AR Manager LP

Coronis Health•Fenton, MO

2d•$60,000•Hybrid

About The Position

The Multi-Client IXC AR Manager for the L&P Division is responsible for managing the full lifecycle of insurance claims to ensure timely and accurate reimbursement. This role will provide interactive and quality oversight to assigned clients and requires attention to detail, persistence, and strong communication skills to research, review and monitor claim processing, denials, and payments by payors to fully resolve outstanding receivable accounts. This position will interact with clients and be responsible for directly managing Global FTEs to work on claims until payment is made by the insurance company. They will also work closely with the other L&P functional teams to meet department goals and maintain a healthy revenue stream for the L&P division.

Requirements

High school diploma or equivalent required. Associate’s degree in healthcare administration or related field preferred
Minimum of 2 years of accounts receivable or medical billing experience required; experience with pathology billing or pathology services strongly preferred
Managing global or non-US employees preferred (time zone challenges, e.g.)
Ability to provide information regarding claims to insurance companies, attorneys, and other authorized parties while complying with HIPAA guidelines and regulations
Proficient in Microsoft Office, especially Excel and Outlook
Experience with practice management systems and payer portals
Strong understanding of CMS 1500 claim forms and explanation of benefits (EOBs)
Excellent verbal and written communication skills
Ability to prioritize work and meet deadlines in a fast-paced environment
Strong analytical and problem-solving abilities
The ability to work collaboratively within the department and company
Prolonged periods of sitting and working on a computer
Must be able to work independently in a hybrid setting

Nice To Haves

Certified Revenue Cycle Specialist (CRCS) or similar credential is a plus

Responsibilities

Manage a Global team of FTEs through regular communication, performance check-ins, and reporting
Communicate with insurance payers to resolve claim status issues, including reprocessing and appeals
Work individually and with Global team to complete daily tasks
Navigate insurance portals to verify eligibility and check claim status
Submit medical documentation for review as requested by payers
Reports for review when requested
Follow up on unpaid claims and research causes of payment delays
Prepare and submit accurate appeals to resolve claim rejections, underpayments, and denials by gathering required documentation; resubmit claims as needed
Communicate payment and denial trends that impact revenue to leadership in a clear and timely manner
Maintain positive professional relationships with clients
Contact payers regularly to resolve discrepancies and facilitate timely claim payment
Process claim adjustments using appropriate reason and adjustment codes
Review and manage aging reports to ensure timely claim resolution
Monitor and analyze denial trends from insurance carriers
Demonstrate working knowledge of CMS1500, COB, PHI, and related medical terminology
Navigate insurance portals to verify eligibility and monitor claim status