Finseca

Accounts Receivable

• Supervise Team Leads and Specialists, setting expectations and ensuring accountability for team performance
• Develop departmental goals and KPIs aligned with company objectives
• Provide guidance on complex or escalated claim issues
• Oversee insurance AR follow-up, denial resolution, and appeals
• Review Aged Trial Balance and Denial Reports and drive resolution strategies
• Monitor reimbursement turnaround times and payer trends and implement corrective action
• Approve and track staffing allocations across teams
• Ensure compliance with payer requirements, billing regulations, and internal policies
• Oversee quality assurance reviews on claims and documentation
• Lead internal audits and participate in external compliance reviews
• Mentor and develop Team Leads
• Approve and coordinate training programs
• Conduct performance evaluations and establish professional development plans
• Analyze AR metrics and produce reports for senior leadership with process improvement recommendations
• Act as primary contact for escalated payer issues and client concerns
• Collaborate with other managers to support smooth revenue cycle operations

Insurance AR Manager

Insurance

• Manage the insurance claims process and follow up on outstanding accounts receivable
• Identify and resolve claim denials
• Appeal underpaid or rejected claims
• Communicate with insurance companies and patients to facilitate timely reimbursement
• Utilize insurance billing procedures, coding, and reimbursement regulations to optimize revenue cycle management and minimize revenue loss
• Use electronic medical records (EMR)
• Post charges for services in a timely manner
• Submit clean claims electronically to carriers
• Review and maintain clearinghouse reports
• Verify eligibility and benefit coverage
• Investigate and review insurance denials and update accounts
• Prepare and submit secondary claims as needed
• Resolve questions related to deductibles, co-insurance, and co-pays
• Prepare and submit appeal letters to insurance carriers
• Recommend coding changes as required
• Perform soft collections as needed
• Scrub Aged Trial Balance Reports for insurance discoveries
• Train required team members as needed
• Review denial reports, update accounts, and resolve denials
• Generate bad debt submission reports and PFC Medicaid eligible reports
• Assist with internal auditing initiatives
• Perform other duties assigned by the management team

Insurance AR Manager

Insurance A/R Follow-Up Specialist