Accounts Receivable (AR) Manager

Responsibilities:

• Management of accounts receivable including analysis of the aged AR and writing rules to stop errors.
• Denial management, including investigating denial sources and appealing denials, including contacting payer representatives.
• Collaborate with internal teams (Performance, Operations, Sales) and care center staff.

Daily Tasks:

• Resolve all claim issues or questions escalated to the RCM team.
• Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
• Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality.

Additional Responsibilities:

• Perform Denial analysis utilizing the Trizetto platform
• Support large care center go-lives, including overnight travel.
• Drive toward achievement of department's daily and monthly Key Performance Indicators (KPIs).