Accounts Receivable Insurance Manager

Job Purpose:  Responsible for overseeing all insurance-related accounts receivable functions, ensuring accurate posting, compliance with Commercial, Medicare, and Medicaid regulations, timely billing, and effective supervision of finance staff. This role requires strong analytical skills, attention to detail, and the ability to manage multiple deadlines while maintaining effective communication with internal teams and external partners.

Main Job Tasks and Responsibilities

Insurance & Accounts Receivable Management

• Post insurance payments accurately and timely to the electronic health record (EHR).


• Analyze Medicare and Medicaid claims, ensuring compliance with current rules and regulations.


• Stay up to date on changes in Medicare and Medicaid billing requirements and regulations.


• Batch and submit insurance claims weekly.


• Correct Waystar claim issues on a weekly basis to ensure timely reimbursement.


• Complete Region billing by the 7th of each month.


• Maintain accurate accounting records within the electronic health record.


• Perform monthly accounts receivable analysis to identify trends, issues, and opportunities for improvement.

Financial & Reporting Duties

• Prepare and make weekly deposits to the bank.


• Generate and distribute required company reports on a weekly basis.


• Ensure accurate tracking and reconciliation of insurance payments and outstanding balances.

Communication & Collaboration

• Meet monthly with Medicaid representatives to review claims, issues, and updates.


• Meet regularly with the supervisor to discuss outstanding insurance and accounts receivable needs.


• Meet with department heads as needed to discuss billing requirements and address concerns.


• Serve as a point of contact for insurance-related questions across departments.

Leadership & Supervision

• Supervise finance staff and provide guidance, coaching, and support.


• Delegate tasks effectively through monthly AR analysis and workload assessment.


• Foster accountability, efficiency, and accuracy within the finance team.

Additional Responsibilities

• Perform other related duties as assigned by the supervisor.

Success Factors:

• Strong leadership skills based on confidence, competence, and the ability to provide mentoring and support to others.


• Outstanding interpersonal and communication skills, with an ability to work with a wide variety of individuals and personalities in accordance with MPC Values.


• A positive attitude and strong work ethic, and the ability to work effectively within the values, structure, and mission of the agency.


• A proven ability to work with little direct supervision, while being approachable and willing to share information.


• Excellent presentation and reporting skills, allowing for effective delivery of messages to various groups.

Qualifications

• Advanced proficiency in Microsoft Excel, including data analysis, reporting, and reconciliation.


• Highly organized with the ability to manage multiple priorities and deadlines.


• Strong critical thinking skills with the ability to recognize trends and identify issues.


• Ability to ask questions, problem-solve, and seek clarification when needed.


• Capable of working independently with minimal supervision.


• Strong communication skills with staff, peers, department heads, and external partners.


• Demonstrated leadership and coaching abilities.


• Exceptional attention to detail and accuracy.


• Ability to maintain and follow a structured schedule consistently.