to ChartSwap, Collection Agencies and account status.
  • Develop and implement the best practice strategies to enhance satisfaction and foster positive relationships.
  • Ensure that all customer correspondence is handled promptly, professionally, and in line with company standards.
• Process Improvement:
  • Continuously assess billing and correspondence workflows to identify opportunities for process improvement, cost savings, and increased operational efficiency.
  • Implement automation tools and technologies to streamline billing and correspondence activities.
  • Lead cross-functional teams to ensure successful implementation of new technologies, systems, or procedures.
• Compliance & Risk Management:
  • Monitor and ensure compliance with all relevant billing, payment, and communication regulations and guidelines.
  • Work closely with the legal and compliance teams to stay informed on new regulations and mitigate risk.
  • Develop and enforce policies and procedures to ensure the organization avoids billing errors, fraud, and regulatory violations.

Qualifications

• Bachelor’s degree preferred or experience below required.
• Minimum of 5 years of experience in billing, accounts receivable, customer service, or related roles.
• At least 3 years of experience in a leadership position with responsibility for managing teams and cross-functional projects.
• Extensive knowledge of billing systems, invoicing software, and financial reporting tools.
• Proven track record in process optimization, project management, and customer relations.

Knowledge, Skills, and Abilities

• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
• Ability to remain flexible and work within a collaborative and fast-paced environment.
• Basic use of computer, telephone, internet, copier, fax, and scanner.
• Basic touch 10 key skills.
• Basic Math skills.
• Understand and comply with company policies and procedures.
• Strong oral, written, and interpersonal communication skills.
• Strong time management and organizational skills.
• Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

Compensation

• Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
• This position is also eligible for a discretionary incentive bonus in accordance with company policies.

Equal Employment Opportunity

Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.