AR Management Lead

Experience with large healthcare billing systems (over 100+ providers) is a plus. Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems, and financial reporting. At least 3+ years of experience in a healthcare environment or healthcare claims processing environment. 5+ years of experience in the healthcare industry and 1+ year of supervisory experience/leading a team in healthcare revenue management cycle roles. Experience with a large healthcare organization supporting 100 or more providers and overseeing 10+ team members. Experience with large Practice Management (PM) System, eCW (eClinical Works) is a plus but not required. Working knowledge of Excel, including pivot tables. Experience in training the team. High School Diploma or GED required. Bachelor's Degree preferred, but not required.

Directly oversee and supervise day-to-day operations. Respond to process-related questions and manage first-level escalations. Prioritize and adjust daily workflows to meet AR goals and KPIs. Assist with creating front-end scrubs based on denial management review. Streamline improvement initiatives to enhance team effectiveness. Participate in new project assignments and knowledge transfer. Maintain new hire training processes and assist with policy/procedure documentation. Conduct team member audits for quality initiatives. Identify and document trends in underpayments, denials, and aging receivables. Assist with resolution of complex claims and train team on follow-up efforts. Prepare project data with external payors and partners. Motivate, train, evaluate, and report team member performance. Act as a system matter expert for all AR functions. Assist management in establishing weekly/monthly goals and ensuring KPI achievement. Prepare weekly and monthly RCM reporting metrics. Research and maintain understanding of policy changes. Review incoming claim/denial volumes, daily billing, rejections, clean claim rates, and team workflows. Assist manager in the interview process. Assist with preparation of team meetings for collaboration and process improvement. Assist manager with employee performance appraisals and skill development.