Manager AR Insurance Collections (Remote)

Overview

This role is responsible for managing the day-to-day operations of insurance accounts receivable (AR) follow-up and collections activities. The Manager leads front-line AR insurance collection teams, ensures timely resolution of open AR, and drives performance against key performance indicators (KPIs) related to cash collections, AR aging, and denials resolution. The position collaborates closely with leadership and cross-functional revenue cycle teams to implement standardized workflows, maintain payer compliance, and support financial performance objectives across assigned facilities or portfolios.

Responsibilities

• Manage daily insurance AR follow-up and collections operations for assigned facilities, payers, or work queues.
• Supervise and support AR insurance collection staff to ensure productivity, quality, and compliance with established standards.
• Monitor team performance against daily, weekly, and monthly KPIs related to AR aging, cash collections, inventory levels, and denials resolution.
• Review and prioritize AR worklists to ensure timely follow-up, appeal submission, and escalation of complex accounts.
• Identify trends, barriers, and root causes impacting AR resolution; escalate systemic issues and recommend corrective actions.
• Maintain working knowledge of payer policies, appeal processes, corrected claim requirements, and timely filing limits.
• Ensure accurate documentation of follow-up actions within patient accounting systems and payer portals.
• Partner with billing, coding, Health Information Management (HIM), and other revenue cycle functions to resolve claim issues and prevent recurring denials.
• Assist in implementing standardized workflows, best practices, and performance improvement initiatives.
• Support training, onboarding, and ongoing development of AR insurance collection staff.
• Ensure compliance with HIPAA, payer requirements, regulatory standards, and organizational policies.
• Participate in operational meetings, reporting, and performance reviews with leadership.

Requirements

• Solid understanding of healthcare revenue cycle operations, insurance reimbursement, and AR workflows.
• Working knowledge of billing, collections, denials, payment posting, clearinghouses, and patient accounting systems.
• Familiarity with ICD-10, CPT, modifiers, NCCI edits, CMS guidelines, and payer-specific rules.
• Ability to analyze AR data, reports, and trends to support operational decision-making.
• Strong people-management, coaching, and communication skills.
• Effective organizational and time-management skills with the ability to manage competing priorities.
• Proficiency in Microsoft Office applications, particularly Excel; experience with reporting tools preferred.
• Understanding of HIPAA and the protection of Protected Health Information (PHI).
• Primarily sedentary role requiring prolonged periods of sitting, computer use, and virtual or in-person meetings.
• Occasional lifting of office materials up to 25 pounds.
• Office or remote-enabled business office environment with interaction across hospital and physician practice settings.
• May require limited travel to facilities or meetings.
• Minimal exposure to typical healthcare environment risks.

Qualifications

Education:

• Bachelor’s degree in Healthcare Administration, Business, Finance, Accounting, or a related field preferred.
• Equivalent combination of education and experience may be considered.

Licenses/Certifications:

• None required.
• Healthcare revenue cycle or billing certification (e.g., HFMA, CRCR) preferred.

Experience:

• Minimum of 3–5 years of hospital insurance AR collections and follow-up experience, including denials management.
• Minimum of 1–2 years of supervisory or lead experience in revenue cycle, AR, or insurance collections.
• Experience in a multi-facility or centralized business office environment preferred.

Location

This position may be office-based or remote-enabled, with interaction across hospital and physician practice settings. Limited travel to facilities or meetings may be required.

Compensation & Benefits

Details regarding compensation and benefits are not specified in this description.