AR & Denial Prevention Manager

🔥 0 minutes ago

🌵 Arizona, California, +5 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $105k - $130k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎪 Events

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Boomerang Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

🤝 B2B

B2B

Boomerang Healthcare is an early-stage or placeholder website for a company that appears to operate in the healthcare sector. The site currently shows a "coming soon" message and provides no public information about services, products, or target customers, so specific activities (e. g. , insurance, staffing, software) cannot be determined from the available content. The business is likely developing or preparing to launch its online presence.

📋 Description

• Direct and manage AR follow-up activities across all payer types, including: Workers’ Compensation (fee schedules, direct bill, employer/carrier models), Commercial insurance, Medicare. • Establish AR prioritization strategies by payer, aging bucket, service line, and dollar value. • Monitor and drive performance for current AR, 31-60, 61-90, 91-180, and 181+ day buckets. • Manage the resolution of holds, missing information, and errors related to claim submission. • Partner with finance to support monthly AR reconciliation, variance analysis, and cash forecasting. • Provide direct oversight of WC AR and staff. • Manage litigation-related AR. • Oversee lien preparation, submission, tracking, and resolution. • Lead denial prevention strategies across all payers. • Oversee denial management workflows. • Manage appeals and reconsiderations for: Medicare, Commercial payers, Workers’ Compensation disputes. • Assumes other responsibilities as appropriate to the position and organizational needs.

🎯 Requirements

• 5+ years of progressive experience in healthcare revenue cycle management, with direct AR and denial management leadership experience. • Strong Workers’ Compensation billing expertise, including litigation and lien resolution. • Hands-on experience managing Commercial and Medicare AR and appeals. • Demonstrated success in denial prevention and root cause analysis. • Experience leading teams in high-volume, multi-payer environment. • Strong analytical, organizational, and communication skills. • Experience building and managing AR and denial dashboards, reporting tools, and billing platforms. • Experience with multiple EHR/Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar). • Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus. • Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications.

🏖️ Benefits

• Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO) • 401(K) Plan with Employer Matching • License & Tuition Reimbursements • Paid Time Off • Holiday Pay & Floating Holiday • Employee Perks and Discount Programs • Supportive environment to help you grow and succeed