Collections Manager

Aculabs•East Brunswick, NJ

About The Position

Aculabs is seeking an experienced, results-driven Collections Manager to oversee accounts receivable and collections for healthcare facilities, including skilled nursing, assisted living, and post-acute care facilities. The role develops collection strategies, recovers outstanding balances, resolves complex billing issues, and maintains strong client relationships. It directly supervises the Invoicing and Collections Support Assistant and works with the Sales Team to communicate outstanding client balances and coordinate resolution of delinquent accounts. The Collections Manager uses the company CRM system daily to manage collection cases, document activities, track follow-ups, and improve workflows and escalation procedures. The role also oversees invoice and statement distribution, monitors collection performance, develops reports and recommendations for executive leadership, and identifies operational improvements. Travel to client facilities is required as needed, estimated at 10–20% of the time. The schedule is Monday to Friday, 8:30 am–4:30 pm. Aculabs is an equal opportunity employer committed to diversity and inclusion and prohibits discrimination and harassment based on protected characteristics.

Requirements

Bachelor's degree in business, accounting, healthcare administration, or a related field, or equivalent professional experience.
Minimum 5–7 years of administrative, accounts receivable, or collections experience in a hospital, independent clinical laboratory, or healthcare billing environment.
Minimum 3 years of direct experience managing delinquent accounts and collection activities.
Previous supervisory or team leadership experience.
Demonstrated experience using CRM systems daily to manage account activity, document follow-ups, and track collection cases.
Experience developing or improving collection workflows, escalation procedures, and account management processes.
Strong negotiation, analytical, organizational, and problem-solving skills.
Ability to work collaboratively across departments while maintaining accountability for collection results.
Self-motivated, assertive, detail-oriented, and comfortable addressing difficult financial conversations professionally.
Ability to adapt to changing operational needs and demonstrate willingness to learn.
Maintain professionalism, confidentiality, and integrity in all interactions.

Nice To Haves

Advanced knowledge of Medicare Part A and Part B billing, the Clinical Laboratory Fee Schedule (CLFS), and long-term care reimbursement.
Experience with healthcare facility collections, particularly skilled nursing and long-term care facilities.
Experience managing complex, high-dollar accounts and financially distressed clients.
Familiarity with CRM systems, billing software, and Google Workspace.

Responsibilities

Develop and implement collection strategies to reduce accounts receivable across aging categories, including 30, 60, and 90+ days past due.
Investigate billing discrepancies, insurance coverage issues, denied claims, and reimbursement concerns, particularly involving Medicare Part A and Part B.
Identify reasons for nonpayment, negotiate payment arrangements, and recommend actions for severely delinquent accounts.
Communicate regularly with facility administrators, business office managers, and accounting departments to resolve outstanding balances.
Monitor aging reports, identify collection trends, and develop strategies to reduce delinquent accounts.
Prepare collection performance reports, account analyses, and recommendations for executive leadership.
Use the CRM system daily to manage collection cases, document communications, track account activity, and ensure timely follow-up.
Evaluate and improve CRM workflows, escalation procedures, documentation, assignment, and case progression.
Establish escalation procedures for overdue accounts, including management review, credit-hold recommendations, and referrals to external collection agencies when appropriate.
Identify CRM automation opportunities for reminders, follow-up tasks, escalations, and reporting.
Monitor open cases to prevent accounts from remaining unresolved or inactive without appropriate follow-up.
Work with internal departments to improve CRM functionality, reporting, and collection processes.
Review accounts receivable aging reports with the Sales Team and communicate collection concerns, payment disputes, high-risk accounts, and potential escalation actions.
Coordinate with Sales representatives when their assistance may help resolve outstanding client balances while retaining responsibility for collection activities.
Balance collection objectives with professional and productive client relationships.
Directly supervise the Invoicing and Collections Support Assistant, assign responsibilities, monitor performance, and ensure timely completion of tasks.
Oversee accurate and timely distribution of client invoices, statements, and collection correspondence.
Establish departmental procedures and performance expectations to improve efficiency and accountability.
Review collection activity and identify operational improvements.
Respond to client inquiries, conduct facility visits when necessary, and participate in quality assurance and continuous improvement initiatives.
Travel to client facilities as needed, estimated at 10–20% of the time.