Overview
A technology-driven national physician enablement organization is seeking an Accounts Receivable (AR) Manager to oversee the accurate and timely processing of assigned claims within the Revenue Cycle Management team. This role involves managing claim denials, appeals, and aged claims follow-up to optimize revenue cycle performance.
Responsibilities
- Manage accounts receivable including analysis of aged AR to identify root causes and suggest billing rules or edits to prevent errors
- Investigate denial sources, resolve and appeal denials, including communication with payer representatives
- Make independent decisions on claim adjustments, resubmissions, appeals, and other claim resolution methods
- Collaborate with internal teams such as Performance, Operations, Sales, and care center staff as needed
- Support large care center go-lives, which may require overnight travel
- Work closely with the Revenue Optimization team to ensure reimbursements align with payer contract agreements
- Perform denial analysis using the Trizetto platform
- Engage directly with practice consultants or physicians to ensure optimal revenue cycle functionality
- Drive achievement of daily and monthly departmental Key Performance Indicators (KPIs)
- Perform other duties as assigned
Requirements
- High school diploma or equivalent
- Minimum 3 years of experience in a medical billing office or equivalent claims experience
- Strong understanding of revenue cycle performance drivers and ability to investigate and resolve complex claims
- Advanced Microsoft Excel skills preferred (e.g., pivot tables, VLOOKUP, sorting/filtering, formulas)
- Experience with athenaHealth and/or athenaOne preferred
- Experience with Georgia payers and portals preferred
- Must comply with HIPAA rules and regulations
Compensation & Benefits
- Hourly pay range: $24.00 to $26.45 (base pay only, excluding bonuses and benefits)
- Eligible for an annual bonus targeted at 10%
- Benefits include medical, dental, vision, life, and pet insurance, 401(k), paid time off, and wellness programs
- Base pay will be determined based on experience, education, and geographic location
Additional Information
- All candidate information will be kept confidential in accordance with EEO guidelines
Technical Requirements for Remote Work
- Minimum internet speed of 5 Mbps download and 3 Mbps upload required prior to employment start
- Employees working from home offices may be eligible for expense reimbursement related to internet costs
Location
- This role may require travel to support care center go-lives