CRS Manager-PMG

A Day in the Life

• Supervise and support the CRS Team; respond to claim-related questions and oversee daily workflow
• Serve as a go-to resource for team members to address issues and promote operational efficiency
• Distribute and monitor daily worklists; ensure timely and accurate completion of assignments
• Conduct daily productivity reviews and promptly report any team member not meeting performance standards
• Perform random claim audits to identify training needs, improve processes, and streamline claim resolution
• Manage ADP tasks for the team, including:
  • Monitoring daily attendance
  • Reviewing and correcting missed punches
  • Approving PTO requests with a workload coverage plan in place
• Develop and refine workflows as needed or directed by leadership
• Collaborate with management on strategies to effectively manage accounts receivable (AR)
• Train and participate in hiring and onboarding new team members

Analytical & Technical Responsibilities

• Review AR reports and identify root causes of outstanding claims or denial trends; communicate issues and recommend solutions
• Use the Month End deck to demonstrate how daily work impacts overall performance and identify areas requiring focus
• Leverage Excel to track trends, compile data, and build client-ready reporting; ongoing Excel training will support this skill development
• Be proficient in Activity Wizard to analyze worklists, identify gaps in workflows, and drill into claim-level issues
• Assist in building custom Excel reports and data extracts to communicate trends and performance to the client and leadership
• Participate in a dedicated training session (post-CRS hiring) on worklist and report analysis to support client reporting and operational insight

Client-Facing & Communication Expectations

• Maintain a professional and responsive approach when communicating with the client; this client regularly reaches out directly to CRS Managers
• If unsure how to respond to a client request or question, escalate to the Account Manager for guidance
• Represent the team effectively and confidently during client interactions and internal calls

Project & Operational Management

• Lead or participate in project management efforts using shared tools such as: Shared networks, Wrike, spreadsheet trackers, and the client tracking sheet
• Manage and update internal tools used to monitor CRS progress, client expectations, and operational initiatives
• Ensure action items from calls and meetings are tracked and completed in a timely manner

Monthly & Ongoing Responsibilities

• Create and maintain agendas for monthly regional calls, lead meetings and document key points and action items
• Prioritize work strategically during the last week of each month to optimize month-end performance
• Assist in preparing monthly reports and attend AR/client meetings as needed
• Develop and maintain weekly Operations meeting agendas, lead meetings and document meeting minutes
• Drive accountability on follow-ups and ensure all initiatives are tracked and completed

Other Tasks

• Employees must abide by employee handbook, company rules, client's rules, and law. Any concerns must be reported to the supervisor or compliance officer
• You will be responsible for holding employees to the standard set and implementing Performance Improvement Plans where employees fail to meet the guidelines
• You will maintain a good working relationship with the members of the leadership team and will help in all areas to help improve the company
• Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organization in the U.S
• Other duties as assigned

What You Need

• 5+ years of experience in claims resolution or medical billing
• A minimum of 5 years of documented experience on the Athena billing platform is required
• Cerner and NextGen experience a plus
• Complete understanding of follow-up processes
• Solid background in AR and overall Revenue Cycle policies and procedures
• Experience working in a medical billing environment where compliance with protected health information and HIPAA compliance is strongly enforced
• Excellent communications skills
• Excellent systems experience and acuity (EMR and Billing and Collection Systems). Multi-system and multi-specialty experience is preferred
• Proficiency in Microsoft Office Suite, including Word and Excel
• Bachelor's degree, medical billing certificate preferred
• Ability to communicate orally and in writing in a clear and straightforward manner
• Ability to communicate effectively with senior leadership and company personnel
• Ability to effectively plan/manage/lead projects
• Ability to make decisions and solve problems while working under pressure
• Ability to prioritize and organize effectively
• Ability to show judgment and initiative and to accomplish job duties
• Ability to work independently
• Strong Business Acumen
• Strong communication skills including public speaking

Benefits

• Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance
• Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry's most generous parental leave policies to support you during life's most important moments
• Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won't go unnoticed
• Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance