Insurance Accounts Receivable Manager

Professional Staffing Services Group • Dover, DE

6d

About The Position

The Insurance Accounts Receivable Manager directs, coordinates, and oversees staff operations for insurance accounts receivable. The role ensures efficient and compliant billing, account follow-up, collections, and reconciliation in Epic HB and PB modules. The manager collaborates with Employed Physician Practices, Revenue Cycle, and other departments to safeguard financial performance, minimize losses, and comply with internal controls, regulations, and accreditation standards. The position calls for an effective communicator and change leader who upholds the client's core values, holds team members and payers accountable, and continually improves AR performance.

This full-time, day-shift position is based in Dover, Delaware, and is scheduled for 80 hours per pay period. The stated yearly salary range is $82,950.40–$128,564.80.

Requirements

• Bachelor's degree in Business or a related field; alternatively, a high school diploma or GED with eight years of progressive Revenue Cycle leadership experience, or an associate degree with four years of progressive experience.
• At least five years of experience in patient accounting, third-party reimbursement, or a related field.
• At least three years in a supervisory or leadership role.

Nice To Haves

• Seven years of experience in patient accounting, third-party reimbursement, or a related field.
• Five years in a supervisory or leadership role.
• Certified Patient Account Manager (CPAM) certification.
• Certified Revenue Cycle Representative (CRCR) certification.

Responsibilities

• Oversee the assigned team, including interviewing, hiring, onboarding, training, performance evaluations, and disciplinary actions.
• Delegate tasks effectively according to team members' capabilities.
• Foster a positive, goal-oriented work environment with clear performance expectations.
• Conduct monthly rounding with direct reports and use rounding logs and stoplight reports to support communication and engagement.
• Review quality assurance results with staff, provide targeted training, and contribute to onboarding materials and annual training competencies.
• Manage insurance accounts receivable across Epic HB and PB modules, exhausting reimbursement options and minimizing financial loss.
• Develop goals, objectives, and monitoring systems with the Patient Financial Services Leadership Team.
• Measure financial and operational performance, audit work functions, and maintain benchmarking.
• Monitor insurance AR vendor performance.
• Track monthly AR performance for large payers, physician practices, and vendors; communicate trends, escalate non-compliant payer behavior to state or federal agencies when necessary, and report action plans.
• Monitor and ensure timely resolution of insurance credit balances in compliance with corporate policies.
• Ensure compliance with governmental and commercial payer rules and regulations and corporate policies.
• Maintain required Epic ARCR certifications in good standing.
• Manage user access requests and maintenance for critical portals, including Medicare Novitasphere and Medicaid.
• Evaluate system-change requests for their impact on payers and workflows, ensuring research and supporting documentation are validated.
• Review and respond to patient complaints and legal documents according to established protocols.
• Perform other duties as assigned within the scope of the role.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager