Accounts Receivable Manager - Insurance Collections

ESSENTIAL DUTIES

• Operational & Team Management
  • Provide direct leadership and day-to-day management of Insurance Collections team members, including workload distribution, prioritization, and performance monitoring.
  • Establish and manage to clear performance expectations and accountability and conduct regular coaching, feedback sessions, and performance evaluations to improve team member effectiveness and engagement.
  • Identify staffing and training needs, participate in hiring, onboarding, and development of training materials and training of new insurance collections team members.
  • Demonstrate strong analytical problem-solving skills with an action-oriented, outcome-driven approach and the ability to influence results through persuasive leadership.
  • Lead quality assurance efforts by assessing team member competencies and proactively upskilling staff to drive sustained improvements in performance.
  • Drive cost-of-service improvements through workflow optimization and operational efficiency initiatives.
  • Create and standardize materials and measures for best practices and develop additional strategies to optimize insurance collection agent’s workflow and follow up processes.
  • Serve as an escalation point for complex or high-dollar payer issues unresolved by team members.
  • Drive operational efficiency, effectiveness, and measurable financial improvement across insurance collections functions.
• Accounts Receivable & Payer Oversight
  • Oversee performance of third-party payer accounts to ensure timely follow-up and resolution of outstanding insurance claims.
  • Monitor AR aging, denial inventory, underpayments, and payer response timelines to ensure compliance with contractual and internal benchmarks.
  • Analyze payer-specific trends, denial patterns, and reimbursement issues; translate findings into actionable and executable improvements.
  • Use data-driven insights to improve team performance and reduce AR aging across commercial, government, and managed care payers.
  • Maintain knowledge of payer policies, contract terms, and regulatory changes impacting reimbursement.
  • Partner with front end, prior authorization, insurance verification, billing, clinical documentation, and patient access teams to prevent recurring denials and errors.

QUALIFICATIONS

• Education/Experience Required:
  • Bachelor’s degree in healthcare administration, business, finance, or related field required; advanced degree or certification (e.g., CRCR, CHFP) preferred.
  • 10+ years of healthcare revenue cycle experience, with a strong focus on third-party insurance AR and denial management. (DME experience preferred)
  • 5+ years of leadership or supervisory experience managing AR, insurance collections, or revenue cycle teams.
  • Proven track record of Vendor Management including success in managing to growth targets through Offshore Vendor support.
  • In-depth knowledge of payer reimbursement methodologies, denial resolution, and appeals processes across Medicare, Medicaid, and Commercial lines of business.
  • Experience managing teams handling Medicare, Medicaid, and commercial insurance collections.
  • Strong understanding of revenue cycle compliance and regulatory requirements.
  • Proven ability to lead teams, manage performance, and drive measurable improvements in AR outcomes.
  • Strong analytical and organizational skills, with experience in AR reporting and performance dashboards.
  • Experience working with EHR and AR systems (e.g., Epic, Cerner, Meditech).
  • Excellent communication, coaching, and problem-solving skills.
  • Proficiency in Microsoft Office Suite, especially Excel.
• Preferred:
  • Experience working in Bonafide and Salesforce software.
  • Direct experience managing the oversight of a BPO arrangement.
  • Demonstrated ability to lead change, improve workflows, and scale operational processes.
  • Collaborative leadership style with a focus on accountability and continuous improvement.

WORK ENVIRONMENT

Faced-paced, remote work from your home office
Extended hours when needed, to include nights and weekends
Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare.
Kestra maintains a drug free workplace and testing is a condition of employment.