Accounts Receivable Manager | Remote

Key Responsibilities

• Oversee end-to-end A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers, driving timely resolution of outstanding and aging claims
• Manage claim status follow-up workflows via EDI 276/277 transactions, payer portals, and direct phone resolution, maintaining throughput across high-volume queues
• Prioritize A/R queues by aging bucket, payer mix, and dollar value to maximize collection rates and minimize write-offs
• Identify and resolve claim payment discrepancies, underpayments, and payer processing errors through structured escalation and payer correspondence
• Evaluate automation-generated A/R recommendations, claim status outputs, and payer correspondence drafts for clinical accuracy, payer compliance, and operational effectiveness
• Monitor KPIs including days in A/R, aging distribution, collection rates, and write-off rates, delivering performance insights that inform follow-up strategy

Core Requirements

• Demonstrated management experience in A/R follow-up, payer collections, or revenue cycle operations within healthcare billing environments
• Deep command of EDI 276/277 transaction workflows and payer-specific collections processes across government and commercial payer types
• Thorough knowledge of Medicare, Medicaid, and managed care claims processing rules, payment timelines, and timely filing requirements
• Proven ability to manage and prioritize high-volume multi-payer A/R queues with measurable impact on revenue recovery metrics
• Proficiency with enterprise billing systems and A/R management platforms
• Working knowledge of FDCPA, HIPAA, and payer-specific compliance requirements governing follow-up activity

Additional Strengths

• CRCR, CPC, or CHFP certification, or equivalent credentialing in revenue cycle management
• Background in multi-payer follow-up within hospital or physician group settings, with experience presenting A/R reduction plans to senior leadership
• Familiarity with RCM technology platforms featuring automated follow-up capabilities and comfort structuring evaluative feedback on system-generated outputs