Manager, AR Support & Analysis

SUMMARY:

The Manager of AR Support & Analytics is responsible for improving financial performance across the revenue cycle through a combination of analytics, AR optimization, operational support, and responsive data services. This role drives financial performance and acts as a critical bridge between multiple facilities or entities by combining data-driven insights, AR optimization, and responsive support for internal and external clients and stakeholders. Direct experience in leading teams of 10+ members to collect insurance A/R, drive cash, and increase productivity.  Primary experience in billing, claims edit resolution, etc. is helpful

The Manager will partner with RCM Operations, Finance, HIM/Coding, IT, and executive leadership to deliver actionable insights, resolve operational issues, and fulfill data requests that drive decision-making and revenue improvement.

DUTIES & RESPONSIBILITIES:

• Act as a contact for facility/client data and reporting requests including ad hoc data requests and routine reporting needs.

• Partner with hospital/clinic leadership, finance teams, and RCM operational stakeholders to deliver actionable insights.

• Ensure alignment between analytics, AR operations and client support functions.

• Monitor and manage AR performance across all RCM client supported entities.

• Identify and address aging trends, payer delays, and underperformance at facility or service-line level.

• Partner with AR teams to prioritize high-value accounts and reduce backlog.

• Provide visibility and accountability to facility leadership on AR performance.

• Manage the day-to-day activities of the staff supervised on site or remotely for a client hospital.

• Focus the team’s efforts and ensure diligent team follow-up are crucial to this position.

• Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential.

• Hands-on training of staff is a key element of this role. Monitor the status of outstanding patient accounts, identifying and resolving billing errors and claim denials. Conduct weekly team meetings driving revenue cycle performance needs and continued training, maintain and track SOP’s and process improvement processes.

• Implement strategies to improve collection rates and reduce outstanding accounts receivable. Follow up on complex payer trends, communicate with Management the volume and specific issue along with researched payer specific guidelines.

• Mentor and monitor team performance against key metrics goals and monthly collection goals, reduced denials, and productivity met 95% or better.

• Identify areas for improvement and implement action plan to resolve payer and denial challenges.

• Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.

• Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker’s Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.)

• Interprets and follows up on contracts with insurance companies pertaining to rates, discounts and filing instructions. Proper utilization of federal and state credit collection regulations and guidelines

• Properly handles HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations. Monitor staff productivity

KNOWLEDGE, SKILLS, AND ABILITIES:

• Advanced Excel (required)

• Experience with EHR/billing systems (CPSI preferred)

• Strong understanding of end-to-end revenue cycle workflows

• Ability to translate business needs into data solutions

• Strong customer service orientation for external and internal stakeholders

• Excellent prioritization and workload management skills

• Strong problem-solving and analytical thinking

• Effective communication with both technical and non-technical audiences

• High attention to detail and data accuracy

WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS:

• 5–8+ years of experience in healthcare revenue cycle spanning multi-entity environments, AR/Patient Financial Services Operations and/or revenue cycle reporting, analytics/decision support.

• 2-4+ years in a managerial or senior analyst capacity

• Experience managing or supporting stakeholder data requests strongly preferred

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:

• Reliable high-speed internet connection is required for all remote/hybrid positions. 

• Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities. 

• A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations. 

TRAVEL REQUIREMENTS:

• 5%