Accounts Receivable Manager – Insurance Collections

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

📋 Description

• Provide direct leadership and oversee the daily management of the Insurance Collections team, including the distribution of workload, prioritization, and monitoring of performance.

• Set and manage clear performance expectations and accountability while conducting regular coaching, feedback sessions, and performance evaluations to enhance team member effectiveness and engagement.

• Identify staffing and training requirements, participate in hiring processes, onboarding, and the development of training materials, along with training new insurance collections team members.

• Exhibit strong analytical problem-solving abilities with a proactive, outcome-focused approach, and the capacity to influence results through persuasive leadership.

• Lead quality assurance initiatives by evaluating team member competencies and proactively enhancing staff skills to promote sustained performance improvements.

• Propel cost-of-service enhancements through workflow optimization and operational efficiency initiatives.

• Formulate and implement revenue cycle strategies that yield enhanced financial and operational business outcomes.

• Create and standardize materials and metrics for best practices, developing additional strategies to optimize the workflow and follow-up processes of insurance collection agents.

• Act as an escalation point for complex or high-dollar payer issues that remain unresolved by team members.

• Promote operational efficiency, effectiveness, and measurable financial enhancements across insurance collections functions.

• Responsible for delivering quantifiable improvements in collection rates, denial rates, first-pass yield, and revenue per claim.

• Develop and implement scalable strategies, processes, and technologies to consistently optimize revenue cycle performance in a fast-paced, high-volume, evolving DME healthcare environment.

• Oversee the performance of third-party payer accounts to ensure prompt follow-up and resolution of outstanding insurance claims.

• Monitor AR aging, denial inventory, underpayments, and payer response timelines to guarantee adherence to contractual and internal benchmarks.

• Analyze payer-specific trends, denial patterns, and reimbursement issues; translate findings into actionable and executable improvements.

• Utilize data-driven insights to enhance team performance and decrease AR aging across commercial, government, and managed care payers.

• Ensure consistent and accurate documentation of payer interactions and claim activities within AR systems.

• Supervise denial management strategies, including improvements in clean claims and overturn rates through root cause analysis, appeal workflow enhancements, and the development of escalation protocols.

• Collaborate with front-end, prior authorization, insurance verification, billing, clinical documentation, and patient access teams to prevent recurring denials and errors.

• Stay informed about payer policies, contract terms, and regulatory changes that affect reimbursement.

⛳️ Requirements

• A Bachelor’s degree in healthcare administration, business, finance, or a related field is required; an advanced degree or certification (e.g., CRCR, CHFP) is preferred.

• Over 10 years of experience in healthcare revenue cycle management, with a strong emphasis on third-party insurance AR and denial management (DME experience preferred).

• At least 5 years of leadership or supervisory experience managing AR, insurance collections, or revenue cycle teams.

• Proven history of Vendor Management, including success in achieving growth targets through Offshore Vendor support.

• Extensive knowledge of payer reimbursement methodologies, denial resolutions, and appeals processes across Medicare, Medicaid, and Commercial lines of business.

• Experience in managing teams that handle Medicare, Medicaid, and commercial insurance collections.

• Strong understanding of revenue cycle compliance and regulatory requirements.

• Demonstrated ability to lead teams, manage performance, and drive measurable improvements in AR outcomes.

• Excellent analytical and organizational skills, with experience in AR reporting and performance dashboards.

• Familiarity with EHR and AR systems (e.g., Epic, Cerner, Meditech).

• Outstanding communication, coaching, and problem-solving skills.

• Proficiency in Microsoft Office Suite, particularly Excel.

🏝️ Benefits

• Medical

• Dental

• 401K with Match