Accounts Receivable Manager - Insurance Collections

Overview

This role involves leading the Insurance Collections team within the Revenue Cycle department of a medical device organization specializing in cardiac care technologies. The Accounts Receivable (AR) Manager – Insurance Collections is responsible for operational leadership, performance management, and strategic oversight to ensure timely and accurate collection of third-party receivables. The position requires expertise in third-party payer collections, denial management, and reimbursement optimization, working closely with cross-functional teams to reduce AR aging, maximize cash flow, and ensure compliance with payer requirements.

Responsibilities

Operational & Team Management

• Provide direct leadership and day-to-day management of Insurance Collections team members, including workload distribution, prioritization, and performance monitoring.
• Establish clear performance expectations and accountability; conduct coaching, feedback sessions, and performance evaluations.
• Identify staffing and training needs; participate in hiring, onboarding, and development of training materials.
• Lead quality assurance efforts by assessing competencies and upskilling staff.
• Drive cost-of-service improvements through workflow optimization and operational efficiency initiatives.
• Develop and implement revenue cycle strategies to improve financial and operational outcomes.
• Create and standardize best practice materials and optimize insurance collection workflows.
• Serve as an escalation point for complex or high-dollar payer issues.
• Deliver measurable improvements in collection rates, denial rates, first-pass yield, and revenue per claim.
• Develop scalable strategies, processes, and technologies to optimize revenue cycle performance in a fast-paced, high-volume DME healthcare environment.

Accounts Receivable & Payer Oversight

• Oversee third-party payer accounts to ensure timely follow-up and resolution of outstanding insurance claims.
• Monitor AR aging, denial inventory, underpayments, and payer response timelines.
• Analyze payer-specific trends, denial patterns, and reimbursement issues; implement actionable improvements.
• Use data-driven insights to improve team performance and reduce AR aging across commercial, government, and managed care payers.
• Ensure accurate documentation of payer interactions and claim activity within AR systems.
• Oversee denial management strategies including root cause analysis, appeal workflow enhancement, and escalation protocols.
• Partner with front-end teams such as prior authorization, insurance verification, billing, clinical documentation, and patient access to prevent recurring denials and errors.
• Maintain knowledge of payer policies, contract terms, and regulatory changes impacting reimbursement.

Confidentiality

• Maintain strict confidentiality of patient information, releasing data only with signed patient permission or on a need-to-know basis within the organization.

Competencies

• Passion for continuous improvement and urgency.
• Integrity and commitment to ethical standards.
• Collaboration and teamwork across geography and roles.
• Action-oriented with decisive planning and execution.
• Innovation through original thinking.
• Customer focus on exceeding expectations.
• Emotional intelligence to manage self and influence others.

Qualifications

Education & Experience

• Bachelor’s degree in healthcare administration, business, finance, or related field required; advanced degree or certification (e.g., CRCR, CHFP) preferred.
• 10+ years of healthcare revenue cycle experience with strong focus on third-party insurance AR and denial management; DME experience preferred.
• 5+ years of leadership or supervisory experience managing AR, insurance collections, or revenue cycle teams.
• Proven vendor management experience, including managing offshore vendor support.
• In-depth knowledge of payer reimbursement methodologies, denial resolution, and appeals across Medicare, Medicaid, and Commercial lines.
• Experience managing teams handling Medicare, Medicaid, and commercial insurance collections.
• Strong understanding of revenue cycle compliance and regulatory requirements.
• Demonstrated ability to lead teams, manage performance, and drive measurable AR improvements.
• Strong analytical and organizational skills with experience in AR reporting and dashboards.
• Experience with EHR and AR systems such as Epic, Cerner, Meditech.
• Excellent communication, coaching, and problem-solving skills.
• Proficiency in Microsoft Office Suite, especially Excel.

Preferred Qualifications

• Experience with Bonafide and Salesforce software.
• Direct experience managing BPO oversight.
• Ability to lead change, improve workflows, and scale operations.
• Collaborative leadership style focused on accountability and continuous improvement.

Supervisory Responsibilities

• Directly supervise Accounts Receivable team members, including conducting performance reviews, providing feedback, and supporting professional development.

Work Environment

• Fast-paced, remote work from home.
• Extended hours as needed, including nights and weekends.
• The organization manufactures FDA-regulated, life-saving products and maintains a drug-free workplace; drug testing is a condition of employment.

Physical Demands

• Frequent repetitive motions involving wrists, hands, and fingers (keyboard and mouse use).
• Prolonged periods of standing or sitting.
• Frequent computer and phone use.
• Occasional lifting up to 20 pounds.

Travel

• Occasional domestic and international travel, less than 20%.

Compensation & Benefits

• Salary range: $110,000 - $130,000 annually plus bonus, depending on experience.
• Competitive benefits package including medical, dental, and 401(k) with match.

Additional Information

• The employer is an equal opportunity organization and does not discriminate based on race, color, religion, national origin, veteran status, age, sexual orientation, gender identity or expression, marital status, disability, or any other protected characteristic.
• Applicants must be eligible to work for any employer in the U.S.; visa sponsorship is not available.
• Employment is contingent upon compliance with drug-free workplace policies and testing requirements.