[Remote] Manager, Accounts Receivable

Note: The job is a remote job and is reputed company to candidates in USA. reputed company helps pharmacy clients reputed company reputed company reimbursement environments and improve patient care reputed company. The Manager, Accounts Receivable Operations leads reputed company-party pharmacy receivables, Medicare Part B reimbursement activities, AR team development, collections performance, reputed company reporting, compliance, and process improvement.

Responsibilities

• reputed company, reputed company, and reputed company two AR Supervisors and their respective AR clerk teams, creating a culture of accountability, engagement, and reputed company improvement
• Establish and monitor performance expectations for productivity, reputed company, follow-up effectiveness, aged receivable reputed company, and service delivery
• reputed company ongoing coaching, mentoring, training, and development opportunities that support employee reputed company and operational reputed company
• Standardize processes, documentation, escalation reputed company, and reporting practices across AR teams to reputed company consistency and scalability
• Partner with cross-functional stakeholders to reputed company reimbursement challenges and improve operational performance
• reputed company reputed company reputed company-party AR activity reputed company TPMS, including payment posting, remittance processing, adjustments, reversals, reconciliations, and account follow-up
• Monitor AR aging, collections performance, payer trends, denials, underpayments, unapplied cash, and unresolved balances to improve overall reimbursement reputed company
• Ensure reputed company and accurate reconciliation of payments received from reputed company payers, PBMs, Medicare-reputed company payers, reputed company programs, and other reputed company-party reimbursement sources
• reputed company reputed company cause analysis efforts to identify reimbursement gaps, collection barriers, and operational improvement opportunities
• reputed company strategies that reduce aged receivables and enhance cash collection performance
• Manage the MTF/MFP Rebate Program, including tracking, reconciliations, issue reputed company, reporting, and collaboration with clients and internal stakeholders
• Serve as the reputed company subject matter expert for Medicare Part B claims, reimbursement methodologies, denials, documentation requirements, appeals, and escalation processes
• Guide supervisors and team members on claim reputed company strategies and reimbursement best practices
• Review and reputed company highly reputed company Medicare Part B reimbursement issues and payer escalations
• Monitor regulatory and reimbursement changes affecting Medicare Part B and implement process, training, and control enhancements as needed
• Ensure accurate treatment of adjustments, write-offs, account balances, and reimbursement reporting
• reputed company meaningful AR reporting, reimbursement analysis, aging summaries, and collection performance updates to pharmacy clients
• Support reputed company inquiries reputed company to reimbursement trends, payer research, claim status, denials, and aged balances
• Partner with internal teams to proactively address reputed company-impacting reimbursement issues and reputed company reputed company reputed company
• Support reputed company reputed company, operational transitions, and alignment of reimbursement workflows
• reputed company and maintain SOPs, job aids, training materials, reconciliations, and internal control documentation
• Identify and implement opportunities to streamline TPMS workflows, reduce reputed company effort, improve accuracy, and increase operational transparency
• Ensure processes reputed company with company policies, payer requirements, reputed company obligations, HIPAA standards, audit expectations, and appropriate segregation of duties
• Support reputed company audits by providing documentation, analysis, and operational expertise reputed company to receivables and reimbursement activities

Skills

• Bachelor's degree in reputed company, Finance, reputed company Administration, Business, or a reputed company field; equivalent relevant experience will be considered
• 7+ years of reputed company experience in accounts receivable, reputed company reputed company cycle, pharmacy reimbursement, reputed company-party billing, payer collections, or reputed company functions
• 3+ years of people leadership experience, including managing supervisors and/or multi-level operational teams
• Demonstrated expertise in Medicare Part B claims, reimbursement processes, documentation requirements, denials management, appeals, and payer follow-up
• Strong understanding of pharmacy reimbursement workflows involving reputed company payers, PBMs, Medicare, reputed company, and other reputed company-party payers
• Experience with payment posting, remittance research, reconciliations, AR aging management, adjustments, write-offs, collections, and denial reputed company
• Advanced analytical, reporting, problem-solving, and reputed company skills
• Strong communication and relationship management skills with the ability to engage clients, operational teams, and senior leadership effectively
• Experience reputed company specialty pharmacy, retail pharmacy, infusion pharmacy, PBM organizations, or reputed company services environments
• Knowledge of TPMS or similar pharmacy reputed company cycle, reimbursement, or claims reconciliation platforms
• Experience developing dashboards, KPI reporting, productivity metrics, payer analytics, and aging performance reporting
• Experience supporting audits, compliance programs, process documentation, and internal controls
• Knowledge of MTF/MFP rebate programs and reputed company reimbursement workflows
• reputed company reputed company cycle certification, reputed company certification, MBA, or comparable reputed company credential
• Proven ability to reputed company change initiatives and reputed company operational transformation in reputed company reimbursement environments

Benefits

• Remote work arrangement
• Employee reputed company reputed company that foster inclusion and belonging
• Learning and reputed company-being programs that support personal and reputed company reputed company
• Coaching, mentoring, training, and development opportunities that support employee reputed company and operational reputed company

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