Senior Billing /Collection Lead

Description

Senior Billing/Collection Lead - this is a full-time (40 hours), exempt, hybrid position, located at our Vicente campus in San Francisco.


Mission: We provide the people, place, and path for exceptional youth mental healthcare.

Vision: We aim to redefine what youth mental healthcare can be by delivering transformative support that doesn't just treat symptoms but changes lives.


About Edgewood:

Each person who works at Edgewood Center for Children and Families shares a passion for making a difference in the lives of the children and families who we serve in the San Francisco Bay Area. Employees find themselves surrounded by a diverse and extraordinary group of dedicated professionals, in welcoming environments characterized by whole-person care, open communication, creative support and a commitment to growth, healing and improving each day. Edgewood's successes come from our employees and the positive results they help create for children and families. When you join Edgewood, you join a culture of purpose and belonging, where your growth is a priority, your identity is embraced, and the work you do matters.


Position Summary

This position provides billing services, revenue reporting, and collection. It ensures all services are properly invoiced in a timely and accurate manner by working with internal departments and while working actively to optimize collection efforts and reduce collection time from commercial insurance company partners, in particular.


Essential Functions

• Leads billing and collection, primarily dealing with commercial insurance companies and individual customers. Participates in creating workflows and scripts for new client types.
• Leads the monthly billing process to ensure accurate and timely recording of revenue including:

• • Generating customer invoices
  • Revenue recognition including monthly accruals
  • Maintaining related records in the accounts receivable system
  • Reporting billing status against goals for management and executive reports
• Leads in collection activities to optimize cash flow from accounts receivable, including working with outside billing contacts to resolve disputes, providing necessary documentation, and escalating promptly to executives as needed
• Initiates process improvements via increased automation, process redesign, or other means as necessary
• Maintains internal controls, procedure manuals, and ensures adequate cross training in area of responsibility
• Forecasts revenue and cash receipts

Core Competencies

• Good customer service skills including verbal and written communication; managing client reporting needs
• Strong analytical and problem-solving skills
• Independent thinker, ability to check own work
• Good organizational and time management skills
• Persistence combined with patience
• Ability to work across teams
• Contributes positively to a healing-centered, respectful workplace by engaging others with humility, care and a commitment to honoring all identities and lived experiences

Applied Knowledge, Skills, and Abilities

• Bachelor's degree, preferably in Business or related field, or equivalent work experience
• Minimum three years of experience in billing/collecting from commercial healthcare insurance companies such as Kaiser, Blue Shield, Anthem, etc.
• Experience appealing/disputing commercial insurance denials
• Certified Billing and Coding Specialist certificate preferred
• Experience using accounting/ accounts receivable (preferably NetSuite) and Electronic Health Records (preferably Welligent) systems
• Proficiency with Excel
• Strong analytical skills and ability to check own work
• Ability to work across internal teams to achieve departmental goals
• Strong time management skills

The annual salary range for this position is $80,000.00 to $90,000.00. As part of our team, benefits-eligible employees receive an excellent comprehensive benefits package:

• 16 days of PTO the first year and more thereafter
• Nine paid holidays
• Five health and wellness days off annually
• 10% additional pay for community-relevant second language fluency
• Medical/Dental/and Vision plans
• 403 B Retirement Plan with agency match
• Employee Assistance Program
• Commuter Benefits Program
• Medical and Childcare Flexible Spending Accounts
• Pet Insurance
• Identity Theft Protection Plan
• Paid employee referral program
• Career advancement opportunities
• Retention bonuses for many positions
• Continuing Education expense reimbursement
• Professional licensing fee reimbursement
• Professional Development reimbursement opportunities
• Verified Public Service Loan Forgiveness Employer

NOTE: The California Department of Public Health (CDPH) has issued new requirements for health care and congregant care facilities to decrease the risk of COVID-19 outbreaks. Based on the CDPH public health mandate, all candidates for positions at Edgewood Center must provide proof of vaccination. Edgewood Center will consider applicants with ADA and Title VII exemptions on a case-by-case basis.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Equal Opportunity

Edgewood is proud to be an equal-opportunity employer. People of color, women, persons with disabilities, and persons who are lesbian, gay, bisexual, transgender, or intersex are encouraged to apply. Edgewood maintains a policy of non-discrimination with respect to employees and applicants for employment. No aspect of employment will be influenced in any matter by race, color, religion, sex, age, national origin, marital status, ethnicity, religion, sexual orientation, gender identity and/or expression, physical disability (including HIV or AIDS), medical condition, perceived physical disability, veteran status or any other basis prohibited by statute.