Receivables and Medical Claims Manager

Vitrolife Group • Miami, FL

1d • Hybrid

About The Position

The Receivables and Medical Claims Manager is an experienced leader who will not only manage a team of receivable and medical claims specialists but will also be responsible for driving operational excellence in both the accounts receivables and medical claims functions. This individual will develop a high performing team while proactively assessing and optimizing workflows with the goal of maximizing efficiency, reducing bad debt, improving cash flow, and delivering superior customer experiences.

Requirements

• Associate's degree in Accounting, Finance, Healthcare Administration, or a related field.
• 6+ years of progressive experience in accounts receivable, medical claims management, or revenue cycle management.
• 2+ years in a supervisory or managerial role.

Nice To Haves

• Excellent leadership and team management skills across diverse functional areas.
• Demonstrated ability to implement process improvements and drive measurable results.
• Superior analytical, problem-solving, and decision-making abilities.
• Strong communication and interpersonal skills.
• Detail-oriented and highly organized, with ability to multitask in deadline-driven environments

Responsibilities

• Lead and supervise the accounts receivables and medical claims teams, fostering high performance and accountability.
• Analyze, redesign, and optimize receivables and claims processes to eliminate inefficiencies, streamline workflows, and leverage automation where appropriate.
• Drive process improvement initiatives focused on reducing bad debt, boosting collection rates, and enhancing customer/patient satisfaction.
• Monitor and manage receivables aging to ensure timely collections and reductions in DSO and bad debt.
• Monitor and manage medical claims workflow to ensure timely claims submission and settlement.
• Oversee and resolve complex operational matters requiring senior-level attention such as claims denials, appeals, and single case agreements.
• Support contracting and credentialing, as needed.
• Serve as escalation point for customer, patient, and payer disputes.
• Foster strong working relationships with insurance payers and key clients to ensure customer satisfaction while meeting internal objectives.

Benefits

• Paid Time Off and 10 Paid Holidays
• 401(k) with Employer Match
• Medical, Dental, Vision
• IVF Coverage to support family building needs
• GAP Insurance
• Basic Life and AD&D Coverage
• Short- and Long-Term Disability
• Optional AFLAC Supplemental Policies
• Employee Assistance Program (EAP)
• Flexible Spending & Health Savings Account

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree