AR & Denial Prevention Manager

About the role

The AR & Denial Prevention Manager is responsible for leading end-to-end accounts receivable follow-up, denial prevention & management, and appeals across all service lines within Boomerang Healthcare (BHC). This role oversees AR follow-up for Commercial and Medicare, Litigation Support and Lien Resolution functions, as well as payment posting and appeals teams and plays a critical role in stabilizing and optimizing cash flow.

Responsibilities

• Direct and manage AR follow-up activities across all payer types, including: Workers’ Compensation (fee schedules, direct bill, employer/carrier models), Commercial insurance, Medicare
• Establish AR prioritization strategies by payer, aging bucket, service line, and dollar value
• Monitor and drive performance for current AR, 31-60, 61-90, 91-180, and 181+ day buckets
• Manage the resolution of holds, missing information, and errors related to claim submission
• Partner with finance to support monthly AR reconciliation, variance analysis, and cash forecasting
• Provide direct oversight of WC AR and staff
• Manage litigation-related AR
• Oversee lien preparation, submission, tracking, and resolution
• Lead denial prevention strategies across all payers
• Oversee denial management workflows
• Manage appeals and reconsiderations for: Medicare, Commercial payers, Workers’ Compensation disputes
• Absorbs other responsibilities as appropriate to the position and organizational needs

Qualifications

• 5+ years of progressive experience in healthcare revenue cycle management, with direct AR and denial management leadership experience
• Strong Workers’ Compensation billing expertise, including litigation and lien resolution
• Hands-on experience managing Commercial and Medicare AR and appeals
• Demonstrated success in denial prevention and root cause analysis
• Experience leading teams in high -volume, multi-payer environment
• Strong analytical, organizational, and communication skills
• Experience building and managing AR and denial dashboards, reporting tools, and billing platforms
• Experience with multiple EHR/Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar)
• Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus
• Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications

Pay

Compensation Range: $105,000 to $130,000 Annually

Schedule

Monday-Friday, 8am-5pm