Accounts Receivable Manager

SUMMARY:

The Accounts Receivable Manager oversees the day-to-day operations of the accounts receivable and medical billing functions for Gracelight Community Health. This role is responsible for managing billing, collections, payment posting, denial follow-up, and accounts receivable processes to support timely and accurate reimbursement. The Accounts Receivable Manager monitors revenue cycle performance, supports process improvement efforts, and works collaboratively with operational and clinical teams to resolve billing and reimbursement issues. This role is fully onsite and requires regular in-person attendance at Gracelight Community Health locations.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

• Manages the day-to-day operations of the accounts receivable and revenue cycle functions, including billing, payment posting, collections, denial management, and accounts receivable follow-up.
• Monitors revenue cycle performance metrics, including accounts receivable aging, denial rates, net collection rates, and reimbursement trends, and implements strategies to improve operational and financial performance.
• Ensures accurate and compliant billing, coding, and reimbursement practices in accordance with organizational policies, payer requirements, and applicable federal and state regulations.
• Collaborates with clinical, operational, coding, and finance teams to resolve billing issues, improve claim accuracy, and support timely reimbursement and revenue capture.
• Identifies trends and root causes impacting denials, payment delays, or reimbursement issues and develops corrective action plans to improve outcomes.
• Oversees denial management and appeals processes to support timely resolution of outstanding claims and reduce accounts receivable aging.
• Supervises accounts receivable and billing staff, including training, coaching, scheduling, performance management, and ongoing staff development.
• Develops, implements, and maintains revenue cycle workflows, policies, and procedures to improve efficiency, consistency, and compliance.
• Prepares and analyzes revenue cycle reports and provides regular updates, operational insights, and recommendations to leadership regarding performance and opportunities for improvement.
• Maintains effective working relationships with insurance payers, vendors, and internal departments to support issue resolution and operational effectiveness.
• Supports initiatives to improve the patient financial experience through clear communication, timely follow-up, and efficient billing processes.
• Maintains confidentiality of patient, financial, and organizational information and exercises sound judgment in handling sensitive matters.
• Performs other duties as assigned.

QUALIFICATIONS, SKILLS & ABILITIES:

• Bachelor’s degree in accounting, finance, or related field preferred; equivalent combination of education and experience considered.
• Minimum of 5 years of experience in healthcare billing, accounts receivable, or revenue cycle operations, including at least 2 years in a supervisory or leadership role.
• Strong knowledge of medical billing, coding, reimbursement processes, payer requirements, and revenue cycle operations.
• Experience with denial management, reporting, accounts receivable follow-up, and revenue cycle performance metrics.
• Strong leadership, analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills and the ability to work collaboratively across departments.
• Proficiency in Microsoft Office applications, including advanced Excel skills. Experience with OCHIN Epic, Sage 100, Sage Intacct, Crystal Reports, or similar systems preferred.
• Certification in Healthcare Revenue Cycle or related specialty preferred.