Accounts Receivable Manager - Insurance Collections

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Additional Information

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra's solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comfort and dignity. Innovating versatile new ways to deliver care, Kestra is helping patients and their care teams harmoniously monitor, manage, and protect life. The Accounts Receivable (AR) Manager - Insurance Collections is responsible for the operational leadership, performance management, and strategic oversight of Insurance Collections team members within the Kestra's Revenue Cycle Team. This role ensures the timely and accurate collection of third-party receivables by managing staff productivity, monitoring payer performance, and driving continuous improvement in AR workflows. The Accounts Receivable (AR) Manager - Insurance Collections serves as a subject matter leader in third-party payer collections, denial management, and reimbursement optimization. This position partners closely with Revenue Cycle leadership and cross-functional teams to reduce AR aging, maximize cash flow, ensure compliance with payer requirements. ESSENTIAL DUTIES: Operational & Team Management - Provide direct leadership and day-to-day management of Insurance Collections team members, including workload distribution, prioritization, and performance monitoring. - Establish and manage to clear performance expectations and accountability and conduct regular coaching, feedback sessions, and performance evaluations to improve team member effectiveness and engagement. - Identify staffing and training needs, participate in hiring, onboarding, and development of training materials and training of new insurance collections team members. - Demonstrate strong analytical problem-solving skills with an action-oriented, outcome-driven approach and the ability to influence results through persuasive leadership. - Lead quality assurance efforts by assessing team member competencies and proactively upskilling staff to drive sustained improvements in performance. - Drive cost-of-service improvements through workflow optimization and operational efficiency initiatives. - Develop and implement revenue cycle strategies that deliver improved financial and operational business outcomes. - Create and standardize materials and measures for best practices and develop additional strategies to optimize insurance collection agent's workflow and follow up processes. - Serve as an escalation point for complex or high-dollar payer issues unresolved by team members. - Drive operational efficiency, effectiveness, and measurable financial improvement across insurance collections functions. - Accountable for delivering measurable improvements in collection rates, denial rates, first-pass yield, and revenue per claim. - Develop and implement scalable strategies, processes, and technologies to continuously optimize revenue cycle performance within a fast-paced, high-volume, evolving DME healthcare environment. Accounts Receivable & Payer Oversight - Oversee performance of third-party payer accounts to ensure timely follow-up and resolution of outstanding insurance claims. - Monitor AR aging, denial inventory, underpayments, and payer response timelines to ensure compliance with contractual and internal benchmarks. - Analyze payer-specific trends, denial patterns, and reimbursement issues; translate findings into actionable and executable improvements. - Use data-driven insights to improve team performance and reduce AR aging across commercial, government, and managed care payers. - Ensure consistent and accurate documentation of payer interactions and claim activity within AR systems. - Oversee denial management strategies, including clean claim and overturn rate improvements through root cause analysis, appeal workflow enhancement, and escalation protocol development. - Serve as an escalation point for complex or high-dollar payer issues unresolved by team members. - Partner with front end, prior authorization, insurance verification, billing, clinical documentation, and patient access teams to prevent recurring denials and errors. - Maintain knowledge of payer policies, contract terms, and regulatory changes impacting reimbursement. Adhere to Pledge of Confidentiality Information regarding a patient of this company shall not be released to any source outside of this company without the signed permission of the patient. Furthermore, information will only be released internally on a need-to-know basis. All Team Members will not discuss patient cases outside the office or with anyone not employed by this company unless they are directly involved with the patient's case. COMPETENCIES: - Passion: Contagious excitement about the company - sense of urgency. Commitment to conti

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