Hospital Revenue Cycle Manager - A/R

The Surgical Hospital A/R Collections Manager oversees all collection and appeal activity for our hospital revenue cycle management team. This role provides strategic direction, identifies operational issues, monitors performance, and drives problem resolution across all payer categories including workers' compensation, commercial insurance, and Medicaid. The Collections A/R Manager serves as the primary liaison with facility clients and stakeholders on key performance indicators, denial management, and accounts receivable aging and resolution.

• Manages staff to meet departments overall achievement of cash targets, account receivable goals, and quality and productivity measures
• Maintains current knowledge of regulation, state laws, and insurance requirements for the healthcare services provided in the hospitals
• Consistently monitors collections by payer requirements to ensure maximum reimbursement.
• Monitors reports and key performance indicators to ensure client success
• Monitors all A/R from end to end working with clients, payers, and internal stake holders for resolution
• Corresponds with clients in answering questions on services and collection matters, recommending further action required for all delinquent accounts, and proactive
• Understanding of medical terminology and claim forms
• Advanced understanding of healthcare related federal, state, and health plan guidelines

• Bachelor's degree preferred, or equivalent combination of education and experience
• Minimum 3 years of supervisory experience in healthcare revenue cycle management with proven ability to lead teams and achieve financial objectives
• Hands-on experience with Cerner revenue cycle applications (required)
• Minimum 2+ years of progressive experience in hospital or surgical facility revenue cycle operations
• Demonstrated expertise in hospital billing systems, payer-specific requirements, and denial management strategies
• Strong organizational and leadership skills with ability to manage daily team workflow and prioritize competing demands
• Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook) and data analysis tools
• Excellent communication skills, both written and verbal, with ability to interface professionally with clients, payers, and executive stakeholders
• Strong critical thinking, problem-solving, and analytical skills with sound business judgment
• Ability to work independently and collaboratively in a fast-paced environment while meeting tight deadlines
• Knowledge of federal and state healthcare regulations, insurance verification processes, and compliance requirements
• Positive, solutions-oriented attitude with commitment to fostering a collaborative team environment

Preferred Qualifications

• Experience managing payer-segmented collections teams (workers' comp, commercial, Medicaid)
• Familiarity with surgical hospital revenue cycle operations
• Professional certifications (CRCR, CRCE-I, or similar)