AR Manager

Summary

• 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