Healthcare Revenue Cycle AR Manager

Eastvantage Group

Pasig

On-site

PHP 800,000 - 1,400,000

Full time

35 hours ago
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Job summary

Eastvantage Group is hiring a Healthcare - Accounts Receivable Manager (RCM) to lead and oversee the collections department, maximize reimbursement, and reduce accounts receivable while ensuring timely resolution of outstanding insurance and patient balances.

You will provide leadership, coaching, and performance management to the collections team, collaborating with internal departments to improve revenue cycle performance and drive operational excellence.

Qualifications

  • Minimum 5 years of progressive experience in medical billing, insurance collections, or revenue cycle management.
  • Minimum 3 years of management or supervisory experience leading healthcare collections teams.
  • Extensive knowledge of healthcare revenue cycle processes, including insurance follow-up, denial management, appeals, payment reconciliation, and accounts receivable management.
  • Strong understanding of commercial insurance, Medicare, Medicaid, Workers' Compensation, Managed Care, and government payer guidelines.
  • Healthcare industry experience required; Home Health billing experience preferred.

Responsibilities

  • Lead, manage, and develop the collections team to ensure achievement of departmental productivity, quality, and financial goals.
  • Monitor and manage accounts receivable aging, denial trends, payer follow-up, and collection activities to maximize reimbursement and reduce outstanding balances.
  • Establish performance expectations, monitor KPIs, and conduct regular coaching, performance reviews, and corrective action when necessary.
  • Analyze collection metrics, denial data, and payer trends to identify opportunities for process improvement and increased cash collections.
  • Develop and implement collection strategies that improve recovery rates while maintaining compliance with payer, client, and regulatory requirements.
  • Oversee escalation of complex payer issues, appeals, underpayments, and unresolved claims.
  • Ensure team adherence to company policies, HIPAA regulations, payer guidelines, and revenue cycle best practices.
  • Collaborate with Billing, Credentialing, Client Success, Payment Posting, Revenue Integrity, and Executive Leadership to resolve operational issues affecting reimbursement.
  • Develop, maintain, and update departmental workflows, standard operating procedures, and training materials.
  • Conduct regular quality audits to ensure accuracy, consistency, and compliance within collection.

Skills

Leadership
Coaching
Analytical thinking
Communication skills
Problem solving

Tools

EHR systems
Practice management systems
Revenue cycle software
Microsoft Excel
Clearinghouses

Job description

Eastvantage Group is hiring a Healthcare - Accounts Receivable Manager (RCM) to lead and oversee the collections department, maximize reimbursement, and reduce accounts receivable while ensuring timely resolution of outstanding insurance and patient balances.

You will provide leadership, coaching, and performance management to the collections team, collaborating with internal departments to improve revenue cycle performance and drive operational excellence.

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