Full-Time AR Manager (Medical Claims)

AR Manager (Medical Claims Billing Specialist)

Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for complete, accurate, and timely processing of all designated claims.

Responsibilities

• Reviewing and responding to daily correspondence from physician practices.
• Answering incoming Salesforce cases and providing requested information.
• Resolving claim issues or questions escalating to the RCM team.
• Management of accounts receivable, including analysis of aged AR and identifying root cause issues.
• Writing rules to prevent errors.
• Denial management (investigating denial sources, resolving, and appealing denials).
• Making independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
• Collaborating with internal teams (Performance, Operations, Sales) and care center staff.
• Supporting large care center go-lives, which may include overnight travel.
• Working closely with the Revenue Optimization team to ensure reimbursement aligns with payer contract agreements.
• Performing denial analysis using the Trizetto platform.
• Working with practice consultants or physicians to ensure optimal revenue cycle functionality.
• Driving toward achievement of department KPIs.
• Other duties as assigned.

Qualifications

• High School Graduate
• 3+ years experience in a physician medical billing office
• Experience with major payers (Anthem, Medicare/Medicaid, United Healthcare)
• Athena EHR experience
• Behavioral Health physician billing experience (preferred)
• Experience supporting medical claims billing in DC/MD/VA (preferred)
• Understanding of revenue cycle optimal performance drivers
• Advanced Microsoft Excel skills
• HIPAA compliance

Interpersonal Skills

• Comfortable speaking in front of groups
• Excellent written and verbal communication
• Willingness to train and mentor
• Great time management skills
• Ability to work independently and multitask in a fast-paced environment

Salary and Benefits

Salary range: $45,000 - $55,000 (base), plus potential 10% annual bonus. Benefits include medical, dental, vision, life, pet insurance, 401K, paid time off, and other wellness programs.

Technical Requirements (Remote Only)

Minimum internet speed: 5 Mbps download, 3 Mbps upload.

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