Full-Time AR Manager (Medical Claims Billing)

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.

Key Responsibilities:

• Reviewing and responding to daily correspondence from physician practices.
• Answering incoming Salesforce cases and providing information.
• Resolving claim issues and questions escalating to the RCM team.
• Managing accounts receivable (AR), 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 optimize revenue cycle functionality.
• Driving department KPIs, requiring a team-focused approach.
• Other duties as assigned.

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