Manager, Accounts Receivable, Payable

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🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📝 Accounts Payable

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Oversee insurance accounts receivable and accounts payable operations • Lead denial management, claims follow-up, credit balance resolution, patient and insurance refund operations, patient billing support, and customer service activities • Lead an internal insurance follow-up and escalated patient billing team of approximately 10–15 direct reports • Partner with an outsourced Revenue Cycle customer service vendor • Monitor and drive accounts receivable aging, collections, denial resolution, credit balance inventory, refund timeliness, and vendor service-level performance • Collaborate with clinical, operational, compliance, contracting, and finance teams • Optimize reimbursement and ensure regulatory compliance • Improve revenue cycle processes and support organizational revenue goals • Make decisions regarding resources, approach, and tactical operations for departmental projects and initiatives • Report to the Associate Director of Revenue Cycle Management

🎯 Requirements

• Bachelor's degree in healthcare administration, business, finance, or related field • 6 or more years of healthcare revenue cycle experience • 2 or more years of management experience • Experience managing revenue cycle, accounts receivable, or patient financial services teams • Deep understanding of healthcare revenue cycle operations, including claims management, denials, accounts receivable follow-up, and patient billing • Proven ability to improve collections performance and reduce aging accounts receivable • Leadership experience developing high-performing teams and managing vendor partnerships • Analytical ability to identify trends, solve problems, and implement process improvements • Excellent communication and customer service skills focused on patient and provider experience • Knowledge of Medicare, Medicaid, Commercial, and Managed Care reimbursement • Preferred: CPB, CPC, CCS, CRCR, or similar healthcare revenue cycle certification • Preferred: Experience supporting primary care, specialty care, or multi-site physician practices • Preferred: Experience managing outsourced revenue cycle vendors or call center operations • Preferred: Experience with Athenahealth or similar practice management and revenue cycle platforms • Home internet with at least 25 Mbps download and 10 Mbps upload speed • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Whole-person wellness and healthcare support • Remote work arrangement • No domestic travel • Internet service requirements/support for home working