Role Description The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements. The ARM Manager will conduct huddles and team meetings as needed. Additional responsibilities include: - Identifying deficiencies within the group and escalating them to the Director - Building positive relationships both internally and externally - Maintaining Key Performance Indicators (KPIs) - Delivering annual reviews with staff, along with corrective actions when necessary - Understanding all aspects of the billing and accounts receivable process Qualifications - High School Diploma or equivalent required - BA/BS Degree preferred - 5+ years of collections, billing, and/or claims experience - Minimum of 2 years of supervisory experience preferred - Demonstrated mastery of billing and accounts receivable procedures, as well as compliance regulations - Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and timely filing limits - Familiarity with ICD-10, HCPCS, and general medical terminology - EMS billing experience strongly preferred; experience in other medical specialties will be considered - Proficiency with various web platforms, including billing software and payer portals - Prior customer service experience, with the ability to work collaboratively with other departments and team members - Intermediate computer skills, including proficiency in Microsoft Word, Excel, and Outlook - Working knowledge of the full revenue cycle management process - Detail-oriented with strong organizational skills - Strong written and verbal communication skills - Ability to lead and motivate a team - Positive attitude with strong interpersonal skills - Ability to create agendas, prepare presentations, and conduct meetings - Strong investigative and research skills, with the ability to resolve complex billing issues - Effective critical thinking and analytical abilities - Ability to work independently in a fast-paced, adaptive environment with minimal supervision - Strong customer service skills and experience Requirements - Obtain ambulance biller certification within 6 months of employment - Adhere to all QMC HIPAA privacy policies and procedures, maintaining confidentiality and security of sensitive patient information - Additional job duties as assigned Benefits - Competitive salary, commensurate with experience - Comprehensive benefits package, including 401(k) Plan

Role Description Supervise and coordinate the activities of the Accounts Receivable section of the Duke Hospital Business Office. - Supervise and coordinate activities of the Accounts Receivable section, including processing of third-party claims. - Maintain, review, update, and collect patient accounts in accordance with hospital credit policy. - Approve various transactions including refunds, ability-to-pay allowances, discounts, and write-offs. - Evaluate and process insurance denials and late insurance claims information as required. - Investigate special collection problems and confer with patients or financially responsible individuals. - Maintain liaison with hospital and clinic supervisory personnel to resolve problems concerning collection of patient accounts receivable. - Answer inquiries from insurance companies concerning outstanding accounts as required. - Assist in the preparation of reports and analyses, setting forth progress, adverse trends, and appropriate recommendations. - Plan and schedule work to ensure proper distribution of assignments and adequate manning. - Conduct meetings with subordinates to ensure compliance with established practices and implement new policies. - Develop and recommend operating policies and procedures for Accounts Receivable section. - Assist in the determination of fiscal requirements and compilation of budgetary recommendations. - Initiate various personnel actions including hiring, performance appraisals, promotions, transfers, and vacation schedules. - Train new employees. - Perform other related duties incidental to the work described herein. Qualifications - Knowledge of clerical and accounting principles usually acquired through an associate degree in Accounting or a directly related field. - Five years of progressive experience in an accounts receivable environment. - A bachelor's degree in Accounting or directly related field may be substituted for the education requirement and 2 years experience. - OR an equivalent combination of relevant education and/or experience. Requirements - Supervision - Budget projections - Analyze trends - Interviewing skills - Personnel practices - Accounting/bookkeeping - Duke payroll system - Office procedures - Duke accounting system - Billing/collections - Insurance claims - Correspondence - PC word processing software - PC spreadsheet software - PC database management software Company Description Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

• Lead day-to-day billing operations, ensuring accurate and timely completion of all deliverables • Oversee billing cycles, reconciliations, and month-end activities in alignment with accounting standards and policies • Ensure A/R activity is properly recorded and supports accurate financial reporting and adherence to SOX compliance requirements • Perform complex analysis of billing and operational data to identify trends, mitigate risks, and uncover opportunities for optimization

• Support with strategic oversight to direct, manage, and improve the revenue cycle operations • Conduct daily, weekly, monthly, quarterly, and annual analysis of Key Performance Indicators (KPIs) • Serve as the internal revenue cycle liaison for hospital leadership • Work with hospital leadership to ensure understanding of revenue cycle processes and metrics • Supervise multiple Managers and provide guidance and mentoring • Recommend and establish changes to policies or processes to improve the revenue cycle • Develop actions plans for metrics not meeting established goals • Facilitate meetings with regional leaders to report financial performance and improvement plans