As an AR Manager you should have end to end knowledge of RCM and Medical Billing. Must be capable of handling the team and analyzing the status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up. Ensure that the deliverable to the client adhere to the quality standards
What you'll do- Train associates on AR and identify improvement areas
- Allocate accounts to team members
- Review denial and AR reporting (Waystar)
- Analysis / insights about root cause of denials
- Monitor denial trends by reason, payer, CPT, etc.
- Establish relationships with payer stakeholders (director level) to discuss issues / non payment
- Lead weekly CI meetings to:
- Credentialing
- Clinics not responding
- Timely filing denials
- Present AR and denials status along with insights
- Escalate issues related to payers (I.e., we need help with this payer because X, here are examples)
- Escalate issues related to clinic ops
- Maintain project-related documents (SOPs, training materials, workflows)
- Any Degree
- Experience working AR
- Experience leading teams and leading team leads (leading leaders)
- Understanding of California / IPA payer landscape
- Experience with contracts
- Experience calling payers / establishing relationships with payer stakeholders
- Communication / presentations skills
- Analytic mindset
- Experience documenting materials / SOP
- At least 10 years experience in RCM
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
KPIs for performance
- AR Days
- Repeated Denials
- Denial follow-up turnaround time
- Indirect: denial rates should be decreasing
Top Skills
What We Do
We are at the forefront of trends in healthcare, leading a revolution in how technology can drive innovation in patient care. Our company was founded on the values of collaboration, excellence and commitment, and we believe we can make the health care experience better for everyone.
We are at the forefront of trends in healthcare, leading a revolution in how technology can drive innovation in patient care. Our company was founded on the values of collaboration, excellence and commitment, and we believe we can make the health care experience better for everyone.
Our Acurus team is part of a mission-driven global organization reimagining the healthcare experience in the United States, finding new ways to improve our patients’ health and wellbeing through cutting edge technology and innovative care models
Our Acurus team is part of a mission-driven global organization reimagining the healthcare experience in the United States, finding new ways to improve our patients’ health and wellbeing through cutting edge technology and innovative care models.
