Accounts Receivable Manager

This is a fully remote position, open to applicants in Alabama, +17 more states.

📋 Description

• Oversee accounts receivable operations for a designated Provider Book of Business associated with an account management team.

• Collaborate with the Provider Relations Executive on strategic initiatives to enhance provider experience.

• Ensure the efficient and accurate administration of claims.

• Track performance metrics and utilize resources and tools to assist healthcare providers in managing accounts receivable.

• Offer guidance and direction on policies, procedures, workflows, claim service quality, and training requirements.

• Meet with designated healthcare providers to review results, analyze issue trends, and create action plans for improvement.

• Engage with matrix partners to enhance service and reduce contract interpretation challenges.

• Communicate internally about issues and trends to decrease errors and enhance claim accuracy.

• Monitor contractual performance guarantees and late-payment interest to mitigate financial impacts.

• Collaborate with account management and matrix partners to identify, address, and enhance accounts receivable challenges.

• Contribute to provider strategic plans, gather market intelligence, and conduct service experience assessments.

• Conduct root cause analysis and trend evaluation related to accounts receivable resolution.

• Manage corrective action plans for accounts receivable.

• Suggest improvements to enhance service levels based on findings from root cause analyses.

• Meet or exceed established service-level agreements.

• Review pre- and post-contract setup for the assigned book of business.

• Accurately track and trend accounts receivable issues using appropriate tools.

• Participate in face-to-face meetings as necessary as an accounts receivable subject matter expert.

• Analyze and comprehend data results.

⛳️ Requirements

• Bachelor's Degree or higher is strongly preferred, or equivalent work experience.

• A minimum of 3 years of experience in benefits and claims administration.

• At least 3 years of experience in relationship management and project management.

• Advanced knowledge of Cigna claims and associated systems (Proclaim, PMHS, Facets) is highly preferred.

• Proficiency in Excel and PowerPoint.

• Knowledge of Access is advantageous.

• Experience with provider contracting or loading is beneficial.

• Proven ability to successfully interact with internal and external customers across all levels.

• Demonstrated skills in performing root cause analysis on claims issues.

• Proven capability to manage and resolve problems to satisfactory completion.

• Project management skills, including time management, task analysis and breakdown, and resource utilization.

• Strong facilitation and negotiation abilities.

• Capacity to present detailed technical information to less knowledgeable audiences and negotiate mutually beneficial resolutions.

• Understanding of how each phase of the claims payment process impacts the end result and provider satisfaction.

• Ability to handle confrontational situations in a professional manner.

• Willingness to take ownership of tasks/projects and work with minimal supervision.

• Some travel may be required.

• If working from home, a cable broadband or fiber optic internet connection with a minimum of 10Mbps download/5Mbps upload is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Comprehensive medical, vision, and dental benefits.

• Access to well-being and behavioral health programs.

• Participation in a 401(k) plan.

• Company-paid life insurance coverage.

• Tuition reimbursement opportunities.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence available.

• Option for remote work arrangements.

• Requirement for cable broadband or fiber optic internet for home-based work.