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AR Manager
Revenue Cycle Management
Remote - US
Full Time

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Title/Position: AR Manager

Department or Business Unit: RCM

Employment Type: FTE

Exemption Status: Exempt

Min. Experience: Mid-Level

Travel Required: <10%


Overview of the Role:


Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming telephone calls or SalesForce cases and providing information as requested or properly authorized.

Primary Job Duties:


  • Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
  • Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
  • Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
  • Makes policy updates as needed, to all RCM policies.
  • Responsible for training internal teams (Operations, Sales) as well as care center staff when appropriate.
  • Support large care center go lives which may include overnight travel.
  • Works closely with our Revenue Integrity team, to support efforts to ensure reimbursement is in line with payer contract agreements. Performs Denial analysis utilizing the Trizetto platform.
  • Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
  • Laser focused drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.


Minimum Qualifications:


  • Must have experience with claim management 
  • Education: High School Graduate, Medical Office training certificate or relevant experience
  • Experience: 3+ years experience in medical billing office.
  • Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims.
  • Strong preference for experience working with athenaHealth’s suite of tools 
  • Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely
  • Must comply with HIPAA rules and regulations 


Physical Demands:


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is required to sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; talk and hear. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.


Technical Requirements:

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.bing.com/search?q=speedtest  

opens in a new window . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.


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