Overview
A healthcare technology and revenue cycle management organization is seeking a Manager of Accounts Receivable to support the Revenue Cycle leadership team. This role involves directing and developing the Accounts Receivable department staff, managing performance, and improving revenue cycle processes related to payment and denials trends.
Responsibilities
- Lead and develop Accounts Receivable team members, assisting with problematic claims and operational questions.
- Manage department performance and effectiveness, including setting short- and long-term goals to improve revenue.
- Analyze unpaid claims and denial trends; collaborate with insurance companies and internal departments such as Coding and Billing to resolve issues and reduce denials.
- Drive process improvements by planning, prioritizing, assessing performance, and implementing changes.
- Develop and manage departmental budget, including overtime; prepare monthly reports.
- Collect, interpret, and communicate performance data to inform decision-making.
- Maintain positive relations with ancillary departments to achieve revenue cycle goals.
- Communicate updates on new programs, payers, clients, and directives across the Revenue Cycle team.
- Plan and lead meetings to enhance communication and provide meeting notes.
Requirements
- 3 to 5 years of management experience in the healthcare industry.
- Experience with Medicare and Medicaid billing.
- Knowledge of healthcare information systems such as Epic, Cerner, or Meditech.
- Intermediate proficiency 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 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 may offer work-life flexibility; specific location details are not provided.
This role requires a commitment to continuous improvement and collaboration within the revenue cycle to optimize financial performance and customer satisfaction. The employer is an equal opportunity organization committed to diversity and provides reasonable accommodations for qualified individuals with disabilities.