Billing Manager | Medicare AR

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    "heading": "Billing Manager | Medicare AR",
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    "description_html": "<p><b>About Our Company:</b><br>At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.<br>We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.</p><p><strong>A 2025 Great Place to Work</strong><i><strong>®</strong></i></p><p>In 2025, Infinx was certified as a Great Place to Work<i>®</i> in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.</p><br><span style=\"font-size:11pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-family:'Calibri Light', sans-serif;\">ABOUT THE ROLE</span></b></span></span></span><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">The Billing Operations & Medicare AR Manager is responsible for overseeing Hospital Billing (HB) and Professional Billing (PB) billing operations, ensuring the timely and accurate submission of claims, resolution of claim edits and rejections, management of Direct Data Entry (DDE) activities, and optimization of billing workflows. This role also provides leadership for Medicare Accounts Receivable (AR) management, focusing on reducing aging, resolving reimbursement issues, recovering underpayments, and improving overall collection performance.</span></span></span></span></span></span></span><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">The manager leads billing and Medicare AR teams, drives operational excellence, ensures compliance with Medicare regulations, and partners with internal stakeholders to maximize reimbursement and minimize revenue leakage across both facility and professional billing operations.</span></span></span></span></span></span></span><br><br><span style=\"font-size:11pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:'Calibri Light', sans-serif;\"><strong>Location:</strong> Onsite in Mobile, AL</span></span></span></span><br><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-size:12pt;\">Responsibilities:</span></b></span></span></span><ul><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Billing Operations Management (HB & PB)</span></span></span></span></span></span></span><ul><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage day-to-day Hospital Billing (HB) and Professional Billing (PB) billing operations</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Oversee claim generation, claim validation, and claim submission processes.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor and resolve billing edits, front-end claim rejections, and payer submission issues</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage Medicare Direct Data Entry (DDE) activities, including claim corrections, status reviews, RTP (Return to Provider) claims, and billing issue resolution</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Ensure claims are submitted accurately and within established filing deadline</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Develop and implement processes to improve clean claim rates and reduce avoidable rework</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor billing work queues and productivity standards</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Coordinate with Coding, Revenue Integrity, Patient Financial Services, and Clinical departments to resolve billing-related issues</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements</span></span></span></span></span></span></span></li></ul></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Medicare Accounts Receivable Management</span></span></span></span></span></span></span><ul><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Oversee Medicare AR follow-up activities for both HB and PB accounts.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor Medicare aging inventories and prioritize collection efforts.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage resolution of unpaid, partially paid, and denied Medicare claims.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Review and resolve </span></span></span></span></span></span></span><span style=\"line-height:normal;\"><span style=\"color:#000000;font-family:Arial, sans-serif;font-size:12pt;\">RTP claims,</span> </span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">denials, u</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">nderpayments, m</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">edical necessity issues, c</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">overage-related denials, and b</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">illing-related reimbursement delays</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Ensure timely and effective appeal submission when appropriate.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Identify denial and AR trends and implement corrective action plans.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Work closely with billing teams to address root causes impacting Medicare reimbursement</span></span></span></span></span></span></span></li></ul></li></ul><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-size:12pt;\">Required Qualifications:</span></b></span></span></span><ul><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field</span></span></span></span></span></span></span><ul><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Equivalent combination of education and experience may be considered</span></span></span></span></span></span></span></li></ul></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">5+ years of experience in healthcare billing operations</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">3+ years of leadership experience managing billing and/or accounts receivable teams</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Extensive experience with both Hospital Billing (HB) and Professional Billing (PB) operations</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Strong Medicare billing and AR management experience</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Experience working with Medicare DDE</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Comprehensive understanding of Medicare billing regulations, DDE processes, claim edits and rejections, hospital billing (HB), professional billing (PB), Medicare AR follow-up and collections, as well as denial management and appeals</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Knowledge of UB-04 and CMS-1500 claim processing</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Strong analytical and problem-solving skills</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Experience with Epic Resolute HB/PB</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Excellent communication and leadership abilities</span></span></span></span></span></span></span></li></ul><strong>Company Benefits and Perks:</strong><br>Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.<ul><li>Access to a 401(k) Retirement Savings Plan.</li><li>Comprehensive Medical, Dental, and Vision Coverage.</li><li>Paid Time Off.</li><li>Paid Holidays.</li><li>Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.</li></ul>If you are a dedicated and experienced AR Manager ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.",
    "description_text": "About Our Company:\nAt Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.\nWe're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.\n A 2025 Great Place to Work ®\n In 2025, Infinx was certified as a Great Place to Work ®  in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.\n ABOUT THE ROLE\n The Billing Operations & Medicare AR Manager is responsible for overseeing Hospital Billing (HB) and Professional Billing (PB) billing operations, ensuring the timely and accurate submission of claims, resolution of claim edits and rejections, management of Direct Data Entry (DDE) activities, and optimization of billing workflows. This role also provides leadership for Medicare Accounts Receivable (AR) management, focusing on reducing aging, resolving reimbursement issues, recovering underpayments, and improving overall collection performance.\n The manager leads billing and Medicare AR teams, drives operational excellence, ensures compliance with Medicare regulations, and partners with internal stakeholders to maximize reimbursement and minimize revenue leakage across both facility and professional billing operations.\n Location: Onsite in Mobile, AL\n Responsibilities: Billing Operations Management (HB & PB) Manage day-to-day Hospital Billing (HB) and Professional Billing (PB) billing operations\n Oversee claim generation, claim validation, and claim submission processes.\n Monitor and resolve billing edits, front-end claim rejections, and payer submission issues\n Manage Medicare Direct Data Entry (DDE) activities, including claim corrections, status reviews, RTP (Return to Provider) claims, and billing issue resolution\n Ensure claims are submitted accurately and within established filing deadline\n Develop and implement processes to improve clean claim rates and reduce avoidable rework\n Monitor billing work queues and productivity standards\n Coordinate with Coding, Revenue Integrity, Patient Financial Services, and Clinical departments to resolve billing-related issues\n Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements\n Medicare Accounts Receivable Management Oversee Medicare AR follow-up activities for both HB and PB accounts.\n Monitor Medicare aging inventories and prioritize collection efforts.\n Manage resolution of unpaid, partially paid, and denied Medicare claims.\n Review and resolve  RTP claims,   denials, u nderpayments, m edical necessity issues, c overage-related denials, and b illing-related reimbursement delays\n Ensure timely and effective appeal submission when appropriate.\n Identify denial and AR trends and implement corrective action plans.\n Work closely with billing teams to address root causes impacting Medicare reimbursement\n Required Qualifications: Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field Equivalent combination of education and experience may be considered\n 5+ years of experience in healthcare billing operations\n 3+ years of leadership experience managing billing and/or accounts receivable teams\n Extensive experience with both Hospital Billing (HB) and Professional Billing (PB) operations\n Strong Medicare billing and AR management experience\n Experience working with Medicare DDE\n Comprehensive understanding of Medicare billing regulations, DDE processes, claim edits and rejections, hospital billing (HB), professional billing (PB), Medicare AR follow-up and collections, as well as denial management and appeals\n Knowledge of UB-04 and CMS-1500 claim processing\n Strong analytical and problem-solving skills\n Experience with Epic Resolute HB/PB\n Excellent communication and leadership abilities\n Company Benefits and Perks:\nJoining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization. Access to a 401(k) Retirement Savings Plan.\n Comprehensive Medical, Dental, and Vision Coverage.\n Paid Time Off.\n Paid Holidays.\n Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.\n If you are a dedicated and experienced AR Manager ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.",
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      "datePosted": "2026-06-19",
      "description": "<p><b>About Our Company:</b><br>At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.<br>We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.</p><p><strong>A 2025 Great Place to Work</strong><i><strong>®</strong></i></p><p>In 2025, Infinx was certified as a Great Place to Work<i>®</i> in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.</p><br><span style=\"font-size:11pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-family:'Calibri Light', sans-serif;\">ABOUT THE ROLE</span></b></span></span></span><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">The Billing Operations & Medicare AR Manager is responsible for overseeing Hospital Billing (HB) and Professional Billing (PB) billing operations, ensuring the timely and accurate submission of claims, resolution of claim edits and rejections, management of Direct Data Entry (DDE) activities, and optimization of billing workflows. This role also provides leadership for Medicare Accounts Receivable (AR) management, focusing on reducing aging, resolving reimbursement issues, recovering underpayments, and improving overall collection performance.</span></span></span></span></span></span></span><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\"><span style=\"color:#000000;\">The manager leads billing and Medicare AR teams, drives operational excellence, ensures compliance with Medicare regulations, and partners with internal stakeholders to maximize reimbursement and minimize revenue leakage across both facility and professional billing operations.</span></span></span></span></span></span></span><br><br><span style=\"font-size:11pt;\"><span style=\"line-height:115%;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-family:'Calibri Light', sans-serif;\"><strong>Location:</strong> Onsite in Mobile, AL</span></span></span></span><br><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-size:12pt;\">Responsibilities:</span></b></span></span></span><ul><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Billing Operations Management (HB & PB)</span></span></span></span></span></span></span><ul><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage day-to-day Hospital Billing (HB) and Professional Billing (PB) billing operations</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Oversee claim generation, claim validation, and claim submission processes.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor and resolve billing edits, front-end claim rejections, and payer submission issues</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage Medicare Direct Data Entry (DDE) activities, including claim corrections, status reviews, RTP (Return to Provider) claims, and billing issue resolution</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Ensure claims are submitted accurately and within established filing deadline</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Develop and implement processes to improve clean claim rates and reduce avoidable rework</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor billing work queues and productivity standards</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Coordinate with Coding, Revenue Integrity, Patient Financial Services, and Clinical departments to resolve billing-related issues</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Ensure compliance with Medicare, Medicaid, and commercial payer billing requirements</span></span></span></span></span></span></span></li></ul></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Medicare Accounts Receivable Management</span></span></span></span></span></span></span><ul><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Oversee Medicare AR follow-up activities for both HB and PB accounts.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor Medicare aging inventories and prioritize collection efforts.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Manage resolution of unpaid, partially paid, and denied Medicare claims.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Review and resolve </span></span></span></span></span></span></span><span style=\"line-height:normal;\"><span style=\"color:#000000;font-family:Arial, sans-serif;font-size:12pt;\">RTP claims,</span> </span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">denials, u</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">nderpayments, m</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">edical necessity issues, c</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">overage-related denials, and b</span></span></span></span></span></span></span><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">illing-related reimbursement delays</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Ensure timely and effective appeal submission when appropriate.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Identify denial and AR trends and implement corrective action plans.</span></span></span></span></span></span></span></li><li style=\"margin-bottom:11px;\"><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Work closely with billing teams to address root causes impacting Medicare reimbursement</span></span></span></span></span></span></span></li></ul></li></ul><br><span style=\"font-size:11pt;\"><span style=\"line-height:normal;\"><span style=\"font-family:Calibri, sans-serif;\"><b><span style=\"font-size:12pt;\">Required Qualifications:</span></b></span></span></span><ul><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field</span></span></span></span></span></span></span><ul><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Equivalent combination of education and experience may be considered</span></span></span></span></span></span></span></li></ul></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">5+ years of experience in healthcare billing operations</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">3+ years of leadership experience managing billing and/or accounts receivable teams</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Extensive experience with both Hospital Billing (HB) and Professional Billing (PB) operations</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Strong Medicare billing and AR management experience</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Experience working with Medicare DDE</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Comprehensive understanding of Medicare billing regulations, DDE processes, claim edits and rejections, hospital billing (HB), professional billing (PB), Medicare AR follow-up and collections, as well as denial management and appeals</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Knowledge of UB-04 and CMS-1500 claim processing</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Strong analytical and problem-solving skills</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Experience with Epic Resolute HB/PB</span></span></span></span></span></span></span></li><li><span style=\"font-size:11pt;\"><span style=\"color:#000000;\"><span style=\"line-height:normal;\"><span><span style=\"font-family:Calibri, sans-serif;\"><span style=\"font-size:12pt;\"><span style=\"font-family:Arial, sans-serif;\">Excellent communication and leadership abilities</span></span></span></span></span></span></span></li></ul><strong>Company Benefits and Perks:</strong><br>Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.<ul><li>Access to a 401(k) Retirement Savings Plan.</li><li>Comprehensive Medical, Dental, and Vision Coverage.</li><li>Paid Time Off.</li><li>Paid Holidays.</li><li>Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.</li></ul>If you are a dedicated and experienced AR Manager ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.",
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