On Site - Accounts Receivable Manager – Billing Operations

Description

The Accounts Receivable Manager is responsible for overseeing and optimizing professional billing and accounts receivable operations to ensure timely, accurate claim submission and prompt reimbursement. This role leads billing workflows, AR follow-up, denial management, payer escalation, and vendor performance while driving process improvements that enhance cash flow and reduce revenue leakage.

The manager partners with internal leaders across Revenue Cycle, Managed Care, Finance, and Operations to analyze performance data, identify root causes of AR delays and denials, and implement corrective action plans that improve financial performance for clients.

Essential Job Functions

• Collaborate with Starling leadership to develop performance goals, operational plans, and AR improvement strategies aligned with organizational objectives
• Lead and manage professional billing and accounts receivable operations, including:Claim submission and editsAR follow-up and resolutionDenial management and appealsPayment posting coordinationCredit balances, refunds, and write-offs
• Define, implement, and continuously improve AR and billing policies, workflows, and standard operating procedures
• Monitor and report key revenue cycle performance indicators, including AR aging, denial rates, clean claim rate, days in AR, and cash collections
• Ensure claims are submitted accurately and timely in compliance with payer requirements, contracts, credentialing, and enrollment guidelines
• Partner with the Managed Care team to support payer relationships, contract compliance, and payer issue escalation
• Provide oversight, in collaboration with Finance, on month-end close activities related to revenue, accounts receivable, and billing transactions
• Analyze and oversee adjustments, write-offs, and denial trends; provide actionable recommendations to reduce future revenue loss
• Manage internal staff and/or third-party AR and billing vendors to ensure productivity, quality, and SLA performance
• Support and participate in EHR implementations, upgrades, integrations, and other revenue cycle initiatives impacting billing and AR workflows
• Ensure compliance with state and federal regulations, payer guidelines, internal controls, and HIPAA requirements
• Build and maintain strong relationships with operational leaders, external partners, and vendors to support revenue cycle performance
• Perform other duties as assigned

Physical Job Requirements

• Physical agility, including the ability to remain stationary or maneuver while working
• Manual dexterity for computer and keyboard use
• Endurance for extended periods of typing, sitting, standing, or walking

Education, Certification, Computer & Training Requirements

• Bachelor’s Degree in Business, Accounting, Healthcare Administration, or a related field required
• Master’s Degree preferred
• Minimum of five (5) years of progressive experience in physician billing and accounts receivable management within a complex healthcare environment (academic medical center, multi-hospital system, or large physician group)
• Demonstrated experience with professional billing EHR and practice management systems
• Strong knowledge of payer billing rules, claim submission processes, denial resolution, and AR best practices
• Revenue cycle or healthcare financial certifications preferred (e.g., CRCR, HFMA), but not required

Position Details

• Exempt position
• Salary range: $77,000 - $100,000, based on experience

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

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