Manager for Collections | Medicaid Billing | US Healthcare

Eastvantage Business Solutions Inc.; Pasig; On-site; PHP 600,000 - 900,000; Full time

Job summary

Eastvantage Business Solutions Inc. seeks a Collections Manager (AR) to lead the collections department and drive revenue cycle performance and compliance.

You will mentor the team, monitor AR aging and denial trends, and collaborate with internal and external stakeholders to maximize reimbursement while ensuring HIPAA compliance. The role reports to the Senior Director of Collections and requires extensive healthcare AR experience and strong leadership and coaching skills to achieve

Qualifications

• Minimum 5 years 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.
• Experience analyzing collection metrics, KPIs, productivity reports, and financial performance data.

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

Communication

Project Mgmt

Time Mgmt

Problem Solving

Change Mgmt

Revenue Cycle

HIPAA Knowledge

Tools

EHR systems

Practice mgmt

Clearinghouses

Rev cycle software

MS Excel

Job description

The Collections Manager (AR) is responsible for leading and overseeing the daily operations of the collections department to maximize reimbursement, reduce accounts receivable (A/R), and ensure timely resolution of outstanding insurance and patient balances. This role provides leadership, coaching, and performance management to the collections team while collaborating with internal departments and external stakeholders to improve revenue cycle performance. The Collections Manager is accountable for achieving departmental goals, maintaining compliance with payer and regulatory requirements, and driving operational excellence through process improvement and staff development. This position reports to the Senior Director of Collections.

What You'll Do:

• 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 key performance indicators (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

What We're Looking For:

• Minimum 5 years of progressive experience in medical billing, insurance collections, or revenue cycle management required

• Minimum 3 years of management or supervisory experience leading healthcare collections teams required

• 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

• Experience analyzing collection metrics, KPIs, productivity reports, and financial performance data

• Demonstrated ability to lead teams through change while improving productivity, employee engagement, and operational performance

• Strong coaching, mentoring, conflict resolution, and employee development skills.

• Excellent analytical, organizational, and problem-solving abilities

• Ability to prioritize multiple projects and meet deadlines in a fast-paced environment.

• Strong verbal and written communication skills with the ability to communicate effectively across all organizational levels

• Experience utilizing electronic health records (EHR), practice management systems, clearinghouses, and revenue cycle software

• Knowledge of HIPAA, healthcare compliance regulations, and payer contractual requirements is required

• Healthcare industry experience required; Home Health billing experience preferred

• Experience with reporting tools and Microsoft Excel for data analysis preferred

• Proficiency in MS Office Suite (Outlook, Word, Excel) required