Manager, Accounts Receivable and Payable

About the role

The Manager, Accounts Receivable/Accounts Payable is responsible for overseeing insurance accounts receivable, denial management, claims follow-up, credit balance resolution, patient and insurance refund operations, patient billing support, and customer service activities for a growing primary care and specialty care organization. This role leads an internal team responsible for insurance follow-up and escalated patient billing inquiries while partnering closely with an outsourced Revenue Cycle customer service vendor. The Manager monitors and drives performance across key revenue cycle metrics, including accounts receivable aging, collections, denial resolution, credit balance inventory, refund timeliness, and vendor service levels. This position collaborates with clinical, operational, compliance, contracting, and finance teams to optimize reimbursement, ensure regulatory compliance, improve processes, and support organizational revenue goals. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area.

Responsibilities

• Oversee insurance accounts receivable, denial management, claims follow-up, credit balance resolution, patient and insurance refund operations, patient billing support, and customer service activities
• Lead an internal team responsible for insurance follow-up and escalated patient billing inquiries
• Partner closely with an outsourced Revenue Cycle customer service vendor
• Monitor and drive performance across key revenue cycle metrics, including accounts receivable aging, collections, denial resolution, credit balance inventory, refund timeliness, and vendor service levels
• Collaborate with clinical, operational, compliance, contracting, and finance teams to optimize reimbursement, ensure regulatory compliance, improve processes, and support organizational revenue goals

What Makes You Successful

• Deep understanding of healthcare revenue cycle operations, including claims management, denials, AR follow-up, and patient billing
• Proven ability to improve collections performance and reduce aging accounts receivable
• Strong leadership skills with experience developing high-performing teams and managing vendor partnerships
• Analytical mindset with the ability to identify trends, solve problems, and implement process improvements
• Excellent communication and customer service skills with a focus on both patient and provider experience
• Knowledge of Medicare, Medicaid, Commercial, and Managed Care reimbursement

Required Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field
• 6 or more years of healthcare revenue cycle experience
• 2 or more years of management experience
• Experience managing revenue cycle, accounts receivable, or patient financial services teams

Preferred Qualifications

• Certified Professional Biller (CPB), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), CRCR, or similar healthcare revenue cycle certification
• Experience supporting primary care, specialty care, or multi-site physician practices
• Experience managing outsourced revenue cycle vendors or call center operations
• Experience with Athenahealth or similar practice management and revenue cycle platforms

Additional Information

• Reports to Associate Director of Revenue Cycle Management
• Fully remote within the US
• Leader with approximately 10-15 direct reports
• No domestic travel required
• Work at Home Requirements: minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable or DSL connection suggested; dedicated workspace lacking ongoing interruptions to protect member PHI / HIPAA information
• Occasional travel to Humana's offices for training or meetings may be required
• Scheduled Weekly Hours: 40

Pay

$86,300 - $118,700 per year, eligible for a bonus incentive plan based on company and/or individual performance.

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance