Revenue Cycle Account Receivables Manager

Revenue Cycle Account Receivables Manager

The Account Receivables Manager is responsible for the daily management and performance of the organization's insurance and patient accounts receivable functions. This position leads the AR team, oversees collection and aging performance, manages complex reimbursement issues, and implements strategies to maximize collections and reduce outstanding AR. The Manager serves as a key RCM leader, partnering with the Revenue Cycle Director, Operations, Coding, Finance, and other departments to identify and resolve issues affecting reimbursement, denials, and cash collections. The role is responsible for team development, performance management, process improvement, and ensuring AR activities are accurate, timely, and compliant.

Leadership & Team Management

• Lead and manage daily AR operations, workflows, staffing, and work assignments.
• Establish and monitor team productivity, quality, collection, and aging goals.
• Coach, develop, and hold team members accountable for performance.
• Provide guidance and escalation support for complex reimbursement and AR issues.
• Support hiring, onboarding, training, and ongoing staff development.

Accounts Receivable Management

• Oversee insurance and patient AR to maximize collections and reduce aging.
• Monitor AR by payer, aging category, location, provider, and account type.
• Prioritize high-dollar, aged, and high-risk accounts for timely resolution.
• Develop targeted strategies for aged AR, denials, underpayments, and non-payment.
• Ensure timely claim follow-up, appeals, escalations, and account resolution.
• Review and approve adjustments, write-offs, refunds, and other account transactions within established guidelines.

Denial & Reimbursement Management

• Monitor denial, underpayment, and reimbursement trends and identify root causes.
• Oversee resolution of complex and escalated payer issues.
• Identify revenue recovery opportunities and develop action plans to capture missed reimbursement.
• Partner with Coding, Operations, Insurance Verification, and other RCM teams to reduce preventable denials.
• Monitor appeal activity and outcomes to maximize reimbursement.

Reporting & Performance Management

• Monitor and report key AR, collection, aging, denial, and productivity metrics.
• Analyze AR performance to identify trends, risks, and collection opportunities.
• Develop action plans to address underperforming payers, accounts, or workflows.
• Provide regular AR performance updates and recommendations to the Revenue Cycle Director.

Process Improvement

• Identify and implement opportunities to improve AR workflows, productivity, and collections.
• Develop standardized processes for account follow-up, denial resolution, and payer escalation.
• Lead or participate in revenue cycle improvement and recovery initiatives.
• Partner with Operations and RCM leadership to address upstream issues affecting reimbursement.

Cross-Functional Collaboration

• Partner with the Revenue Cycle Director on AR and cash collection strategies.
• Collaborate with Operations, Coding, Clinical, Finance, Credentialing, and Insurance Verification teams to resolve reimbursement barriers.
• Communicate payer trends, operational issues, and revenue opportunities to appropriate leadership.
• Serve as a key resource for AR and reimbursement-related matters across the organization.

Compliance & Quality

• Ensure AR activities comply with payer requirements, contracts, organizational policies, and applicable regulations.
• Maintain accurate documentation of account activity, appeals, payer communications, and financial transactions.
• Monitor adherence to established workflows, quality standards, and internal controls.
• Identify and escalate compliance or financial risks.

Additional Responsibilities

• Participate in RCM leadership meetings, workgroups, and strategic initiatives.
• Perform other duties and special projects as assigned.

Requirements: A. Education and Certifications

• Bachelor's degree in Business, Healthcare Administration, Finance, Revenue Cycle Management, or related field preferred.
• Associate degree with significant progressive healthcare revenue cycle and management experience may be considered.
• Relevant revenue cycle, medical billing, healthcare management, or professional certification preferred.

B. Experience & Competencies

• Leadership: Effectively leads, develops, and holds team members accountable.
• AR Management: Demonstrates strong knowledge of accounts receivable and collection strategies.
• Revenue Cycle Expertise: Understands the relationship between operations, billing, coding, reimbursement, and collections.
• Analytical Thinking: Uses data to identify trends, risks, and opportunities.
• Problem Solving: Effectively resolves complex AR and reimbursement issues.
• Financial Acumen: Understands the financial impact of aging, denials, adjustments, and collections.
• Communication: Communicates effectively with staff, leadership, payers, and organizational partners.
• Collaboration: Builds strong cross-functional relationships.
• Continuous Improvement: Identifies and implements opportunities to improve revenue cycle performance.

C. Physical Requirements

• Work consistently requires prolonged periods of sitting and computer use, with occasional walking, standing, reaching, bending, stooping, pushing, and pulling as necessary to perform job responsibilities.
• Must be able to lift and support up to 35 pounds as required.
• Ability to concentrate and maintain attention to detail for extended periods.
• Ability to work at a computer for prolonged periods of time.
• Ability to communicate effectively in person, by telephone, and electronically.