Allara

Billing Specialist

• Lead a team of revenue cycle professionals across billing, collections, and denials management, driving high billing operations performance
• Manage team of onshore and offshore specialists across billing, payment posting, AR, and denials with clear ownership and accountability
• Build SOPs, documentation, and scalable processes to ensure consistent and high-quality execution
• Foster a culture of operational excellence and continuous improvement
• Own AR performance and KPI management, including DSO, first-pass acceptance rate, denial rate, etc.
• Own processes that ensure accurate charge capture, eligibility, and coding before claims are submitted
• Build preventive workflows to reduce first-pass rejections
• Partner with clinical, intake, credentialing, and coding teams to address upstream issues that drive repeat denials
• Oversee timely claim submission, remit posting, and structured AR follow-up workflows
• Maintain consistent follow-up cadence by age bucket, payer, and denial category
• Ensure all claims are processed, followed up on, and escalated within defined SLAs
• Lead a structured denial management program with root-cause categorization and recovery targets
• Create SOPs for addressing common denial categories (coverage, coding, eligibility, prior auth, modifier issues, medical necessity, etc.)
• Oversee appeals, corrected claims, and secondary billing processes
• Build clear processes and service standards to ensure patient billing questions are answered accurately and promptly
• Create feedback loops from patient inquiries to identify recurring pain points and implement improvements across billing workflows
• Ensure compliance with payer policies, telehealth billing requirements, and documentation standards
• Stay current on industry policies and billing best practices
• Partner in management of billing systems and vendors and ensure swift resolution of any technical issues impacting billing

Billing Operations Manager