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Remote Accounts Receivable Manager - Insurance Collections

hace 2 días

Raleigh

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra’s solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. The Accounts Receivable (AR) Manager – Insurance Collections is responsible for the operational leadership, performance management, and strategic oversight of Insurance Collections team members within the Kestra’s Revenue Cycle Team. This role ensures the timely and accurate collection of third-party receivables by managing staff productivity, monitoring payer performance, and driving continuous improvement in AR workflows. The Accounts Receivable (AR) Manager – Insurance Collections serves as a subject matter leader in third-party payer collections, denial management, and reimbursement optimization. This position partners closely with Revenue Cycle leadership and cross-functional teams to reduce AR aging, maximize cash flow, ensure compliance with payer requirements. ESSENTIAL DUTIES: Operational & Team Management • Provide direct leadership and day-to-day management of Insurance Collections team members, including workload distribution, prioritization, and performance monitoring., • Establish and manage to clear performance expectations and accountability and conduct regular coaching, feedback sessions, and performance evaluations to improve team member effectiveness and engagement., • Identify staffing and training needs, participate in hiring, onboarding, and development of training materials and training of new insurance collections team members., • Demonstrate strong analytical problem-solving skills with an action-oriented, outcome-driven approach and the ability to influence results through persuasive leadership., • Lead quality assurance efforts by assessing team member competencies and proactively upskilling staff to drive sustained improvements in performance., • Drive cost-of-service improvements through workflow optimization and operational efficiency initiatives., • Develop and implement revenue cycle strategies that deliver improved financial and operational business outcomes., • Create and standardize materials and measures for best practices and develop additional strategies to optimize insurance collection agent’s workflow and follow up processes., • Serve as an escalation point for complex or high-dollar payer issues unresolved by team members., • Drive operational efficiency, effectiveness, and measurable financial improvement across insurance collections functions., • Accountable for delivering measurable improvements in collection rates, denial rates, first-pass yield, and revenue per claim., • Develop and implement scalable strategies, processes, and technologies to continuously optimize revenue cycle performance within a fast-paced, high-volume, evolving DME healthcare environment. Accounts Receivable & Payer Oversight • Oversee performance of third-party payer accounts to ensure timely follow-up and resolution of outstanding insurance claims., • Monitor AR aging, denial inventory, underpayments, and payer response timelines to ensure compliance with contractual and internal benchmarks., • Analyze payer-specific trends, denial patterns, and reimbursement issues; translate findings into actionable and executable improvements., • Use data-driven insights to improve team performance and reduce AR aging across commercial, government, and managed care payers., • Ensure consistent and accurate documentation of payer interactions and claim activity within AR systems., • Oversee denial management strategies, including clean claim and overturn rate improvements through root cause analysis, appeal workflow enhancement, and escalation protocol development., • Serve as an escalation point for complex or high-dollar payer issues unresolved by team members., • Partner with front end, prior authorization, insurance verification, billing, clinical documentation, and patient access teams to prevent recurring denials and errors., • Maintain knowledge of payer policies, contract terms, and regulatory changes impacting reimbursement. Adhere to Pledge of Confidentiality • Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient’s case. COMPETENCIES: • Passion: Contagious excitement about the company – sense of urgency. Commitment to continuous improvement., • Integrity: Commitment, accountability, and dedication to the highest ethical standards., • Collaboration/Teamwork: Inclusion of Team Member regardless of geography, position, and product or service., • Action/Results: High energy, decisive planning, timely execution., • Innovation: Generation of new ideas from original thinking., • Customer Focus: Exceed customer expectations, quality of products, services, and experience always present of mind., • Emotional Intelligence: Recognizes, understands, manages one’s own emotions and is able to influence others. A critical skill for pressure situations. QUALIFICATIONS: Education/Experience Required: • Bachelor’s degree in healthcare administration, business, finance, or related field required; advanced degree or certification (e.g., CRCR, CHFP) preferred., • 10+ years of healthcare revenue cycle experience, with a strong focus on third-party insurance AR and denial management. (DME experience preferred), • 5+ years of leadership or supervisory experience managing AR, insurance collections, or revenue cycle teams., • Proven track record of Vendor Management including success in managing to growth targets through Offshore Vendor support., • In-depth knowledge of payer reimbursement methodologies, denial resolution, and appeals processes across Medicare, Medicaid, and Commercial lines of business., • Experience managing teams handling Medicare, Medicaid, and commercial insurance collections., • Strong understanding of revenue cycle compliance and regulatory requirements., • Proven ability to lead teams, manage performance, and drive measurable improvements in AR outcomes., • Strong analytical and organizational skills, with experience in AR reporting and performance dashboards., • Experience working with EHR and AR systems (e.g., Epic, Cerner, Meditech)., • Excellent communication, coaching, and problem-solving skills., • Proficiency in Microsoft Office Suite, especially Excel. Preferred: • Experience working in Bonafide and Salesforce software., • Direct experience managing the oversight of a BPO arrangement., • Demonstrated ability to lead change, improve workflows, and scale operational processes., • Collaborative leadership style with a focus on accountability and continuous improvement. SUPERVISORY RESPONSIBILITIES: • Directly supervise Accounts Receivable team members including but not limited to conducting performance reviews, providing feedback, and helping to set professional development goals. WORK ENVIRONMENT: • Faced-paced, remote work from your home office, • Extended hours when needed, to include nights and weekends, • Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment post-offer. PHYSICAL DEMANDS: • Frequent repetitive motions that may include wrists, hands and/or fingers, such as keyboard and mouse usage • Frequent stationary position, often standing or sitting for prolonged periods of time, • Frequent computer use, • Frequent phone and other business machine use, • Occasional lifting required, up to 20 pounds TRAVEL: • Occasional travel, domestic and international, may be required, less than 20% BENEFITS: Kestra offers a very competitive benefit package including Medical, Dental, 401K with Match, etc. Pay equity is an important part of Kestra’s Culture. Our compensation ranges are guided by national and local salary surveys and take into consideration experience level and internal equity. Each role is benchmarked based on the job description provided If your qualifications and/or experience level are outside of the posted position, we encourage you to apply as we are growing fast and roles that are coming soon may not be posted. Salary: Annualized at $110,000 - $130,000 plus bonus. Depending on experience. Kestra Medical Technologies is an equal opportunity employer. Kestra Medical Technologies does not discriminate on the basis of race, color, religion, national origin, veteran status, age, sexual orientation, gender identity and/or expression, marital status, disability, physical or mental status or any other characteristic protected by law. We are unable to sponsor or take over sponsorship of employment visas at this time. Applicants must be eligible to work for any employer in the U.S. Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare. Kestra maintains a drug free workplace and testing is a condition of employment. Kestra Medical Technologies, Inc does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

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