AR Manager

OMS MEDICAL BILLING LLC•Addison, TX

36d•Onsite

About The Position

OrthoMed Anesthesia is seeking a detail-oriented Manager of Revenue Cycle Management (RCM) to support and optimize the Accounts Receivable operations. This role is responsible for managing the following functions: follow-up on billed claims, additional documentation requests, reconsiderations, denials, and appeals to ensure no claims are lost, payer requests are completed timely and correctly, and effective denial/appeal management. The Manager will collaborate cross-functionally with Clinical, IT, and Operational teams to ensure regulatory compliance and operational efficiency. This is a full-time position based at our corporate office in Addison, TX, reporting to the Director of Revenue Cycle Management. The role requires on-site presence during regular business hours.

Requirements

Bachelor's degree in Healthcare Administration, Finance, or equivalent professional experience
Minimum 3 years of RCM experience, preferably in physician-based billing
Understanding of CPT coding, ASA modifiers, concurrency rules, and time documentation
Knowledge of federal compliance standards and CMS regulations
Demonstrated experience in team supervision and performance management
Strong analytical and communication skills
Proficiency with billing software and Microsoft Office applications

Nice To Haves

AAPC, HFMA, or CRCR certification
Experience with anesthesia-specific billing platforms (e.g. PhyGeneSys)
Familiarity with Medicare, Medicaid, and commercial payer billing guidelines
Knowledge of No Surprises Act (NSA) and Independent Dispute Resolution (IDR) regulations

Responsibilities

Manage day-to-day RCM operations on post-billed claims through to zero-balance
Monitor and effectively manage team productivity, quality, and overall performance
Monitor and analyze key performance indicators (KPIs) and generate reports for management review
Supervise and mentor RCM staff members, providing guidance and training as needed
Collaborate with other RCM teams, Operations, Credentialing, Compliance, and IT teams to maintain efficient workflows
Assist with denial management and appeals processes to optimize revenue recovery
Support internal audits and staff training initiatives
Identify process improvement opportunities and implement solutions
Perform additional duties as assigned in support of organizational goals
Directly supervise the accounts receivable follow-up, denials, and appeals team, including hiring, onboarding, scheduling, and day-to-day work direction
Set individual and team performance goals, conduct regular check-ins, and deliver coaching, performance reviews, and corrective action as needed
Balance workloads and adjust staffing to consistently meet productivity, quality, and turnaround targets
Foster a collaborative, accountable team culture and serve as the escalation point for complex claim, payer, and personnel issues