AR Management Manager at Gastro Health

Gastro Health is currently looking for an enthusiastic Remote full-time AR Management Manager Manager to join our team in Miami!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy paid holidays, plus paid time off.

The role encompasses comprehensive management of billing operations, ensuring accuracy and timeliness in billing, collections, and support activities. The candidate will oversee the development and maintenance of billing programs, systems, and third-party vendor relationships while preparing detailed reporting metrics to monitor and improve Revenue Cycle Management (RCM). Key responsibilities include implementing strategies to reduce denial rates, collaborating with internal teams to enhance workflows, and providing necessary training.

Here are some of the duties you will be responsible for:

• Hands-on management of all billing programs, systems, processes, and third-party vendors to ensure accurate, timely and well-controlled activities related to billing, collections, education, and support.
• Prepares weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
• Effectively implement denial management reduction through process improvements, coordinating direct or indirectly, with internal team and offices to improve workflows and provide training and education.
• Maintain understanding and communicates payor policy changes across the market.
• Meet with payor representatives for timely remediation of large denial or underpayment projects.
• Formulate and execute policies and procedures to ensure the billing workflow is highly effective.
• Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and workflow.
• Develops quality control program to meet the company’s quality initiatives.
• Ensure productivity goals are monitored and quickly re-mediates barriers to achieving those goals at the individual and/or team level.
• Counsels and disciplines employees in accordance with department goals and policies.
• Concentrated effort to develop and mentor team leads and AR team members to allow for internal growth.
• Maintain compliance with directives from all regulatory agencies and third parties.
• Lead team meetings focused on collaboration and process improvement.
• This role requires the ability to support, perform, and evaluate all functional responsibilities of the Sr. Team Lead role.

Other
• Regular attendance in conformance with the standards, which may be established from time to time, is essential to the successful performance of this position. Employees with irregular attendance will be subject to disciplinary action up to, and including, termination of employment.

Minimum Requirements

• 5+ years of managerial experience in healthcare revenue management cycle roles with experience in all phases of the revenue cycle management.
• Experience with a large, growing healthcare organization support 100 or more providers.
• Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required.
• Prior experience leading a remote team across all states is highly preferred.
• Bachelor’s Degree highly preferred but experience can be substituted for education.
• Certified coder preferred, but not required.

Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.

We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus paid holidays.

Plus:

• This position offers a great work/life balance! No weekends or evenings -- Monday thru Friday
• We are growing rapidly and support internal advancement
• We offer competitive compensation

Benefits:

• 401(k) retirement plans
• Profit-Sharing
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Disability insurance

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!