Accounts Receivable Lead

🕒 June 30

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

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👻 Ghost score 34%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthrise

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚖️ Legal

📦 Logistics

Healthcare • Legal • Logistics

Healthrise is a company dedicated to providing comprehensive healthcare solutions, focusing on revenue cycle management, electronic health record (EHR) services, and strategic consulting. With over a decade of experience, Healthrise assists health systems nationwide in achieving operational and financial success through tailored strategies. Their team of experts partners with healthcare organizations to tackle complex operational challenges and enhance efficiency, ensuring both patient and financial outcomes are optimized.

📋 Description

• Oversee day-to-day payment resolution activities of the Denials Resolution team within Hospital and/or Medical Group partner revenue operations • Serve as the first line of support for AR Specialists by answering questions, troubleshooting issues, and escalating complex cases to the Manager • Review team members’ work for accuracy and compliance, providing coaching and real-time feedback • Track individual and team productivity and quality metrics and communicate performance trends to leadership • Support onboarding and training of new AR Specialists • Identify recurring issues and payer trends and communicate insights for process improvement • Receive, analyze, and appeal denials • Review, research, and resolve payment delays and variances from rejected or denied claims, overpayments, and underpayments • Process payments according to contracts and policies to ensure timely and accurate liability resolution • Resolve claims, conduct formal account reviews, identify lost charge recovery, and document delays and payment variances • Investigate overpayment and underpayment accounts to optimize reimbursement • Apply payer rules, contracts, schedules, and other data sources to resolve payment variances • Follow up with patients and payers, refile accurate claims, and document findings • Request write-offs, transfers, allowances, and reversals • Recommend accounts for transfer to collection vendors • Maintain knowledge of applicable state, federal, and local laws and regulations • Coordinate with clinical departments to support appeals • Collaborate with Patient Access and other stakeholders to resolve authorization issues • Communicate with physicians, office staff, hospital departments, patients, and payers • Document all actions in the patient accounting system • Track and report denial types and root causes and recommend process improvements • Prepare reports on trends, outcomes, and claim activity • Interpret data, draw conclusions, and review findings with the supervisor • Cross-train in various functions and continuously learn the Denials Resolution Specialist role • Perform other duties as assigned

🎯 Requirements

• High school diploma or Associate degree in Accounting, Business Administration, or related field, with a minimum of two (2) years of experience in revenue cycle functions in a hospital, clinic, insurance company, managed care organization, or similar healthcare financial service setting; or an equivalent combination of education and experience • Demonstrated ability to lead, coach, and support a team of AR Specialists in a fast-paced, production-oriented environment • Excellent written and verbal communication and organizational skills • Strong interpersonal and customer service skills • Attention to detail, accuracy, and time management • Basic proficiency in Microsoft Office (Outlook, Word, PowerPoint, Excel) • Comfortable working in a collaborative, shared leadership environment • Experience using Epic • Preferred: Experience in a complex, multi-site environment • Preferred: Completion of regulatory/mandatory certifications • Preferred: Previous experience with Global Partner vendors

🏖️ Benefits

• Primarily office or remote-based environment • Standard office equipment provided/used, such as computers and phones