Pinnacle Healthcare Consulting logo
Pinnacle Healthcare Consulting

A Healthcare Solutions Firm

Accounts Receivable Manager

Accounts ReceivableAccounts ReceivableFull TimeRemoteLeadTeam 201-500Since 1998Company SiteLinkedIn

Location

United States

Posted

82 days ago

Salary

$0 / year

Seniority

Lead

Associate Degree

Job Description

Accounts Receivable Manager

Pinnacle Healthcare Consulting

Title: Accounts Receivable Manager Location: Remote, US Job Description: Company Name: Pinnacle Healthcare Revenue Solutions, LLC Location: Indianapolis, IN (Hybrid / Remote) Job Type: Full-Time Compensation: Starting at $62,500 DOE Competitive Benefits: Medical, Dental, Vision, STD, LTD, HSA (as applicable with Employer contribution), 401k Plan with employer match. Welcome to PINNACLE! Pinnacle Healthcare Revenue Solutions (PHRS) is a full Revenue Cycle Management (RCM) company focused on professional billing for independent physician practices. PHRS is a division of Pinnacle Healthcare, a growing healthcare consulting company based in Colorado with regional offices in St. Louis, Missouri, Indianapolis, Indiana, Phoenix, Arizona, and remote employees in 30+ states. We offer our employees a GREAT team environment, wonderful camaraderie, and a true appreciation & recognition for hard work. PRINCIPAL RESPONSIBILITIES AND DUTIES: - Responsible for supervising assigned staff, including attendance, paid time off, payroll, training, corrective action and performance evaluations. - Ensures staff production, quality and compliance is maintained to company standards. - Ongoing motivation and training to staff. - Identify and resolve problems and inconsistencies and implement appropriate corrective procedures to resolve. - Functions as a liaison between upper management and position leads regarding revenue cycle issues. - Functions as a liaison between the client and associated client professional organizations, such as vendors, credentialing contacts, and other agencies as needed. - Is current on all payer bulletins and communicates pertinent information to staff, peers and management. - Prepares training material for all job functions, including PM system, payer portals, and any other internal and external resources required for the team to function at the highest level of proficiency. - Trains or instructs current and new employees in job duties or company policies or arrange for training to be provided. - Participates in the work of subordinates to facilitate productivity or to overcome difficult aspects of work. - Interprets and communicates work procedures and company and client policies to staff. - Resolves customer complaints or answers customers’ questions regarding policies and procedures that escalate from any department associate. - Makes recommendations to upper management concerning such issues as staffing decisions or procedural changes. - Recruits, interviews, and selects new employees with assistance from human resources. - Develops work schedules according to budgets and workloads. - Designs, implements, or evaluates staff training and development programs, customer service initiatives or performance measurement criteria. - Monitors staff for compliance of the organization’s confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA) regulations. - Completes all tasks assigned by the Director in a timely manner - Communicates any issues to the Director for tasks or other performance related that will extend a deadline or adversely affect revenue - Improve organizational performance by identifying opportunities for improvement in the revenue cycle process - Participates/Directs assigned general administrative projects. ESSENTIAL ROLE FUNCTIONS: Summary: Provides coverage for all areas in Accounts Receivable Department as needed; verifies insurance and obtain referrals/authorization for procedures; and monitors daily operating activity, making necessary adjustments in work assignments by performing the following duties. Essential Duties and Responsibilities - Daily/weekly/monthly report summary provided to specific personnel by management to review for current insurance eligibility verification and missing referral status. - Oversight and manage special projects given to eligibility and referral team. - Develop and implement new procedures to monitor and enhance productivity for both quality and quantity standards. - Effectively communicates policies to all team members and provides oversight that each team member is complying with company standards. - Consistently monitors client schedules for eligibility - Monitors work queue, and or other reports, for adverse activities or trends, and prioritizes work activity to correct - Perform Root Cause Analysis for denial trends and assist with process redesign to prevent/reduce avoidable denials - This may involve workflow recommendations to the client - Communicate non-covered services to the Director for research and policy development - Monitor non-contractual adjustments for reason and to identify trends and appropriate action - Assure Account Receivable Specialists have access and training to perform task such as: - Able to understand and articulate a payer’s explanation of benefits - Explain copayment and deductibles - Can accurately update patient demographics and insurance - Are able to refile a claim (based on the complexity of the account and payer) - Assure CSR have an assigned Accounts Receivable Specialists to promptly assist with complicated account resolution - Provide adequate CSR coverage consistent with the client’s time zone EDUCATION: - Associates Degree in Medical Billing and Coding or a related field is preferred. EXPERIENCE AND REQUIRED SKILLS: - 5 -10 years of experience in medical billing office or related environment. - Must have a thorough understanding of the entire revenue cycle including: customer service, charge entry, cash applications, accounts receivable, credentialing and coding. - Candidate must understand government and managed care payment methodologies and demonstrate knowledge of terms such as contractual adjustment, allowed amount, coinsurance, denial and denial processes. - Proven knowledge and ability to apply ICD10 and CPT Coding is a must. - Knowledge and ability to stay abreast of HIPAA laws and regulations and maintain compliance. - Attention to detail to ensure accuracy of information - Excellent MS Suite skills including Excel, Word, and Outlook - Proven analytical skills - Ability to present, communicate initiatives, results and analyses to multiple levels of management and clients - Current working knowledge in medical professional claims processing, payment posting, collections and A/R Follow up DIRECT SUPERVISION: Accounts Receivable Specialists ACTING MANAGER FOR VACATION/PTO COVERAGE: Account Receivable Specialists

Related Categories

Related Job Pages

More Accounts Receivable Jobs

Central Garden & Pet logo

Accounts Receivable Specialist - Collections

Central Garden & Pet

Central Garden & Pet is an award-winning supplier of garden, lawn, and pet products and supplies in the United States. As an employer, the company has strived t

Title: Accounts Receivable Specialist - Collections (Work From Home in Boise) Location: Boise United States Job Description: Description Work From Home positions available in the Boise, ID area! If you have high energy, are metric driven and want to fill a key role with our Invoice to Cash (ITC) team, keep reading! Central Garden & Pet is searching for someone like you who will ensure timely collection of monies owed to the company, collections of customer delinquent Accounts Receivable balances, and resolution of customer billing issues. This is a unique opportunity to make a significant contribution to the strong cash flow of Central Garden & Pet and timely shipment of product to Central Garden & Pet's customer base. Full time employees enjoy excellent benefits including medical, dental, vision, short-term and long-term disability, free life insurance, tuition reimbursement and more! Key Responsibilities - Works high volume customer collection calls and/or correspondence to collect delinquent customer balances on an assigned customer portfolio - Collections of disputed/unauthorized customer deductions - Provides customer service regarding collection issues as it pertains to anything that a customer requests or needs to ensure payment of past due balances. - Work and continuously monitor the order release queue where customer orders stop for review - Ensures monthly reporting to direct supervisor with full participation in monthly aging meetings to review the status of the past due balances and aging credits for all accounts within the assigned portfolio. - Prepare final demand letters and/or work out payment plans for customers with delinquent balances as appropriate. Coordinate the placement of accounts to 3rd party collection agencies on an as needed basis. - Prepares customer account statements on a monthly basis. - Processes AR transactions including offsets of debits and credits, offset on account payments against open invoices, etc. - Performs other assigned tasks and duties necessary to support the ITC Department including supporting internal and external audit requests - Maintain the integrity of the customers' accounts and the reporting requirements of the company Qualifications - 3-5 years of high volume Accounts Receivable and corporate collections, preferred. - Self-starter that works well in a fast paced environment with firm deadlines; results oriented - Ability to work in a heavily metric driven organization - Strong customer service and communication skills (both written and verbal) - Strong interpersonal and analytical skills - Strong follow up skills and strong sense of urgency - Strong attention to detail and documentation, goal oriented with sound problem solving skills. - Possess process improvement mindset with a desire to consistently look for ways to improve efficiency and service - Accountability and reliability - Proficient in Microsoft Word and Excel - Perform multiple tasks effectively and adapt to a changing environment - Able to work both independently and as part of a team - SAP or other mainframe experience preferred - Basic understanding of internal controls including SOX requirements preferred - Consumer products experience preferred - Experience in shared service environment preferred - Knowledge of the mechanics of filing claims on bonds and liens preferred - Ability to work in a constant state of alertness and safe manner - Other - candidate should have the highest integrity and character and possess finance experience and business sense. Must be able to follow processes and collaborate cross-functionally BENEFITS PACKAGE & EMPLOYEE PROGRAMS</p> - Comprehensive Medical, Dental, and Vision Insurance - Free Life and Disability Insurance - Health and Dependent Care Flexible Spending Accounts - 401k with 3% company match and annual employer discretionary contribution - Paid vacation, holidays and sick time - Employee Assistance Program - Access to thousands of free online courses - Discounts on cell phones, movie tickets, gym memberships, and more! - Education Assistance (both college degrees and professional certifications) - Referral Program with cash bonus - Access to on-demand pay - Paid parental leave Central Garden & Pet Company (NASDAQ: CENT) (NASDAQ: CENTA) understands that home is central to life and has proudly nurtured happy and healthy homes for over 40 years. With fiscal 2023 net sales of $3.3 billion, Central is on a mission to lead the future of the Pet and Garden industries. The Company's innovative and trusted products are dedicated to helping lawns grow greener, gardens bloom bigger, pets live healthier and communities grow stronger. Central is home to a leading portfolio of more than 65 high-quality brands including Amdro, Aqueon, Cadet, Farnam, Ferry-Morse, Four Paws, Kaytee, K&H, Nylabone and Pennington, strong manufacturing and distribution capabilities and a passionate, entrepreneurial growth culture. Central is based in Walnut Creek, California and has 6,700 employees across North America and Europe. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law. #LI-RR1

Idaho
H2 Health logo

Lead Account Receivables Billing Collections Specialist

H2 Health

H2 Health, operating for more than half a century as Heartland Rehabilitation Services, specializes in outpatient physical, occupational, and speech therapy and

Lead AR Billing Collections Specialist Remote Corporate Full time Jacksonville, Florida, United States Description Lead AR Billing Collections Specialist | Full-time | Remote At H2 Health, we recognize the importance of efficient financial operations in delivering exceptional patient care. As a Lead AR Billing Collections Specialist, you will oversee our accounts receivable process, ensuring timely and accurate revenue collection while leading a team dedicated to optimizing billing practices. Your Role: As the Lead AR Billing Collections Specialist, you will be responsible for managing the billing collections team, implementing strategies to enhance revenue cycle performance, and maintaining strong relationships with patients and various payers. - Supervise and support billing collections staff, providing training and guidance - Review and validate billing processes for compliance and efficiency - Monitor accounts receivable aging, identify delinquent accounts, and develop collection strategies - Communicate effectively with insurers, patients, and internal teams regarding billing inquiries - Ensure accurate and timely submission of claims and resolution of denials - Analyze billing data and prepare reports to inform management decisions Requirements - High school diploma or equivalent - Minimum of 3 years of experience in medical billing and collections, with leadership experience preferred - In-depth knowledge of healthcare billing regulations, claims processing, and collections - Strong analytical and problem-solving skills - Excellent written and verbal communication abilities - Ability to work collaboratively in a fast-paced environment and manage multiple priorities Join H2 Health and play a crucial role in our commitment to improving healthcare delivery through effective financial management! Benefits Why H2 Health?   We’re more than a workplace, we’re a community.   - Competitive hourly pay  - Full benefits: medical, dental, vision, and 401(k) with match  - PTO, paid holidays, and company-paid life insurance  - Growth opportunities in healthcare administration and operations  - Work-life balance with flexible scheduling options  - Supportive, clinician-led team culture  - Additional perks: parental leave, employee rewards, discounts, and recognition programs

Florida
Full TimeRemoteTeam 10,001+Since 1946H1B Sponsor

• Manage accounts receivable in compliance with regulatory and billing guidelines • Collection of outstanding receivables through payer portals and phone lines • Responsible for accurate billing of insurance claims and following up on outstanding receivables • Work collaboratively with other departments to ensure claims are processed correctly

Illinois
$17 - $27 / hour
Job Closed
ElevenLabs logo

Accounts Receivable Lead

ElevenLabs

Our mission is to make content universally accessible in any language & voice.

Full TimeRemoteTeam 1-10H1B No Sponsor

• Own the accounts receivable lifecycle – from invoice generation and cash application through aging management, credit loss analysis, and process improvement. • Work closely with Revenue Accounting, Billing Operations, Collections, and Finance to ensure receivables are accurate, current, and audit-ready. • This is a high-ownership role for someone who enjoys building systems and can operate with minimal oversight in a fast-moving environment.

United States
Job Closed