AR Manager Position Available In Mecklenburg, North Carolina
Tallo's Job Summary: A healthcare company is hiring an Operations Manager for Insurance Accounts Receivable to oversee billing operations, team leadership, process improvement, compliance, reporting, customer service, and collaboration. Key responsibilities include managing collections, AR aging metrics, denial rate, appeal success rate, timely filing rate, offshore team performance, and cost savings initiatives. Candidates need a Bachelor's degree, 5 years of AR management experience, and supervisory skills.
Job Description
Job Description A client of Insight Global in the healthcare industry is seeking an Operations Manager for Insurance Accounts Receivable to oversee the end to tend AR process. This includes the collections, rejections, denial management, appeals and process improvements. This role will require oversight to both an onshore and offshore team and a high level of business acumen and professionalism.
Key Responsibilities:
Manage Billing Operations:
Oversee daily billing operations, ensuring timely and accurate processing of insurance claims and payments.
Team Leadership:
Lead, mentor, and develop a team of internal and external AR analysts, providing training and performance evaluations.
Process Improvement:
Identify and implement process improvements to enhance billing efficiency and accuracy.
Compliance:
Ensure all billing activities comply with relevant regulations and company policies.
Reporting:
Generate and analyze billing reports to monitor performance trends and identify areas for improvement.
Customer Service:
Address and resolve billing inquiries and issues from clients and insurance companies.
Collaboration:
Work closely with other departments, such as finance and BI, to streamline billing processes. Key Performance Indicators (KPIs):
Collections Rate:
Collection of >98% of Expected Insurance revenue of monthly released charges; also meet or exceed monthly collections goals set by Director.
AR Aging Metrics:
By DOS:
Maintain >90 days at less than 10% of total AR; >180+ less than 5% of
AR Denial Rate:
Percentage of claims denied by insurance companies. Less than 2% of all claims.
Appeal Success Rate:
Percentage of denied claims successfully appealed. 90% or greater
Timely Filing Rate:
Maintain a 0% on both initial filings and appealed claims responses.
Process Improvement Metrics:
Effectively incorporate billing system and clearinghouse features, AI, and other automation to workflows to drive down overhead expenses and increase revenue margins.
Offshore Team Performance:
Performance metrics for offshore teams, including productivity and quality of work.
Cost Savings:
Amount of cost savings achieved through FTE overhead reduction initiatives. Work closely with
ESSENTIAL DUTIES AND RESPONSIBILITIES
Operation Manager, Insurance Accounts Receivable 10/2024 Page 2 BI team to keep staffing at optimal levels.
Clearinghouse Rejection Rate:
Percentage of claims rejected by the clearinghouse. Front-end rejections reduced to 98%.
Reporting Accuracy:
Timeliness and accuracy of reporting metrics, ensuring data integrity and actionable insights. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com . To learn more about how we collect, keep, and process your private information, please review
Insight Global’s Workforce Privacy Policy:
https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Bachelors Degree Minimum of 5 years of experience in insurance accounts receivable management preferably from the provider side 3-5 years of supervisory & leadership roles o Experience managing the collection & billing process o Foundational understanding of the entire revenue cycle and how AR fits into the process Solution oriented and the ability to analyze processes and procedures to seek inefficiencies and find solutions Exposure to a high volume case load for denials/claims -5,000/mo (250k + claims/year) Bright personality Anesthesia billing experience Experience managing offshore resources/teams Experience going through a software implementation/transition or process overhaul null We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
