Patient Financial Services AR Manager | Delaware | Full-Time, Permanent, Days

Talented Medical Solutions; Dover (DE); On-site; USD 83,000 - 129,000; Full time

Job summary

Talented Medical Solutions is seeking a Patient Financial Services AR Manager to lead the insurance accounts receivable team within a regional health system. You’ll supervise billing operations, follow-up, collections, and reconciliation, partnering with revenue cycle leadership and employed physician practices to ensure compliant billing and strong AR performance.

This hands-on leader will quantify denial trends, address payer performance, and drive process improvements.

Qualifications

• Bachelor's degree in business or related field required; alternatives: HS diploma with 8 years revenue cycle leadership, or Associate’s with 4 years experience.
• 5 years in patient accounting or related field; at least 3 years in supervisor/leadership role.
• Ability to work independently, meet deadlines, and communicate clearly.

Responsibilities

• Supervise the AR team: hiring, training, performance evaluations and discipline.
• Set department goals and procedures with PFS leadership; track financial and operational performance.
• Manage all insurance AR billed in Epic HB and PB with focus on productivity, quality, and reimbursement.
• Ensure activity complies with payor rules and internal policies.
• Monitor and resolve insurance credit balances; oversee AR vendor performance.
• Review patient complaints and legal documents; run monthly rounding and QA reviews.

Skills

Leadership

Communication

Independent work

Education

Bachelor's degree in business or related field

High school diploma / GED + 8 years revenue cycle leadership experience

Associate’s degree + 4 years revenue cycle leadership experience

Tools

Epic HB

Epic PB

CPAM

CRCR

ARCR certification

Job description

Salary: $82,950 to $128,565 per year, depending on experience

Start: Immediate. The client is actively interviewing and extending offers.

The opportunity

A respected regional health system is hiring a Patient Financial Services AR Manager to lead its insurance accounts receivable team. You’ll direct billing, follow-up, collections, and reconciliation, and work closely with revenue cycle leadership and the employed physician practices to keep billing compliant and AR performance strong. The role suits a hands‑on leader who can quantify denial trends, hold payers accountable, and drive change.

What You’ll Do

• Supervise the AR team, including hiring, training, performance evaluations, and discipline
• Set department goals and work procedures with the PFS leadership team, and track financial and operational performance
• Manage all insurance AR billed in Epic Hospital Billing (HB) and Professional Billing (PB), with a focus on productivity, quality, and reimbursement
• Make sure activity follows governmental and commercial payor rules and internal policies
• Monitor and resolve insurance credit balances
• Oversee insurance AR vendor performance
• Review and respond to patient complaints and legal documents
• Run monthly rounding with direct reports, and review quality assurance results with staff to identify training needs
• Produce monthly AR reports for large payers, physician practices, and vendors, and elevate to state and federal agencies when payers don’t follow regulations
• Help build new-hire and annual training materials
• Review system change requests for their impact on payers and processes
• Manage access and maintenance for Medicare and Medicaid payer portals
• Maintain Epic ARCR certifications, if applicable

What You’ll Need

• Bachelor’s degree in business or a related field. Alternatives:
  • A high school diploma or GED with 8 years of progressive revenue cycle leadership experience
  • An associate’s degree with 4 years of that experience
• 5 years in patient accounting, third-party reimbursement, or a related field, including at least 3 years in a supervisor or leadership role
• Ability to work independently, meet deadlines, and communicate clearly

Preferred

• 7 years of experience, including 5 or more in a leadership role
• Certified Patient Account Manager (CPAM)
• Certified Revenue Cycle Representative (CRCR)
• Epic HB and PB experience, ARCR certification