Senior Manager of AR & Eligibility Services

We are seeking a highly experienced and results-driven Senior Manager of AR/Eligibility Services to oversee and optimize the accounts receivable (AR) and patient eligibility verification functions within our healthcare revenue cycle. This leadership role is pivotal in ensuring timely reimbursement, enhancing cash flow, and driving process improvements. The ideal candidate will possess a deep understanding of revenue cycle operations, including billing, collections, and eligibility verification, and will lead a dynamic team in collaboration with both internal and external stakeholders to improve revenue cycle performance.

Responsibilities include, but are not limited to:

• Lead the AR processes, including billing, collections, and denial management, to ensure efficient claims processing and timely reimbursement.
• Monitor AR aging reports and implement strategies to minimize outstanding balances and bad debt.
• Resolve claim denials and disputes by collaborating with payers to enhance revenue recovery.
• Oversee patient eligibility verification and benefits coordination to reduce claim denials and revenue leakage.
• Lead and mentor a team, providing coaching and training to enhance performance and adherence to revenue cycle policies.
• Work cross-functionally with other departments such as patient access, coding, and finance to improve overall revenue cycle operations.
• Implement process improvements and automation tools to increase operational efficiency.
• Ensure compliance with HIPAA, CMS, and payer-specific regulations.
• Prepare and present detailed reports on AR trends, denial rates, and eligibility success metrics to senior leadership.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Paid training
• Tuition reimbursement
• Vision insurance

Schedule:

• 40 hours/week

Requirements

Qualifications:

• Bachelor's degree in Healthcare Administration, Finance, Business, or a related field.
• 5+ years of experience in healthcare revenue cycle management, with a strong focus on AR and eligibility services.
• Proven leadership experience in managing AR teams and optimizing revenue cycle performance.
• Strong understanding of insurance verification, prior authorizations, and claim adjudication processes.
• Experience with Electronic Health Records (EHR) and Revenue Cycle Management (RCM) systems.
• Analytical skills to interpret AR data and recommend improvements.
• Excellent communication, leadership, and problem-solving abilities.

Preferred Qualifications:

• Certification in Healthcare Revenue Cycle (e.g., CRCR, CHAM, or CPC).
• Experience with Medicare, Medicaid, and commercial payer guidelines.
• Familiarity with process automation and revenue cycle analytics tools.

Physical Requirements:

• Ability to travel to client sites in the United States and to our office in Honduras.
• Primarily office-based with occasional on-site visits for staff training and audits.
• Prolonged periods of sitting at a desk and working on a computer.
• Occasional light lifting (up to 15 lbs).