Managing Accountant – Medical Billing Negotiation (MBN)

The Managing Accountant for the Medical Billing Negotiation (MBN) Team is responsible for overseeing the financial tracking, reporting, and strategic management of all settled cases pending medical bill negotiations. This role ensures the firm maintains an accurate and up-to-date aging of cases awaiting negotiation, while driving analysis and process improvements to accelerate negotiations and expedite fund recovery.

The position serves as the financial lead for the MBN pipeline, transforming case data into actionable insights that support faster negotiations, improved cash flow, and operational accountability.

Key Responsibilities

1. Case Aging & Financial Reporting

• 
  Maintain and monitor a real-time aging report of all settled cases pending medical bill negotiation.
• 
  Track negotiation timelines and identify cases that exceed standard processing benchmarks.
• 
  Provide weekly and monthly reports to leadership on the status and movement of the negotiation pipeline.
  
  

2. Inventory Analysis & Pipeline Management

• 
  Analyze the inventory of cases awaiting negotiation to identify bottlenecks, delays, and prioritization opportunities.
• 
  Segment cases based on settlement value, medical lien complexity, and negotiation stage.
• 
  Recommend strategies to accelerate negotiations and reduce aging of receivables.
  
  

3. Financial Oversight & Reconciliation

• 
  Ensure financial data related to settlements, medical bills, and negotiated reductions are accurately recorded and reconciled.
• 
  Work closely with the finance team, negotiators, and case managers to verify settlement allocations and lien resolutions.
  
  

4. Operational Efficiency & Process Improvement

• 
  Develop tracking systems, dashboards, and performance metrics for the MBN team.
• 
  Identify workflow inefficiencies and propose process improvements to expedite negotiations and collections.
• 
  Support leadership in establishing KPIs for negotiation turnaround times and backlog reduction.
  
  

5. Cross-Department Coordination

• 
  Serve as the financial liaison between Finance, Negotiation, and Legal teams.
• 
  Ensure transparency and alignment regarding case status, expected collections, and outstanding medical obligations.

Strategic Objective

The Managing Accountant ensures the firm maintains full visibility over its post-settlement negotiation pipeline, enabling leadership to:

• 
  Maintain accurate aging of negotiated settlements
• 
  Reduce backlog of cases pending negotiation
• 
  Accelerate collections and case closure
• 
  Strengthen financial forecasting and cash flow management
  
  

Ideal Profile

• 
  Strong background in accounting, financial analysis, or settlement accounting
• 
  Experience with case inventory management, aging reports, and financial reconciliation
• 
  Advanced proficiency in data analysis, reporting tools, and case management systems
• 
  Ability to translate complex data into operational and strategic insights