Collections Manager

Core Responsibilities

• Lead, manage, and develop the collections team to ensure achievement of departmental productivity, quality, and financial goals
• Monitor and manage accounts receivable aging, denial trends, payer follow-up, and collection activities to maximize reimbursement and reduce outstanding balances
• Establish performance expectations, monitor key performance indicators (KPIs), and conduct regular coaching, performance reviews, and corrective action when necessary
• Analyze collection metrics, denial data, and payer trends to identify opportunities for process improvement and increased cash collections
• Develop and implement collection strategies that improve recovery rates while maintaining compliance with payer, client, and regulatory requirements
• Oversee escalation of complex payer issues, appeals, underpayments, and unresolved claims
• Ensure team adherence to company policies, HIPAA regulations, payer guidelines, and revenue cycle best practices
• Collaborate with Billing, Credentialing, Client Success, Payment Posting, Revenue Integrity, and Executive Leadership to resolve operational issues affecting reimbursement
• Develop, maintain, and update departmental workflows, standard operating procedures, and training materials
• Conduct regular quality audits to ensure accuracy, consistency, and compliance within collection activities
• Prepare and present performance reports, operational updates, and collection trends to senior leadership
• Assist with implementation of new clients, systems, payer initiatives, and process improvements
• Support organizational initiatives that improve efficiency, automation, employee engagement, and overall revenue cycle performance

Experience And Skills

• Minimum 5 years of progressive experience in medical billing, insurance collections, or revenue cycle management
• Minimum 3 years of management or supervisory experience leading healthcare collections teams
• Extensive knowledge of healthcare revenue cycle processes, including insurance follow-up, denial management, appeals, payment reconciliation, and accounts receivable management
• Strong understanding of commercial insurance, Medicare, Medicaid, Workers' Compensation, Managed Care, and government payer guidelines
• Experience analyzing collection metrics, KPIs, productivity reports, and financial performance data
• Demonstrated ability to lead teams through change while improving productivity, employee engagement, and operational performance
• Strong coaching, mentoring, conflict resolution, and employee development skills
• Excellent analytical, organizational, and problem-solving abilities
• Ability to prioritize multiple projects and meet deadlines in a fast-paced environment
• Strong verbal and written communication skills with the ability to communicate effectively across all organizational levels
• Experience utilizing electronic health records (EHR), practice management systems, clearinghouses, and revenue cycle software
• Knowledge of HIPAA, healthcare compliance regulations, and payer contractual requirements
• Healthcare industry experience required; Home Health billing experience preferred
• Experience with reporting tools and Microsoft Excel for data analysis preferred
• Proficiency in MS Office Suite (Outlook, Word, Excel)

Education And Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field
• Demonstrated leadership experience managing healthcare collections or revenue cycle operations
• Equivalent combination of education and relevant experience may be considered