Accounts Receivable Manager

Accounts Receivable (AR) Manager (Hybrid schedule)

Starting Pay Range: 70k-77k

Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment services. We are dedicated to helping individuals overcome substance use disorders. With over 110 locations in 22 states, our team of more than 1,900 employees serves over 42,000 patients.

Job Summary

The AR Manager manages the day-to-day activities of the Revenue Cycle Specialist team within the Revenue Cycle Management (RCM) department. This role ensures timely follow-up on Accounts Receivable (AR) and resolves claim denials. Key responsibilities include training staff, auditing processes, managing payer updates, and identifying denial trends. The AR Manager reviews payer contracts, ensures compliance in billing, and oversees claims to secure timely reimbursement from various healthcare payers. Strong analytical, supervisory, and communication skills are essential, along with experience in medical billing and payer reconciliation.

Summary Of Essential Job Functions

• The AR Manager will be responsible for overseeing/managing the day-to-day work functions, as it relates to timely AR (Accounts Receivable) follow up/denial resolutions of the team of Revenue Cycle Specialist within the RCM (Revenue Cycle Management) department.
• Responsible for providing necessary training, audit reviews and payer updates to the Revenue Cycle Specialist as needed.
• Responsible for reviewing claims denial data to ensure insurance requirements, eligibility, prior authorizations, and claim submission structure (TIN (Taxpayer Identification Number), NPI (National Provider Identifier) & Taxonomy) specific to payer are setup accurately within the EMR/Clearing house prior to claim submission.
• Assist in developing, writing, and implementing work procedures that promote growth emphasizing accuracy and efficiency.
• Responsible for identifying payor denial trends via reporting tools provided and working with the payors to resolve at the highest level.
• Accountable for overseeing the status of unpaid claims in an organized sequence to achieve timely reimbursement from all government, commercial and grant funded healthcare payers.
• Will investigate denied claims through research, data available with current systems, and applicable correspondence to successfully.
• Review payor contracts to ensure billing and reimbursement compliance and accuracy.
• The ability to navigate within multiple systems ensuring timely resolution of all payer rejections and denials by the Revenue Cycle Specialist.
• Work with multiple payers to resolve high level claims processing issues, as necessary. Complete monthly audits and analysis of work performed by the team. Complete monthly audits and analysis of work performed by the team.
  
  

Minimum Requirements

• Associate's degree and/or 5-7 years of medical billing (coding), accounts receivable/collections, payment posting PMS/EHR, and reconciliation experience.
• Previous supervisory experience is required.
• Strong knowledge of Medicare, Medicaid, Managed Care and Commercial Plans
• Strong reconciliation and analytical abilities as it relates to medical billing, collections and payment posting.
• Strong knowledge of clinical terminology, ICD-10, and CPT (Current Procedural Terminology) codes.
• Ability to read and understand different Explanation of Benefits.
• Ability to read and understand HCFA regulations, HIPPA compliance and updates with each state.
• Ability to work independently and under pressure while managing multiple tasks simultaneously.
• Ability to communicate clearly and effectively verbally and in writing.
• Ability to efficiently manage multiple tasks as assigned.
• Ability to adhere to policy and procedures set company wide and inter-departmentally.
• Ability to meet production and quality standards set forth by department.
• Willing to learn and take on new tasks.
• Be proficient in tracking claims denial data and reporting on such data
  
  

Skills & Abilities

• In-depth knowledge of billing and revenue-cycle processing necessary
• Great time management skills and meticulous
• High analytical skills
• High integrity
• Excellent verbal and written communication skills
• Strong customer service skills
• Sound judgment
• Efficient
• Initiative-taker
• Ability to work independently and under pressure while managing multiple tasks simultaneously
• Ability to make decisions and use proper judgment with confidential and sensitive issues
• Ability to deal appropriately with patient and team members in stressful or other undesirable situations and to seek direction from supervisors when necessary
• Demonstrate basic computer/word processing skills
  
  

Physical Requirements and Working Conditions

• Speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes
• Vision adequate to read correspondence, computer screen, forms, etc.
• Prolonged sitting, some bending, stooping, or stretching
• Variable workload, periodic high stress, and activity level
• Standard business office conditions and environments
  
  

Why BHG?

Join BHG, Where Your Career Flourishes In An Environment Built On Teamwork And Compassion. At BHG, We're Not Just a Team; We're a Family Dedicated To Patient Well-being And Professional Growth. Here's Why You Should Be Part Of Our Journey

Work-Life Balance: Enjoy generous paid time off for vacation, holidays, and personal needs. Benefit from flexible schedules with early in/early out hours, no nights, and no Sundays, ensuring you have time for self-care and personal commitments. Manageable workload.

Investment in Your Growth: BHG prioritizes your development through role-based training and advancement opportunities. Grow with us as we nurture your career path.

Comprehensive Benefits: Choose from three robust benefits programs, including health, life, vision, and dental insurance. Enjoy our tuition reimbursement program and competitive 401K match, along with medical, dental, vision care, life insurance, disability coverage, and vacation time.

Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for completing certifications or licenses.

Employee Perks: Access exclusive discounts on various services and entertainment options. Take advantage of our Employee Assistance Programs.

At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.

BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with ap