About The Position

We are seeking a knowledgeable and detail-oriented Accounts Receivable Senior Associate to join our Revenue Cycle Management team. This role requires experience in the healthcare industry, a strong understanding of the insurance payer mix, and familiarity with the full claims lifecycle.

Requirements

  • High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
  • Minimum of 7 years of experience in physician collections, A/R follow-up, and denial management.
  • Advanced knowledge of CPT and ICD-10 coding, billing guidelines, and payer requirements.
  • Demonstrated experience handling complex and escalated accounts and appeals.
  • Strong analytical skills with the ability to interpret data, identify trends, and implement solutions.
  • Advanced proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred.
  • Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment.
  • In-depth knowledge of HIPAA regulations and healthcare privacy laws; maintains strict compliance at all times.
  • Exceptional attention to detail and organizational skills.
  • Ability to work independently while contributing to a team-oriented environment.
  • Demonstrated problem-solving skills with a proactive and solution-driven approach.

Nice To Haves

  • Prior experience serving as a team resource, mentor, or informal leader is highly preferred.

Responsibilities

  • Lead all aspects of insurance follow-up and collections, including complex account resolution, payer communications, and utilization of payer portals and systems to ensure accounts are progressing appropriately.
  • Manage a high volume portfolio of high-complexity and high-value accounts, requiring advanced research, critical thinking, and problem resolution, under minimal guidance.
  • Analyze and identify root causes of denials; develop strategies to reduce denial trends and improve overall reimbursement.
  • Effectively resolve complex issues, including payment discrepancies, recoupments, and aged accounts.
  • Monitor A/R performance metrics and proactively identify trends within accounts, risks, and opportunities for process improvement.
  • Collaborate with management to escalate systemic payer or operational issues and recommend actionable solutions.
  • Ensure compliance with payer regulations, company policies, and applicable healthcare laws.
  • Partner cross-functionally with internal teams and external stakeholders to optimize revenue cycle performance.

Benefits

  • health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance.
  • 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
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