Collections Manager

Nrg-Mgmt-LLC; Boca Raton (FL); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Career growth opportunities

Bonus opportunities

Job summary

Remedial Pro LLC in Boca Raton, FL is seeking an experienced Collections Manager to oversee insurance and patient account collections, improve cash flow, and reduce outstanding accounts receivable. The ideal candidate will have a strong background in medical billing, payer requirements, and team leadership.

Lead collections for commercial, Medicare, Medicaid, TRICARE, VA, and managed care payers. Monitor AR aging, set productivity standards, and collaborate with Billing, Credentialing, and

Qualifications

• Experience in medical billing and insurance collections.
• Experience leading collections teams and driving KPI improvements.
• Strong collaboration with Billing, Credentialing and Contracting teams.

Responsibilities

• Manage collections for commercial, Medicare, Medicaid, TRICARE, VA, and managed care payers.
• Monitor AR aging and reduce days across all care sectors.
• Prioritize high-dollar accounts and follow up on unpaid or underpaid claims.
• Develop strategies to maximize reimbursement and cash flow.
• Lead, coach, and develop the Collections team; conduct evaluations and training.

Skills

Leadership & mentoring

Team management

Communication

KPI tracking

Analytics & reporting

Tools

Billing system

Job description

Collections Manager - Remedial Pro LLC -One SiteLocation: Boca Raton, FLRemedial Pro is seeking an experienced Collections Manager to oversee insurance and patient account collections, improve cash flow, and reduce outstanding accounts receivable. The ideal candidate will have a strong background in medical billing, insurance collections, and team leadership.Key ResponsibilitiesRevenue Recovery & CollectionsManage all collections activities for commercial, Medicare, Medicaid, TRICARE, VA, and managed care payers.Monitor and reduce accounts receivable aging across all levels of care, including Detox, Residential, PHP, IOP, OP, and Medication Management.Prioritize high-dollar accounts and timely follow-up on unpaid, denied, and underpaid claims.Ensure all payer follow-up activities are completed within established timelines.Develop and implement collection strategies that maximize reimbursement and improve cash flow.Monitor payer trends, identify recurring reimbursement issues, and implement corrective action plans.Collaborate with Billing, Payment Posting, Credentialing, Utilization Review, and Contracting teams to resolve reimbursement barriers.Accounts Receivable ManagementReview and monitor aging reports by payer, facility, and representative.Establish productivity standards and collection goals for the department.Ensure timely resolution of:DenialsUnderpaymentsNo-response claimsAppealsCoordination of Benefits issuesAuthorization-related denfor adjustmentsMonitor write-offs and recommend recovery opportunities.Leadership & Team DevelopmentLead, coach, mentor, and develop the Collections team.Conduct regular one-on-one meetings, performance evaluations, and coaching sessions.Monitor staff productivity, quality, and KPI performance.Develop training materials and standard operating procedures (SOPs).Foster a culture of accountability, teamwork, and continuous improvement.Reporting & AnalyticsAnalyze collection performance and reimbursement trends.Prepare weekly and monthly executive reports that include:Accounts Receivable AgingCollection RateRecovery RateDenial TrendsUnderpayment AnalysisPayer PerformanceCash CollectionsIdentify operational opportunities that improve reimbursement and reduce AR days.Present recommendations to executive leadership.Compliance & RegulatoryEnsure compliance with:HIPAACMS regulationsCommercial payer guidelinesMedicaid billing requirementsMedicare regulationsMaintain accurate documentation within the billing system.Partner with Compliance and Legal teams regarding payer disputes and escalated accounts.Cross-Functional CollaborationPartner closely with:BillingCredentialingContractingUtilization ReviewAdmissionsFinanceClinical LeadershipAssist with root-cause analysis of revenue cycle issues.Support implementation of new payer contracts and reimbursement initiatives.What We OfferCompetitive salaryBonus opportunitiesHealth benefitsPaid time offCareer growth and development opportunitiesSupportive team environmentEqual Opportunity EmployerRemedial Pro is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.