Ledgent · 5 hours ago
Healthcare AR Collections Manager - WEST COAST
United States
Full-time
Remote
Senior Level
$120K/yr - $130K/yr
5+ years expLedgent is a fast-growing multi-site healthcare organization seeking a highly skilled Accounts Receivable & Collections Manager. The role focuses on building and leading a comprehensive AR and denial prevention function while recovering legacy and aged AR across diverse payer types.
AssociationHuman ResourcesInformation TechnologyOutsourcingRecruiting
Hiring Manager
Amy Cox
Responsibilities
Build a comprehensive AR and collections department from scratch, including workflows, staffing models, KPIs, and reporting structures
Lead the recovery of legacy AR, including accounts aged 180+ days, with a focus on high-complexity payer scenarios
Develop and implement aggressive yet compliant collection strategies tailored to commercial, government, and workers' compensation payers
Establish and maintain AR dashboards, aging reports, and performance metrics to drive accountability and transparency
Analyze denial trends and root causes; collaborate with coding, billing, and clinical teams to implement prevention strategies
Create standardized denial management workflows and escalation pathways
Partner with payers to resolve systemic issues and negotiate resolutions for high-value or disputed claims
Ensure compliance with California-specific billing, reimbursement, and workers' compensation regulations
Design and refine end-to-end AR processes to support a multi-site, high-volume practice
Train and mentor staff on best practices in collections, denial management, and payer communication
Collaborate with finance leadership to forecast cash flow, identify revenue risks, and support month-end close activities
Implement technology solutions (EHR, clearinghouse tools, analytics platforms) to streamline AR operations
Qualification
Required
5+ years of progressive experience in healthcare AR, collections, and denial management
Demonstrated success recovering legacy and very old AR, including complex payer scenarios
California healthcare billing and reimbursement experience (non-negotiable)
Workers' compensation expertise, including knowledge of CA WCAB rules, fee schedules, and dispute processes
Proven ability to build or rebuild AR/collections teams, systems, and workflows from the ground up
Strong understanding of payer contracts, appeals, and regulatory requirements
Experience in multi-site or multi-specialty healthcare organizations
5+ years of strong upwardly mobile healthcare collections experience required
2+ years of revenue cycle management experience required
Strong understanding of billing systems, EMR, EHR systems
Experience with a wide variety of payors, including workers compensation
Experience with multi-site outpatient medical practices
Preferred
Experience in a fast-growth or private-equity-backed healthcare environment
Familiarity with high-volume outpatient or specialty practices
Advanced Excel or analytics skills
Company
Ledgent
Ledgent Finance & Accounting, a business line of Roth Staffing Companies, provides temporary, temporary-to-hire, direct hire, and executive search services for finance and accounting positions.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$12.5M2000-09-20Series A· $12.5M
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