Manager, Accounts Receivable

Overview

A healthcare revenue cycle management organization is seeking a Manager of Accounts Receivable to support the leadership team in overseeing the Accounts Receivable department. This role involves directing and developing team members, managing performance, and improving revenue cycle processes related to payment and denials trends.

Responsibilities

• Lead and develop Accounts Receivable staff, providing guidance on problematic claims and operational processes.
• Analyze trends in unpaid claims and denial activity; collaborate with departments such as Coding and Billing to resolve recurring issues and reduce denials.
• Develop and implement short- and long-term plans to improve revenue and manage payment trends.
• Perform ongoing process improvements to ensure efficient and effective accounts receivable functions.
• Manage departmental budget, including overtime, and prepare monthly reports.
• Set departmental goals to optimize performance, meet budgetary targets, and enhance customer satisfaction.
• Collect, interpret, and communicate performance data to inform decision-making.
• Collaborate with internal and external customers and ancillary departments to achieve revenue cycle goals.
• Communicate updates on new programs, payers, clients, and directives to peers and team members; lead meetings and distribute meeting notes.

Requirements

• 3 to 5 years of management experience in the healthcare industry.
• Experience with Medicare and Medicaid billing.
• Proficiency with healthcare information systems such as Epic, Cerner, or Meditech.
• Intermediate skills in Microsoft Excel.
• Strong verbal communication, problem-solving, and critical thinking skills.
• Ability to adapt to changing procedures and a growing environment.
• Proficient knowledge of Medicare, Medicaid, and other third-party payer documentation, coding, and billing regulations.
• Certification: CRCR (Certified Revenue Cycle Representative) required.

Preferred Qualifications

• Bachelor's degree or equivalent experience.
• Advanced degree preferred.
• 3-5 years of relevant experience in medical collections, physician/hospital operations, AR follow-up, denials and appeals, compliance, provider relations, or professional billing.
• Knowledge of claims review and analysis.
• Working knowledge of revenue cycle processes.
• Experience with the DDE Medicare system and payer websites for claim status investigation.
• Familiarity with medical terminology and insurance claim terminology.

Compensation & Benefits

• Salary range: $62,500 to $119,700, based on experience.
• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package supporting physical, emotional, and financial health.
• Career advancement opportunities.

Location

This position is with a national healthcare revenue cycle management provider serving hospitals and affiliated physician groups across the country.