Accounts Receivable Manager - Insurance Collections

About Our Client

The organization operates in the cardiac medical device industry, focusing on combining wearable technologies with established device therapies to enhance patient care. Founded in 2014, the team brings extensive experience in both external and internal cardiac device markets. The organization aims to improve patient comfort and dignity through high-quality, wearable medical solutions that enable effective monitoring and management of cardiac health.

About the Opportunity

The Accounts Receivable Manager - Insurance Collections leads the Insurance Collections team within the Revenue Cycle function. This role is responsible for overseeing operational performance, managing staff, and optimizing third-party insurance receivables collection. The position plays a key role in driving financial efficiency, reducing accounts receivable aging, and ensuring adherence to payer requirements, thereby supporting the organization’s financial health.

Responsibilities

• Lead and manage daily operations of the Insurance Collections team, including workload distribution and performance monitoring.
• Set clear performance expectations and conduct coaching, feedback, and evaluations.
• Identify staffing and training needs; participate in hiring and onboarding.
• Apply analytical problem-solving to improve team outcomes.
• Conduct quality assurance and upskill staff to sustain performance improvements.
• Optimize workflows to reduce cost of service.
• Develop and implement revenue cycle strategies to enhance financial results.
• Standardize best practices and enhance agent workflows.
• Serve as escalation point for complex or high-value payer issues.
• Drive operational efficiency and measurable financial improvements.
• Monitor third-party payer accounts to ensure timely claim resolution.
• Track and analyze AR aging, denials, underpayments, and payer responses.
• Translate payer trend analysis into actionable improvements.
• Ensure accurate documentation of payer interactions.
• Oversee denial management, appeals, and escalation protocols.
• Collaborate with cross-functional teams to prevent recurring denials.
• Maintain current knowledge of payer policies, contracts, and regulations.
• Adhere to confidentiality policies regarding patient information.

Requirements

• Bachelor’s degree in healthcare administration, business, finance, or related field required; advanced degree or relevant certification preferred.
• Over 10 years of healthcare revenue cycle experience with a focus on third-party insurance accounts receivable and denial management.
• Strong leadership and team management skills.
• Proficiency in data analysis and process optimization.
• Knowledge of payer policies and regulatory environment.
• Commitment to confidentiality and ethical standards.