Receivables and Medical Claims Manager

Role Overview

• Lead and supervise the accounts receivables and medical claims teams, fostering high performance and accountability.
• Analyze, redesign, and optimize receivables and claims processes to eliminate inefficiencies, streamline workflows, and leverage automation where appropriate.
• Drive process improvement initiatives focused on reducing bad debt, boosting collection rates, and enhancing customer/patient satisfaction.
• Monitor and manage receivables aging to ensure timely collections and reductions in DSO and bad debt.
• Monitor and manage medical claims workflow to ensure timely claims submission and settlement.
• Oversee and resolve complex operational matters requiring senior-level attention such as claims denials, appeals, and single case agreements.
• Support contracting and credentialing, as needed.
• Serve as escalation point for customer, patient, and payer disputes.
• Foster strong working relationships with insurance payers and key clients to ensure customer satisfaction while meeting internal objectives.

Requirements

• Associate's degree in Accounting, Finance, Healthcare Administration, or a related field
• 6+ years of progressive experience in accounts receivable, medical claims management, or revenue cycle management
• 2+ years in a supervisory or managerial role

Benefits

• Paid Time Off and 10 Paid Holidays
• 401(k) with Employer Match
• Medical, Dental, Vision
• IVF Coverage to support family building needs
• GAP Insurance
• Basic Life and AD&D Coverage
• Short
• and Long-Term Disability
• Optional AFLAC Supplemental Policies
• Employee Assistance Program (EAP)
• Flexible Spending & Health Savings Account