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Summit Health · 5 hours ago

On Site - Accounts Receivable Manager – Billing Operations

Rocky Hill, CT

Full-time

Onsite

Mid, Senior Level

$77K/yr - $100K/yr

5+ years exp

Summit Health is a physician-led, patient-centric network committed to simplifying health care. The Accounts Receivable Manager is responsible for overseeing and optimizing billing and accounts receivable operations to ensure timely claim submission and prompt reimbursement.

Hospital & Health Care

Responsibilities

Collaborate with Starling leadership to develop performance goals, operational plans, and AR improvement strategies aligned with organizational objectives

Lead and manage professional billing and accounts receivable operations, including:

Claim submission and edits

AR follow-up and resolution

Denial management and appeals

Payment posting coordination

Credit balances, refunds, and write-offs

Define, implement, and continuously improve AR and billing policies, workflows, and standard operating procedures

Monitor and report key revenue cycle performance indicators, including AR aging, denial rates, clean claim rate, days in AR, and cash collections

Ensure claims are submitted accurately and timely in compliance with payer requirements, contracts, credentialing, and enrollment guidelines

Partner with the Managed Care team to support payer relationships, contract compliance, and payer issue escalation

Provide oversight, in collaboration with Finance, on month-end close activities related to revenue, accounts receivable, and billing transactions

Analyze and oversee adjustments, write-offs, and denial trends; provide actionable recommendations to reduce future revenue loss

Manage internal staff and/or third-party AR and billing vendors to ensure productivity, quality, and SLA performance

Support and participate in EHR implementations, upgrades, integrations, and other revenue cycle initiatives impacting billing and AR workflows

Ensure compliance with state and federal regulations, payer guidelines, internal controls, and HIPAA requirements

Build and maintain strong relationships with operational leaders, external partners, and vendors to support revenue cycle performance

Perform other duties as assigned

Qualification

Accounts Receivable ManagementBilling OperationsDenial ManagementEHR SystemsRevenue Cycle ManagementHealthcare Financial CertificationsProcess ImprovementData AnalysisCollaborationCommunication Skills

Required

Bachelor's Degree in Business, Accounting, Healthcare Administration, or a related field required

Minimum of five (5) years of progressive experience in physician billing and accounts receivable management within a complex healthcare environment (academic medical center, multi-hospital system, or large physician group)

Demonstrated experience with professional billing EHR and practice management systems

Strong knowledge of payer billing rules, claim submission processes, denial resolution, and AR best practices

Ensure claims are submitted accurately and timely in compliance with payer requirements, contracts, credentialing, and enrollment guidelines

Collaborate with Starling leadership to develop performance goals, operational plans, and AR improvement strategies aligned with organizational objectives

Lead and manage professional billing and accounts receivable operations, including claim submission and edits, AR follow-up and resolution, denial management and appeals, payment posting coordination, credit balances, refunds, and write-offs