Insurance AR Manager, Seattle, Wa

Mindful Support Services • Seattle, WA

3d • Onsite

About The Position

The Insurance AR Manager provides strategic and operational leadership for a large-scale Insurance Accounts Receivable function, protecting and optimizing organizational revenue through denial prevention, claim resolution, reimbursement recovery, financial reconciliation, and operational excellence. The role leads Insurance AR Specialists, Leads, and an Assistant Manager, establishing operational standards, developing frontline leaders, and balancing productivity, quality, compliance, and financial outcomes.

The Manager uses accounts receivable, denial, reimbursement, quality, and productivity data to identify trends and risks, allocate resources, and improve organizational performance. In partnership with Revenue Cycle leadership and cross-functional stakeholders, the role influences operational strategy, strengthens payer performance, improves cash flow, reduces denials, and enhances the provider experience.

The position builds and scales a high-performing Insurance AR operation through workforce planning, leadership development, process optimization, automation, reporting, and operational controls. Success is measured by revenue recovery, denial reduction, operational efficiency, team effectiveness, compliance, and the sustainability of a financially healthy reimbursement operation.

Requirements

• Five or more years of progressive healthcare revenue cycle, insurance billing, reimbursement, collections, or accounts receivable experience, including complex AR and denial management.
• Three or more years of leadership experience managing healthcare revenue cycle teams.
• Demonstrated success building and scaling operations through workforce planning, performance management, workflow standardization, cross-training, process improvement, and change management.
• Strong knowledge of healthcare reimbursement and revenue cycle operations, including commercial, Medicare, Medicaid, and managed care claims; claim adjudication; denials and appeals; timely filing; authorizations; eligibility; coordination of benefits; payment posting; reconciliations; recoupments; and underpayment analysis.
• Advanced proficiency with EHR/practice management systems, payer portals, clearinghouse tools, Microsoft Excel, and operational reporting.
• Ability to analyze operational and financial data to assess performance, identify root causes, evaluate risk, forecast capacity, and drive improvement initiatives.
• Strong leadership, coaching, and team-development skills, with the ability to build accountability, engagement, and high performance.
• Excellent verbal, written, presentation, and interpersonal communication skills, including the ability to explain complex financial and payer-related information to diverse audiences.
• Strong organizational, analytical, and problem-solving skills, with the ability to manage competing priorities in a fast-paced environment while maintaining accuracy, professionalism, and sound judgment.

Nice To Haves

• Bachelor’s degree in Finance, Business Administration, Healthcare Administration, or a related field; equivalent combination of education and experience will be considered.
• Experience leading remote or hybrid teams.
• AdvancedMD experience.

Responsibilities

• Lead the Insurance AR function, driving performance across aging, denials, cash recovery, productivity, quality, compliance, and operational effectiveness.
• Establish and monitor key performance indicators, using AR, denial, payer, workforce, and financial data to identify risks, allocate resources, and inform strategic decisions.
• Oversee resolution of complex reimbursement issues, including escalated denials, payer disputes, underpayments, recoupments, reimbursement variances, and high-risk aging accounts.
• Ensure effective execution of claim follow-up, appeals, reconsiderations, corrected claims, payer communications, supporting documentation, and filing deadline requirements.
• Improve operations through workflow optimization, automation, technology utilization, reporting enhancements, and scalable process improvements.
• Identify root causes of denials, payment delays, payer challenges, and process breakdowns, and implement solutions that improve financial and operational outcomes.
• Lead workforce planning, capacity management, and escalation strategies to support organizational growth, efficiency, and accountability.
• Maintain expertise in payer reimbursement methodologies, regulatory requirements, and industry best practices to support effective, compliant AR operations.
• Hire, develop, and lead Insurance AR team members, including frontline leaders, fostering accountability, continuous improvement, and high performance.
• Prepare and present operational, financial, and performance reporting to Revenue Cycle and senior leadership, including trends, risks, opportunities, and strategic recommendations.

Benefits

• 75% employer-covered Health, Dental & Vision benefits plan, with additional dependent coverage
• 401(k) savings plan with employer matching, subject to eligibility
• 8 paid holidays per year
• 15 PTO days accrued annually
• Professional and career development opportunities
• Compensation evaluated with opportunities for advancement

What This Job Offers

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