Receivables and Medical Claims Manager

Position Overview

Finance – Receivables and Medical Claims Manager

Location:

Miami (On-site / Hybrid)

The Receivables and Medical Claims Manager is an experienced leader who manages a team of receivable and medical claims specialists and drives operational excellence in both functions. This individual develops a high‑performing team, proactively optimizes workflows, maximizes efficiency, reduces bad debt, improves cash flow, and delivers superior customer experiences.

• Lead and supervise the accounts receivables and medical claims teams, fostering high performance and accountability.
• Analyze, redesign, and optimize receivables and claims processes to eliminate inefficiencies, streamline workflows, and leverage automation where appropriate.
• Drive process improvement initiatives focused on reducing bad debt, boosting collection rates, and enhancing customer/patient satisfaction.
• Monitor and manage receivables aging to ensure timely collections and reductions in DSO and bad debt.
• Monitor and manage medical claims workflow to ensure timely claims submission and settlement.
• Oversee and resolve complex operational matters requiring senior‑level attention such as claims denials, appeals, and single case agreements.
• Support contracting and credentialing, as needed.
• Serve as escalation point for customer, patient, and payer disputes.
• Foster strong working relationships with insurance payers and key clients to ensure customer satisfaction while meeting internal objectives.

• Associate's degree in Accounting, Finance, Healthcare Administration, or a related field.
• 6+ years of progressive experience in accounts receivable, medical claims management, or revenue cycle management.
• 2+ years in a supervisory or managerial role.

• Excellent leadership and team management skills across diverse functional areas.
• Demonstrated ability to implement process improvements and drive measurable results.
• Superior analytical, problem‑solving, and decision‑making abilities.
• Strong communication and interpersonal skills.
• Detail‑oriented and highly organized, with ability to multitask in deadline‑driven environments.

• Paid Time Off and 10 Paid Holidays
• 401(k) with Employer Match
• Medical, Dental, Vision
• IVF Coverage to support family building needs
• GAP Insurance
• Basic Life and AD&DD Coverage
• Short‑ and Long‑Term Disability
• Optional AFLAC Supplemental Policies
• Employee Assistance Program (EAP)
• Flexible Spending & Health Savings Account

Employment type

is full‑time and the role requires a background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.