Insurance AR Manager

PF Concepts; Fairfield (NJ); On-site; USD 90,000 - 120,000; Full time

Job summary

PF Concepts is seeking an Insurance AR Manager in New Jersey to provide strategic direction for the accounts receivable function in healthcare. You will lead teams, set KPIs, and guide complex claim issues while ensuring compliance with payer regulations and internal policies.

The role requires strong leadership, deep expertise in reimbursement, and proficiency with EMR, clearinghouse, and billing systems. Travel for onsite training and client meetings is expected.

Qualifications

• Leadership and coaching skills are essential.
• Strong understanding of healthcare reimbursement, billing regulations, and denial management is required.
• Ability to analyze financial and operational data, identify trends, and implement improvements.
• Excellent communication and conflict resolution skills for internal staff and external payer/client interactions.
• Proficiency in EMR, clearinghouse platforms, and medical billing systems is necessary.

Responsibilities

• Supervise Team Leads and Specialists and ensure accountability for performance.
• Develop departmental goals and KPIs aligned with company objectives.
• Provide guidance on complex claim issues beyond Team Lead authority.
• Oversee daily operations of insurance AR follow-up, denial resolution, and appeals.
• Monitor reimbursement turnaround times and payer trends; drive corrective action as needed.
• Approve staffing allocations to balance workloads across teams.
• Ensure compliance with payer requirements and internal policies.
• Oversee quality assurance reviews on claims and documentation; participate in audits.

Skills

Leadership

Healthcare reimbursement

Data analysis

Communication

Billing systems

Education

Associate's degree in a related field

CPB/CCS/CRCR certification preferred

Tools

EMR systems

Clearinghouse platforms

Medical billing systems

Job description

Description

The Insurance AR Manager provides overall leadership and strategic direction for the insurance accounts receivable (AR) function. This role ensures that the department meets collection, denial management, and reimbursement goals while maintaining compliance with payer regulations and internal policies. The Manager is responsible for staffing, training, and performance management, and serves as the key liaison between AR teams and executive leadership.

Responsibilities include, but are not limited to:

• Supervise Team Leads and Specialists, setting expectations and ensuring accountability for team performance.
• Develop departmental goals and KPIs in alignment with company objectives.
• Provide guidance on complex or escalated claim issues that exceed Team Lead authority.
• Oversee daily operations of insurance AR follow-up, denial resolution, and appeals.
• Ensure timely review of Aged Trial Balance and Denial Reports, driving resolution strategies.
• Monitor reimbursement turnaround times and payer trends, implementing corrective action when necessary.
• Approve and track staffing allocations to balance workloads across teams.
• Ensure compliance with payer requirements, billing regulations, and internal policies.
• Oversee quality assurance reviews on claims and documentation.
• Lead internal audits and participate in external compliance reviews.
• Mentor and develop Team Leads to strengthen leadership capacity.
• Approve and coordinate training programs for new hires and ongoing staff education.
• Conduct performance evaluations and establish professional development plans.
• Analyze AR metrics, producing reports for senior leadership with recommendations for process improvements.
• Act as the primary point of contact for escalated payer issues and client concerns.
• Collaborate with other managers (Eligibility, Patient Support, etc.) to ensure smooth revenue cycle operations.

Requirements

Required Skills / Abilities:

• Strong leadership, people management, and coaching skills.
• Deep understanding of healthcare reimbursement, billing regulations, and denial management.
• Ability to analyze financial and operational data, identify trends, and implement improvements.
• Excellent communication and conflict resolution skills for both internal staff and external payer/client interactions.
• Proficiency in EMR, clearinghouse platforms, and medical billing systems.

Educational:

• High School Diploma/GED required; Associate's degree in a related field preferred.
• 5-7 years of progressive experience in insurance AR/revenue cycle management, with at least 2 years in a supervisory or managerial role.
• Certification (e.g., CPB, CCS, CRCR) strongly preferred.
• Ongoing education to stay current with billing regulations, payer requirements, and industry standards.

Physical Requirements:

• Ability to sit for extended periods, occasionally lift supplies/equipment, and move up to 15 pounds.
• Must travel for onsite training and attend client meetings as needed.