Accounts Receivable Manager

This is a fully remote position, open to applicants in United States.

📋 Description

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

• Collaborate with the Provider Relations Executive on strategic initiatives aimed at enhancing provider experience.

• Ensure the prompt and precise administration of claims.

• Track outcomes and utilize resources and tools to assist health care providers in managing accounts receivable.

• Provide leadership and guidance on policies, procedures, workflows, claim service quality, and training requirements.

• Meet with designated health care providers to review outcomes, analyze issue trends, and formulate improvement action plans.

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

• Communicate and educate internal teams regarding issues and trends to minimize errors and enhance claim accuracy.

• Monitor compliance with contractual performance guarantees and late payment interest.

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

• Contribute to strategic planning for providers within a unified book of business.

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

• Manage accounts receivable challenges and implement corrective action plans.

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

• Support the service experience review process.

• Contribute to market intelligence and maintain relevant documentation.

• Achieve or surpass service level agreements.

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

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

• Participate in in-person meetings as an accounts receivable subject matter expert when necessary.

⛳️ Requirements

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

• 3+ years of experience in benefits and claims administration.

• 3+ years of experience in relationship management and project management.

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

• Proficient in Excel and PowerPoint.

• Access knowledge is advantageous.

• Experience with provider contracting or loading is beneficial.

• Ability to effectively engage with internal and external customers at all levels.

• Capability to perform root cause analysis on claims issues.

• Ability to manage and resolve problems satisfactorily.

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

• Strong facilitation and negotiation abilities.

• Ability to present complex technical information to less knowledgeable audiences and negotiate mutually agreeable resolutions.

• Understanding of how each phase of the claims payment process impacts the final outcome and provider satisfaction.

• Ability to handle confrontational situations in a professional manner.

• Capability to take ownership of tasks/projects and work independently with outstanding results.

• Some travel may be required.

• Must support the Mid-Atlantic region and adhere to East Coast hours.

• A home internet connection via cable broadband or fiber optic service with a minimum of 10 Mbps download and 5 Mbps upload is required for remote work.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental benefits.

• Access to well-being and behavioral health programs.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement program.

• Minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence available.

• Remote work arrangement option.

• Requirement for cable broadband or fiber optic internet for home working.