The AR & Denial Prevention Manager is responsible for leading end-to-end accounts receivable follow-up, denial prevention & management, and appeals across all service lines within Boomerang Healthcare (BHC). This role oversees AR follow-up for Commercial and Medicare, Litigation Support and Lien Resolution functions, as well as payment posting and appeals teams and plays a critical role in stabilizing and optimizing cash flow.
*This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.What you will do:
- Direct and manage AR follow-up activities across all payer types, including:
- Workers' Compensation (fee schedules, direct bill, employer/carrier models)
- Commercial insurance
- Medicare
- Establish AR prioritization strategies by payer, aging bucket, service line, and dollar value.
- Monitor and drive performance for current AR, 31-60, 61-90, 91-180, and 181+ day buckets.
- Manage the resolution of holds, missing information, and errors related to claim submission.
- Partner with finance to support monthly AR reconciliation, variance analysis, and cash forecasting.
- Provide direct oversight of WC AR and staff
- Manage litigation-related AR.
- Oversee lien preparation, submission, tracking, and resolution.
- Lead denial prevention strategies across all payers.
- Oversee denial management workflows.
- Manage appeals and reconsiderations for:
- Commercial payers
- Workers' Compensation disputes
- Assumes other responsibilities as appropriate to the position and organizational needs
Qualifications:
- 5+ years of progressive experience in healthcare revenue cycle management, with direct AR and denial management leadership experience.
- Strong Workers' Compensation billing expertise, including litigation and lien resolution.
- Hands-on experience managing Commercial and Medicare AR and appeals.
- Demonstrated success in denial prevention and root cause analysis.
- Experience leading teams in high-volume, multi-payer environment.
- Strong analytical, organizational, and communication skills.
- Experience building and managing AR and denial dashboards, reporting tools, and billing platforms.
- Experience with multiple EHR/ Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar)
- Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus
- Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications
Compensation Range:
$105,000 to $130,000 Annually
All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.
Why You'll Love Working Here:
- Amazing work/life balance
- Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
- 401(K) Plan with Employer Matching
- License & Tuition Reimbursements
- Paid Time Off
- Holiday Pay & Floating Holiday
- Employee Perks and Discount Programs
- Supportive environment to help you grow and succeed
Monday-Friday, 8am-5pm
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