Insurance Accounts Receivable Manager

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Insurance Accounts Receivable Manager

The responsibilities and duties described in this job description are intended to provide a general overview of the position. Duties may vary depending on the specific needs of the affiliate or location you are working at and/or state requirements. Responsibilities include but are not limited to:

• Provide leadership and strategic direction for the insurance A/R department, including oversight of billing, claims follow-up, denial management, and collections activities.
• Develop and manage departmental goals, KPIs, and workflow efficiencies to maximize cash flow and minimize aging.
• Prepare and present monthly reports and dashboards to senior leadership, highlighting performance, risks, and opportunities.
• Manage staffing levels, hiring, onboarding, and performance evaluations for insurance A/R personnel.
• Supervise and mentor A/R supervisors, team leads, and staff to ensure high levels of performance, engagement, and professional growth.
• Manage staffing levels, hiring, onboarding, and performance evaluations for insurance A/R personnel.
• Collaborate with vendor leadership and internal teams to streamline workflows, resolve high-impact issues, and ensure continuity between internal and external processes.
• Lead initiatives to improve insurance collections, reduce denials, and enhance payer relationships.
• Analyze and report on insurance A/R aging trends, collection rates, and performance metrics to senior management.
• Collaborate with billing, coding, and compliance teams to resolve issues impacting reimbursement.
• Serve as a point of escalation for complex or high-value accounts and payer issues.
• Report trends to senior management.
• Actively attending meetings .
• Performs other position related duties as assigned.
• Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA);
  
  immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

• N/A

• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Strong analytical and problem-solving skills.
• Ability to work independently and manage deadlines.
• High degree of proficiency with Excel and other Microsoft Office products, and accounting software with ability to retrieve data, manipulate such data and create useful analytical information.
• Knowledge of budget preparation and planning.
• Skill in leading team members to carry out all job objectives while inspiring confidence and motivation.
• Strong leadership and team development capabilities.
• Proficiency in using revenue cycle management tools and payer portals.
• Strong understanding of accounting principals and financial regulations.
• Analytical mindset with the ability to track, measure, and report on operational metrics.

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred.

• Experience in Insurance Accounts Receivable functions, including prior authorizations and patient estimates.
• 5+ years of experience in accounts receivable or financial management, with at least 2 years in a supervisory or managerial role.
• Familiarity with payer requirements and patient financial counseling practices.

• N/A

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1
-25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%

Floor to Waist, 26-50 lbs. Seldom: up to 2%