Insurance Accounts Receivable Manager

Job Description: Patient Financial Services AR Manager

• Location: Dover, DE 19901
• Status: Full Time (80 Hours / Pay Period)
• Shift: Days
• Salary Range: $82,950.40 – $ Yearly

Our client is seeking an experienced, goal-oriented leader to direct, coordinate, and oversee staff operations for insurance Accounts Receivable (AR). In this role, you will ensure efficient, compliant billing, account follow-up, collections, and reconciliation within both Epic HB and PB modules.

You will work collaboratively with Employed Physician Practices, Revenue Cycle, and other key departments to safeguard financial performance, minimize losses, and adhere to internal controls, state/federal regulations, and accreditation standards. As an agent for change and an exceptional communicator, you will lead by example upholding the client's core values, holding team members and payers accountable, and driving continuous improvement in AR performance.

• Supervision & Talent Management: Oversee the assigned team, including interviewing, hiring, onboarding, training, performance evaluations, and disciplinary actions. Delegate tasks effectively to match team capabilities.
• Employee Engagement: Foster a goal-oriented, positive work environment with clear performance expectations. Conduct monthly rounding with direct reports, utilizing rounding logs and stoplight reports to maintain open communication and drive engagement.
• Training &
  
  Education:
  
  Review quality assurance results with staff, provide targeted training to address performance gaps, and contribute to the development of onboarding materials and annual training competencies.

• AR Optimization: Manage insurance AR across Epic HB and PB modules to minimize financial loss and ensure all reimbursement options are exhausted.
• Monitoring & Reporting: Develop goals, objectives, and monitoring systems with the Patient Financial Services (PFS) Leadership Team. Measure financial/operational performance, audit work functions, and maintain benchmarking.
• Vendor & Payer Oversight: Monitor the performance of insurance AR vendors. Track AR performance for large payers, physician practices, and vendors monthly; communicate trends, escalte non-compliant payer behaviors to state/federal agencies when necessary, and report action plans.
• Credit Balances: Monitor and ensure timely resolution of all insurance credit balances in compliance with corporate policies.

• Regulatory Adherence: Ensure strict compliance with all governmental and commercial payer rules, regulations, and the client's corporate policies.
• Epic & Portal Governance: Maintain all required Epic ARCR certifications in good standing. Manage user access requests and maintenance for critical portals (e.g., Medicare Novitasphere, Medicaid).
• System Changes & Research: Evaluate requests for system changes to assess impacts on payers and workflows, ensuring supporting research and documentation are thoroughly validated.
• Customer Service & General Duties: Review and respond to patient complaints and legal documents according to established protocols. Perform other duties as assigned within the scope of the role.

• Education:
• Bachelor's Degree in Business or a related field.
• Alternative:
  High School Diploma or GED with eight (8) years of progressive Revenue Cycle leadership experience, or an Associate's Degree with four (4) years of progressive experience.
• Experience:
• Minimum of five (5) years in patient accounting, third-party reimbursement, or a related field.
• Minimum of three (3) years in a supervisory or leadership role.
• Credentials: None required at hire.

• Experience:
• Seven (7) years in patient accounting, third-party reimbursement, or related field.
• Five (5) years in a supervisory or leadership role.
• Credentials &
  
  Certifications:
  
  
• Certified Patient Account Manager (CPAM)
• Certified Revenue Cycle Representative (CRCR)