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8 дней назад

Funded Collections Manager (Healthcare)

Формат работы
remote (только USA)
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Funded Collections Manager (Healthcare): Leading funded insurance collections operations across Medicare, Medicaid, commercial payers, and patient receivables with an accent on cash realization, denial resolution, write-off governance, compliance, and team leadership. Focus on reducing aging and preventable denials, strengthening controls and documentation, improving AdvancedMD-enabled workflows, and coordinating complex order-to-cash initiatives across Finance, Billing, Accounting, Compliance, and Technology.

Location: Remote in the United States; candidates must reside within the Eastern or Central Time Zone and work Monday–Friday, 8:00 AM–5:00 PM EST. Occasional travel to the Pittsburgh corporate office is required as needed.

Company

hirify.global develops assistive communication solutions that help people with disabilities express themselves, connect with the world, and live richer lives.

What you will do

  • Lead daily and monthly funded insurance collections operations, setting priorities and managing performance against cash, aging, denial, appeal, productivity, and quality objectives.
  • Govern contractual, small-balance, and bad-debt adjustments and write-offs, including documentation, approvals, controls, and accurate entry in AdvancedMD.
  • Lead denial, underpayment, appeal, authorization, timely-filing, coordination-of-benefits, and other payer-barrier resolution strategies.
  • Maintain policies, procedures, quality checks, documentation standards, audit readiness, and compliance with payer contracts, privacy requirements, and applicable laws.
  • Use data, reporting, workflow improvements, automation, and technology enhancements to improve cash realization, reduce aging and rework, and scale operations.
  • Recruit, coach, develop, and retain the collections team while coordinating issue resolution across Funding, Billing, Finance, Accounting, Customer Service, Compliance, Sales, and Technology.

Requirements

  • Bachelor’s degree in Business, Finance, Accounting, Healthcare Administration, or a related field, or an equivalent combination of education and relevant experience.
  • At least four years of progressive healthcare revenue cycle, medical collections, or accounts receivable experience, including at least two years of people leadership or team-lead responsibility.
  • Experience in complex Medicare, Medicaid, commercial insurance, patient receivable, denial, appeal, and reimbursement environments.
  • Experience leading measurable improvements in collections performance, documentation quality, controls, and team capability.
  • Strong understanding of healthcare collections, payer follow-up, denials, appeals, coordination of benefits, timely filing, contractual adjustments, and bad debt.
  • Ability to interpret operational and financial data, identify trends and root causes, assess risk, and convert findings into action.
  • Experience with healthcare billing, collections, workflow, document-management, and reporting systems.
  • Advanced proficiency in Microsoft Excel, Word, PowerPoint, Outlook, Teams, and related collaboration tools.
  • Strong written, verbal, presentation, coaching, stakeholder-management, analytical, change-leadership, and cross-functional communication skills.
  • Ability to work effectively in a fast-paced environment, collaborate across functions and locations, communicate effectively, sit for prolonged periods, occasionally lift up to 10 pounds, and travel to the corporate office as required.

Nice to have

  • Experience with durable medical equipment billing, prior authorization, payer funding requirements, contractual adjustments, and write-offs.
  • Experience with AdvancedMD and OMI.

Culture & Benefits

  • Remote work within the Eastern or Central Time Zone with occasional travel to the Pittsburgh corporate office.
  • Monday–Friday work schedule from 8:00 AM to 5:00 PM EST.
  • Collaborative culture that welcomes individuality and supports continuous learning and improvement.
  • Opportunity to develop broader enterprise, financial, organizational, technology, and executive-leadership capabilities.
  • Work focused on improving outcomes for people with disabilities through assistive communication solutions.

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