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Job Summary

The Manager – AR Insurance Collections is responsible for the day-to-day operational management of insurance accounts receivable follow-up and collections activities. This role leads front-line AR insurance collection teams, ensures timely resolution of open AR, and drives performance against established KPIs related to cash collections, AR aging, and denials resolution. The Manager partners closely with the Director and cross-functional revenue cycle teams to execute standardized workflows, maintain payer compliance, and support financial performance objectives across assigned facilities or portfolios.

Essential Functions

• Manages daily insurance AR follow-up and collections operations for assigned facilities, payers, or work queues.
• Supervises and supports AR insurance collection staff to ensure productivity, quality, and compliance with established standards.
• Monitors team performance against daily, weekly, and monthly KPIs related to AR aging, cash collections, inventory levels, and denials resolution.
• Reviews and prioritizes AR worklists to ensure timely follow-up, appeal submission, and escalation of complex accounts.
• Identifies trends, barriers, and root causes impacting AR resolution; escalates systemic issues and recommends corrective actions.
• Maintains working knowledge of payer policies, appeal processes, corrected claim requirements, and timely filing limits.
• Ensures accurate documentation of follow-up actions within patient accounting systems and payer portals.
• Partners with billing, coding, HIM, and other revenue cycle functions to resolve claim issues and prevent recurring denials.
• Assists in implementing standardized workflows, best practices, and performance improvement initiatives.
• Supports training, onboarding, and ongoing development of AR insurance collection staff.
• Ensures compliance with HIPAA, payer requirements, regulatory standards, and organizational policies.
• Participates in operational meetings, reporting, and performance reviews with leadership.

Knowledge/Skills/Abilities/Expectations

• Solid understanding of healthcare revenue cycle operations, insurance reimbursement, and AR workflows.
• Working knowledge of billing, collections, denials, payment posting, clearinghouses, and patient accounting systems.
• Familiarity with ICD-10, CPT, modifiers, NCCI edits, CMS guidelines, and payer-specific rules.
• Ability to analyze AR data, reports, and trends to support operational decision-making.
• Strong people-management, coaching, and communication skills.
• Effective organizational and time-management skills with the ability to manage competing priorities.
• Proficiency in Microsoft Office applications, particularly Excel; experience with reporting tools preferred.
• Understanding of HIPAA and the protection of PHI.
• Primarily sedentary role requiring prolonged periods of sitting, computer use, and virtual or in-person meetings.
• Occasional lifting of office materials up to 25 pounds.
• Office or remote-enabled business office environment with interaction across hospital and physician practice settings.
• May require limited travel to facilities or meetings.
• Minimal exposure to typical healthcare environment risks.

Education

• Bachelor’s degree in Healthcare Administration, Business, Finance, Accounting, or a related field preferred.
• Equivalent combination of education and experience may be considered.

Licenses/Certifications

• None required.
• Healthcare revenue cycle or billing certification (e.g., HFMA, CRCR) preferred.

Experience

• Minimum of 3–5 years of hospital insurance AR collections and follow-up experience, including denials management required.
• Minimum of 1–2 years of supervisory or lead experience in revenue cycle, AR, or insurance collections required.
• Experience in a multi-facility or centralized business office environment preferred.